Afghanistan | Ethiopia | Pakistan | Somalia | Sudan | Zanzibar (Tanzania) | |
Year of completion of the package | 2021 | 2019 | 2020 (Generic EPHS), 2021 (six provincial and federating areas EPHS) | 2020 | 2022 | 2022 |
Time required to construct the package | 2 years | 1–2 years | 2 years | 1–2 years | 2 years | 3 years |
Main source of evidence adopted as a guide | DCP3 | DCP3 expanded with service listing in UHC Compendium | DCP3 | DCP3 and UHC Compendium | DCP3 expanded with other packages | DCP3 |
New package or revision based on a previous package | Revision and expansion | Revision and expansion | New package* | Revision and expansion | New package | Revision and updating |
Delivery platforms targeted by the package | All delivery platforms† | All delivery platforms | District-level platforms‡ | All delivery platforms | All delivery platforms | All delivery platforms |
Cost of the EPHS in US$ per capita in the first year§ | 6.9 | 40.0 | 13.0 for the federal EPHS¶ | 7.4 | 23.3 | 37.0 |
Number of interventions in the final package | 158 | 1018 | 88 | 412 | 824 | 314 |
Position of the country on the source of financing the final package | Prepayment schemes and donor funding | Public finance, donor funding and user fees | Public finance with gap filling from donor funding | Public finance, donor funding and user fees | Public finance, prepayment, donor funding and user fees | Public finance, public health insurance, prepayment, donor funding and user fees |
*A rudimentary EPHS existed in two provinces focusing on a few programmes.
†DCP3 delivery platforms are community, health centre, first level hospital, referral and specialty hospitals and population-based interventions.
‡All five delivery platforms were prioritised and costed, but the government decided to initially implement the three district level platforms.
§All packages will have increasing coverage along the timeline of the Sustainable Development Goals target 3.8 and the projected costs will be considerably higher and require an increase in health allocation.
¶EPHS in each province/area has a different set of interventions and unit cost.
DCP3, third edition of the Disease Control Priorities series; EPHS, essential packages of health services; UHC, universal health coverage.