{"entity":{"id":"paper-eregata-ethiopia-ehsp-revision-hsr-2020","kind":"paper","name":"How Ethiopia revised its essential health services package in 2019","aka":[],"tldr":"Ethiopia's 2019 revision of its essential health services package ranked 1,018 interventions using seven criteria, including cost-effectiveness and financial risk protection, and made 570 of them free of charge.","summary":"Published as \"Revision of the Ethiopian Essential Health Service Package: An Explication of the Process and Methods Used\". It describes the process the Ministry of Health followed in 2019: 35 consultative workshops with experts and the public to define scope, list interventions, agree criteria, gather evidence and compare interventions.","asOf":"2026-11-04","links":[{"label":"Health Syst Reform 2020","url":"https://doi.org/10.1080/23288604.2020.1829313"},{"label":"PubMed","url":"https://pubmed.ncbi.nlm.nih.gov/33300838/"}],"tags":[],"related":[],"cancers":[],"sections":[],"technologies":[],"targets":[],"drugs":[],"companies":[],"institutions":["ethiopia-ministry-of-health"],"pathways":[],"terms":[],"trials":[],"people":[],"bottlenecks":[],"keyPapers":[],"journals":[],"dependsOn":[],"notes":[],"journal":"Health Systems & Reform","year":2020,"doi":"10.1080/23288604.2020.1829313","pmid":"33300838","authors":"Eregata GT, Hailu A, Geletu ZA, et al.","paperType":"methods","findings":["Seven prioritisation criteria were used: disease burden, cost-effectiveness, equity, financial risk protection, budget impact, public acceptability and political acceptability.","1,749 interventions were identified, narrowed to 1,442 relevant and then 1,018 evaluated: 594 (58%) high priority, 213 (21%) medium and 211 (21%) low.","Policy is to provide 570 interventions (56%) free of charge, with the rest available through cost-sharing (38%) or cost-recovery (6%)."],"whatItMeans":"This package is how Ethiopia decides which services, including cancer services, public facilities provide and on what terms; it is the nearest thing to a national health technology assessment process.","caveats":["Written by people who took part in the revision.","The abstract does not give the priority level of individual cancer interventions."]},"route":"/key-papers/paper-eregata-ethiopia-ehsp-revision-hsr-2020/","neighbours":{"institution":[{"id":"ethiopia-ministry-of-health","kind":"institution","name":"Federal Ministry of Health, Ethiopia","route":"/institutions/ethiopia-ministry-of-health/"}]}}