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.

Salud y medicina

Essential Package of Health
Services (EPHS)

Why?
Part of Health Reform.
Mechanism of service delivery.
Blueprint of resource allocation.
Management framework.
Cost and finance.
UHC.

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.

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)

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

Challenges
Active
Conflict
Political
Division
Corruption
Fragmente
d System
IDPs
Migrants
Loosing
competencie
s

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).

EPHS
Resource
Specificatio
n
Management
Component
Health
Programs
Care Levels
Implementation
Plan
Management
Toolkits
EPHS

Challenges:
Weak Political Leadership
and the Will.
Different opinions : (GP Board,
SIF and Donors)
Shortage of Supply.

Next Step
- Costing and Finance.
- Endorsement.
- Implementation (Services and
coverage).
- Monitoring and Evaluation.
- Improvement toward UHC (Access,
efficiency and quality).

Essential package of health services in Libya

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