Page 17 - Htain Manual

and feasibility To prioritize interventions where the health benefits or considerable

or balanced with the extent of financial protection afforded over high cost services

whose health benefits are small though providing substantial financial protection.

2. To prioritize coverage for those of the lower socio-economic strata or those below

the poverty line before expanding coverage to population of the higher socio-

economic strata.

3. To prioritize coverage for people from the informal sector (most of whom fall in the
impoverished category) as compared to those with the ability to pay for services (both

low and high end) even if it is achievable in the UHC approach.

4. To prioritize elimination of out-of-pocket expenditures for high-priority services.

before reducing out-of-pocket expenditures for low or medium priority services
before eliminating

Thus, there needs to be taken a clear approach while deciding our priorities, keeping

in mind the UHC concept. A skeleton framework guided by certain key factors is then

structured starting with the scope of the whole process till the implementation and the
monitoring of the end implementation. These factors are listed below.

 Defining the overall scope

 Listing out issues under defined scope

 Ordering of priority issues

 Evidence generation/synthesis for the same

 Collation of pooled results

 Making a decision

 Implementation

 Monitoring and evaluation

Lastly, we come to why and where we might need to set up priorities for health

interventions. Figure 3 illustrates the various reasons why we need to prioritize health
interventions.

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