The development of Afghanistan's Integrated Package of Essential Health Services
Evidence, expertise and ethics in a priority setting process
Bibliographic Data
| ID | 4957868 |
|---|---|
| Authors | Isabelle L Lange (0000-0001-8045-048X, London School of Hygiene & Tropical Medicine, corresponding author), Ferozuddin Feroz (0000-0003-3647-7372, Ministry of Public Health), Ahmad Jan Naeem (0000-0003-4305-5717, Ministry of Public Health), Sayed Ataullah Saeedzai (0000-0001-8621-578X, Ministry of Public Health), Fatima Arifi (0000-0003-3923-689X, Ministry of Public Health), Neha Singh (0000-0003-0057-121X, London School of Hygiene & Tropical Medicine), Karl Blanchet (0000-0003-0498-8020, University of Geneva) |
| Year | 2022 |
| Volume | 305 |
| Pages | 115010 |
| Publication date | 2022-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2022.115010 |
| PMID | 35597187 |
| OpenAlex | W4229008306 |
| Language | EN |
| Citations received | 3 |
| References cited | 24 |
Health systems in fragile states need to respond to shifting demographics, burden of disease and socio-economic circumstances in the revision of their health service packages. This entails making difficult decisions about what is and is not included therein, especially in resource-constrained settings offering or striving for universal health coverage. In this paper we turn the lens on the 2017-2021 development of Afghanistan's Integrated Package of Essential Health Services (IPEHS) to analyse the dynamics of the priority setting process and the role and value of evidence. Using participant observation of meetings and interviews with 25 expert participants, we conducted a qualitative study of the consultation process aimed at examining the characteristics of its technical, socio-cultural and organisational aspects, in particular data use and expert input, and how they influenced how evidence was discussed, taken up, and used (or not used) in the process. Our analysis proposes that the particular dynamics shaped by the context, information landscape and expert input shaped and operationalized knowledge sharing and its application in such a way to constitute a sort of "vernacular evidence". Our findings underline the importance of paying attention to the constellation of the priority setting processes in order to contribute to an ethical allocation of resources, particularly in contexts of resource scarcity and humanitarian need
Business · Context (archaeology · Economic growth · Economics · Geography · Health care · Knowledge management · Operationalization · Political science · Process (computing · Public relations · Scarcity · Sociology · Computer Science · Global Maternal and Child Health · Health and Conflict Studies · Healthcare Systems and Reforms
Halys and Qalys and Dalys, Oh My
The foreign gaze
Impact of conflict on maternal and child health service delivery
Afghanistan's Basic Package of Health Services
When does evidence-based policy turn into policy-based evidence? Configurations, contexts and mechanisms
The nice thing about context is that everyone has it
Advancing methods for health priority setting practice through the contribution of systems theory
Buzzwords and fuzzwords
Implementing a Basic Package of Health Services in post-conflict Liberia
Health sector priority setting at meso-level in lower and middle income countries
Evidence-based health policy
Humanitarian Space as Arena
| Unique citing works | 3 |
|---|---|
| Citations per year | 1 |
| Citation span | 2023 - 2024 (2) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |