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Essential package of health services in Libya

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Presented by Ghassan Karem.

Part of a session - 'Context, gender, and sustainability in introducing and scaling-up essential health care packages in fragile and crisis-affected countries' - at the Fifth Global Symposium for Health Systems Research in October 2018. The essential package of health services is a mechanism for expanding equitable coverage of primary health care and essential hospital services in countries recovering from conflict. The session explored the evidence-base on such healthcare packages in different contexts and prioritized areas for strengthening research.

Published in: Health & Medicine
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Essential package of health services in Libya

  1. 1. Essential Package of Health Services (EPHS)
  2. 2. Why? Part of Health Reform. Mechanism of service delivery. Blueprint of resource allocation. Management framework. Cost and finance. UHC.
  3. 3. Health services: comprehensive health services. Hospital based and a large network of PHC. lacking clarity on exactly what services at what level. Ineffective referral system. Health workforce inefficiently deployed. Drugs expired in huge quantities, revealing a very inefficient supply chain. Financial resources were generous , huge wastage in the system which in turn diluted service quality.
  4. 4. Health Care levels: Secondary care (97) Villager Hospitals(32),General Hospitals (23),Teaching Hospitals(31), Specialized Hospitals (11) Tertiary care Medical centers (5) Primary Care(1355) Units(728) , Centers(571) , Polyclinics(56)
  5. 5. PHC : Polyclini c Regional Health Services Directorate Center Unit PHC directorate Health regions directorate M.o.H M.S. O M.S.O Branc h Regional Warehous e Others Hospital s Ambulance services Branches ASO
  6. 6. Challenges Active Conflict Political Division Corruption Fragmente d System IDPs Migrants Loosing competencie s
  7. 7. International Partners:
  8. 8. Process - Identify stakeholders - Use international Support. - Regulations and Rules. - Conducting meetings and workshops. - Visit many facilities at different levels. - Use SARA2 report. - Production of documents ( Inclusion list , exclusion list , implementation plan).
  9. 9. EPHS Resource Specificatio n Management Component Health Programs Care Levels Implementation Plan Management Toolkits EPHS
  10. 10. Challenges: Weak Political Leadership and the Will. Different opinions : (GP Board, SIF and Donors) Shortage of Supply.
  11. 11. Next Step - Costing and Finance. - Endorsement. - Implementation (Services and coverage). - Monitoring and Evaluation. - Improvement toward UHC (Access, efficiency and quality).

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