Essential Package of Health Services. Primary Care: The Community Health System
(2011; 46 pages)

Abstract

The Ministry of Health and Social Welfare has launched the Essential Package of Health Services (EPHS). In 2007 the Ministry established the Basic Package of Health Services (BPHS) with the ultimate intention of jump-starting a health care delivery system for all Liberians. The BPHS became the cornerstone of the National Health Policy and Plan that was drafted and made operational in 2007. The BPHS established basic preventive and curative services needed to improve access and health care...

While the implementation of the BPHS has been successful in achieving an agreed upon package of services, it has proved incomplete for the full needs of health care delivery. The BPHS does not take into account people presenting at health facilities for treatment of some common illnesses such as non-communicable and neglected tropical diseases, amongst others. Additionally, recent studies show that approximately 40% of the population still lives more than one hour walk from a health facility. Therefore, the key principles for inclusion of services into the EPHS are based on a Primary Health care (PHC) model with emphasis on high-impact, evidence based interventions; integration of services; standardization of protocols, guidelines and procedures; phased expansion of services towards a more comprehensive package; and consideration of urban and rural differences...

 
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