Table 4

Essential elements of a road map for EPHS development in the six focus countries

AfghanistanEthiopiaPakistanSomaliaSudanZanzibar (Tanzania)
Establishing a project secretariat within the MOHYesYesYesYesNoYes
Existence of a unit within the MOH for health economics or health financingYesYesYesNoYesNo
Considering capacity building in the initial action plan for developing UHC HBPYesYesYesNoNoYes
Identifying and acting on areas required for training and capacity buildingPriority setting, health system assessment and health economicsSystematic review, economic evaluation, equity analysis, budget impact and costingEvidence generation and use in prioritisation, organisational restructuring for the implementation, management and health systemsBurden of disease, health system performance assessment, health economics, economic evaluation, equity analysis, budget impact and costingPriority settingPriority setting, health economics and costing
Capacity building mechanisms that have been adopted/implementedOn-job trainingTraining and graduate studies at MSc and PhD LevelTraining, inside and outside of the country and graduate studiesNoShort trainingsShort trainings for 12 members of core team and 1 Master and 2 PhDs
Institutionalising capacity building in the planNoYesTo some extentNoYesNo
Developing a communication strategy as part of the EPHS action planNoNoYes, during implementationNoNoNo
  • EPHS, essential packages of health services; MOH, Ministry of Health; UHC, universal health coverage.