P023 – Package to Implementation: Institutionalizing a Unified Health Benefit Design Framework

Organized Session 16

Date: Thursday 9 May 2024
Time: 14:30 - 15:45 PM
Room: Thonburi
Speakers: Ursula Giedion, Altea Sitruk, Karin Stenberg, Ermias Dessie, Lusiana Siti Masytoh, Umuhoza Stella Matutina

Details descriptions of the session:

Health benefit package (HBP) design processes, when designed as narrow one-time efforts uncoupled from implementation considerations, cannot achieve their full potential in supporting sustainable change and the long-term goal of Universal health coverage (UHC). Focusing on institutionalization is key to enhancing the legitimacy and fairness of these processes. Effective implementation also requires a comprehensive macro policy approach that considers the health system setup and available resources. This session presents a framework to show the linkages between the policy and planning instruments that are part of the health benefit design process, and suggests a series of steps to consider during prioritization, outlining different aspects for institutionalization and effective implementation

Join this session to learn more about the processes, tools and resources to support different aspects of prioritizing and designing benefits for guaranteed entitlements, identifying system constraints, and defining services in detail to support planning, costing, and financing for implementation.

This session illustrates the concepts presented with relevant country experiences, as we hear the accounts from Ethiopia, Indonesia and Rwanda on the journey towards institutionalization, and their ongoing work to reconcile economic analysis for individual interventions with the broader health strategies for paying providers and ensuring quality service delivery.

Learning objectives and target audience:
  1. This session will present current thinking on institutionalizing robust health benefit design processes and considering health system implementation considerations that should form part of the benefit design framework, enabling a rich discussion on further strengthening institutionalization and implementation processes.
  2. It will share country experiences from low- and middle-income countries and highlight practical, hands-on solutions to support such processes.
  3. The target audience is those working on developing and refining health benefit design processes in countries. A particular focus is given to audiences in low- and middle-income countries.
Structure of presentation:

The session includes a series of presentations, designed to allow for interaction and discussions.

  1. Chair: Ursula Gideon,
  2. Altea Sitruk/Karin Stenberg, WHO (15 minutes) – Tools to support institutionalized health benefit design processes: from institutional maturity assessment to support for planning and costing
  3. Ermias Dessie – online participation (10 minutes) – A roadmap towards institutionalizing health technology assessment in Ethiopia
  4. Lusiana Siti Masytoh – online participation (10 minutes) – Designing health financing policy to support HBP implementation in Indonesia
  5. Umuhoza Stella Matutina (10 minutes) – Assessing feasibility of HBP implementation from a health systems/health workforce perspective in Rwanda
  6. Moderated discussion (25 minutes)
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