Enabling environment to support HBP design |
The resources in this section look at the legal framework and the governance arrangements. These resources provide guiding questions to help ensure that the right elements are in place for HBP design processes.
Legal Framework
Chapter 2 of WHO’s How To Institutionalize HTA guide looks specifically at the legal aspects of HTA processes. This chapter has a detailed checklist that should be considered when evaluating the legal framework for an HBP design process. An example of part of this checklist is shown in the figure below:
Governance
Similar to the legal framework, the governance of an HBP process can take many different forms and thus needs to be adapted to each context. The governance of each process will have to take into account the existing stakeholders and arrangements and identify where improvements can be made. For this reason, a landscape analysis of current stakeholders is a valuable tool. Examples of what existing country processes look like can also be found in several resources (e.g. Priority-Setting in Health: Building Institutions for Smarter Public Spending; Making explicit choices on the path to UHC: The JLN health benefits package revision guide; Decision-making processes for essential packages of health services: experience from six countries).
Key WHO resources and/or selected non-WHO resources to assist with establishing an enabling environment for HBP design
| Resource | Description | Reference |
1. Priority-Setting in Health: Building Institutions for Smarter Public Spending | Set of practical recommendations on how to set up the decision-making framework for health investments. |
Glassman, Amanda & Chalkidou, Kalipso. (2012). Priority-Setting in Health: Building Institutions for Smarter Public Spending. Center for Global Development. https://www.cgdev.org/publication/priority-setting-health-building-institutions-smarter-public-spending |
| 2. Making explicit choices on the path to UHC: The JLN health benefits package revision guide | This guide was developed by the Joint Learning Network for Universal Health Coverage to provide practical guidance to LMICs on the process of continuously revising health benefits packages. |
Baltussen, R., L. Bijlmakers, S. Ghosh, J. Janssen, P. Baker, J. Guzman, Y L. Chi. (editors) (2022). “Making explicit choices on the path to UHC: The JLN health benefits package revision guide.” Joint Learning Network for Universal Health Coverage, International Decision Support Initiative (iDSI), The World Bank Group. https://www.jointlearningnetwork.org/resources/guide-for-health-benefits-package-revision/ |
3. Decision-making processes for essential packages of health services: experience from six countries | This paper presents an analytical framework for the decision-making process of revising essential packages of health services and lessons from practical experiences in six countries. |
Baltussen R, Mwalim O, Blanchet K, et alDecision-making processes for essential packages of health services: experience from six countriesBMJ Global Health 2023;8:e010704. https://gh.bmj.com/content/8/Suppl_1/e010704 |