There are several defined and semi-defined “packages” of health services floating around Haiti, and the literature is rife with contradictions and uncertainty. Our analysis reveals that Haiti has an EPHS, but the following context is important to understand: The Ministry of Health and Population
The series of documents that best fits the definition of the EPHS in India is the Indian Public Health Standards (2012) series, plus Annexure II of the Guidelines for Community Processes (2013), which lists the services provided by community health workers referred to as accredited social health activists (ASHAs).
The Republic of Indonesia has specified an EPHS through its regulatory process. Regulation No. 75/2014 lists health services that must be provided through community health centers, or puskesmas; mobile health clinics; and community midwives. The list of services roughly translates from Bahasa
Kenya’s EPHS, referred to as the Kenya Essential Package for Health, is clearly defined in the Kenya Health Sector Strategic and Investment Plan (KHSSP) for July 2014–June 2017 and the Taking the Kenya Essential Package for Health to the Community: A Strategy for the Delivery of Level One Services (Community Health Strategy).
The government of the Republic of Liberia published its EPHS in the National Health and Social Welfare Policy and Plan 2011–2021 and the accompanying policy document Essential Package of Health Services, Phase One (2011). The EPHS is clearly defined by specific health interventions and by service delivery level.
Madagascar’s EPHS is not clearly defined in policy documents or regulations. The latest heath sector policy document available is the Ministry of Public Health’s 2012–2013 Interim Plan. The government of Madagascar and its international partners agreed to draft this document because the Plan de
Malawi first developed its EPHS, referred to as the Essential Health Package, in 2004 under the Program of Work (2004–2010). The successor document to the Program of Work is the Malawi Health Sector Strategic Plan (2011–2016), which emphasizes improving coverage and quality of EPHS
Mali has an EPHS, which the government refers to as the paquet minimum d’activité (PMA). While the formal PMA is described in one national policy document, it appears that the government considers any service provided under a vertical program informally part of the PMA as well. The Ministry of Health’s
Mozambique has not yet adopted a formal EPHS, but vaguely committed to developing one in a recent policy document. Mozambique’s Health Sector Strategic Plan (Plano Estratégico do Sector da Saúde, or PESS) is the policy document intended to guide the health sector towards universal health coverage through government and donor cooperation. In 2013 the government […]
The government of Nepal first published an EPHS, called the “Essential Health Care Services package,” in 1999 as part of the second Long Term Health Plan, which included 20 broad health areas. The government’s Health Sector Strategy (2004) acknowledged that the original EPHS was not affordable,
