Details descriptions of the session:
Evidence-informed deliberative processes (EDPs) represent a pragmatic and systematic method for improving the legitimacy of decision-making processes in designing Essential Health Service Packages (EPHS) through several elements including stakeholders’ deliberation and transparency. The processes include identifying, acknowledging, and gaining insights into stakeholder values, informed through evidence on these values. The session aims to illustrate the use of EDPs in several countries, including its options and limitations. A first version of a guide based on EDPs was published in 2019 and the subsequent version released in 2022. These guidelines have served as a practical foundation for priority setting in various countries in different setting, both in the context of Health Technology Assessment (HTA) and the development of EPHS. The practical application of this session involves gathering feedback on the implementation of EDPs in real-world settings and considering potential recommendations for the next version of the guide.
The session will commence with an introduction on the conceptual framework and elements of EDPs. This is followed by two presentations of country case studies where EDPs were used to design EPHS, in Iran and Pakistan respectively. The session also includes the country case study of Ethiopia where EDPs were not explicitly used but alternative efforts were made to promote legitimacy of EPHS revision. The discussion will focus on the lessons learned and the key aspects of addressing legitimacy in EPHS revision in Low and Low Middle-Income Countries (L-LMICs).
Learning objectives and target audience:
This session is designed to offer insights into the recent experiences of L-LMICs on the legitimacy of EPHS design, through the lens of EDPs.
The target audience for this session includes policymakers, health system professionals, and all stakeholders actively engaged in priority setting in diverse international contexts.
Structure of presentation:
The session will unfold in a structured format, including:
- Professor Reza Majdzadeh: Introduction and setting of the scene (10 mins)
- Professor Rob Baltussen: Conceptual framework and elements of EPDs (10 mins)
- Dr Solomon Memirie: Experiences from Ethiopia; a Low-Income country (10 mins)
- Dr Majtaba Nouhi, Lesson Learned from Iran, a Low-Middle-Income Country (10 mins)
- Dr Maryam Huda: Lesson Learned from Pakistan; an Immediate Implementation a Low-Middle Income Country (10 mins)
- Interactive Panel Discussion (20 mins)
- Conclusion and the way forward (5 mins)
This interactive panel discussion will allow participants to actively share their knowledge and experiences. The insights gathered during the discussion will be collected electronically and thoughtfully integrated into the concluding summary, ensuring a collective reflection of valuable perspectives and lessons learned.
