Designing and implementing packages of essential health services

Abstract

Since the publication of The 1993 World Development Report (WDR), a substantial amount of interest has been generated in the package of essential health services (PEHS) proposed within the Report. This study reviewed 18 package building exercises to answer key questions on feasibility, methods and short‐term benefits of such packaging. It was found possible to design a PEHS in the developing world with methods consuming fewer resources, yet still remain within WDR recommended guidelines. Designing the PEHS produces significant benefits to policy dialogue through the introduction of cost and effectiveness considerations in priority setting, but it is still too early to judge its effect on reallocation of resources and on health status.