ArticleBMJ global health2018
Supporting the development of a health benefits package in Malawi.
Article in BMJ global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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Who cites it
35 citing papers in PubMed, 64 citations in OpenAlex.
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- Guiding Health Resource Allocation: Using Population Net Health Benefit to Align Disease Burden with Cost Effectiveness for Informed Decision Making.Applied health economics and health policy · 2025Article
- An individual-based modelling study estimating the impact of maternity service delivery on health in Malawi.Nature communications · 2025Article
- Universal health coverage-Exploring the what, how, and why using realist review.PLOS global public health · 2025Article
- Cost-effectiveness of wastewater-based environmental surveillance for SARS-CoV-2 in Blantyre, Malawi and Kathmandu, Nepal: A model-based study.PLOS global public health · 2025Article
- A new approach to Health Benefits Package design: an application of the Thanzi La Onse model in Malawi.PLoS computational biology · 2024Article
- Understanding the extent of economic evidence usage for informing policy decisions in the context of India's national health insurance scheme: Ayushman Bharat Pradhan Mantri Jan Aarogya Yojana (PM-JAY).BMJ global health · 2024Article
- Using economic analysis to inform health resource allocation: lessons from Malawi.Discover health systems · 2024Review
- Cost-effectiveness of a pediatric operating room installation in Sub-Saharan Africa.PLOS global public health · 2024Article
- The road to achieving epidemic-ready primary health care.The Lancet. Public health · 2023Review
- Cost-effectiveness of tuberculosis infection prevention and control interventions in South African clinics: a model-based economic evaluation informed by complexity science methods.BMJ global health · 2023Article
- What is the value of explicit priority setting for health interventions? A simulation study.Health care management science · 2022Article
- Supporting a review of the benefits package of the National Health Insurance Scheme in Ghana.Cost effectiveness and resource allocation : C/E · 2022Article
- Informing decisions with disparate stakeholders: cross-sector evaluation of cash transfers in Malawi.Health policy and planning · 2022Article
- Assessing the potential of HTA to inform resource allocation decisions in low-income settings: The case of Malawi.Frontiers in public health · 2022Article
- Concomitant health benefits package design and research prioritisation: development of a new approach and an application to Malawi.BMJ global health · 2021Article
- Culture's Place in Quality of Care in a Resource-Constrained Health System: Comparison Between Three Malawi Districts.Qualitative health research · 2021Article
- Contextualization of cost-effectiveness evidence from literature for 382 health interventions for the Ethiopian essential health services package revision.Cost effectiveness and resource allocation : C/E · 2021Article
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Corrections and comments
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Authors and funding
8 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Malawi, like many low-income and middle-income countries, has used health benefits packages (HBPs) to allocate scarce resources to key healthcare interventions. With no widely accepted method for their development, HBPs often promise more than can be delivered, given available resources. An analytical framework is developed to guide the design of HBPs that can identify the potential value of including and implementing different interventions. It provides a basis for informing meaningful discussions between governments, donors and other stakeholders around the trade-offs implicit in package design. Metrics of value, founded on an understanding of the health opportunity costs of the choices faced, are used to quantify the scale of the potential net health impact (net disability adjusted life years averted) or the amount of additional healthcare resources that would be required to deliver similar net health impacts with existing interventions (the financial value to the healthcare system). The framework can be applied to answer key questions around, for example: the appropriate scale of the HBP; which interventions represent 'best buys' and should be prioritised; where investments in scaling up interventions and health system strengthening should be made; whether the package should be expanded; costs of the conditionalities of donor funding and how objectives beyond improving population health can be considered. This is illustrated using data from Malawi. The framework was successfully applied to inform the HBP in Malawi, as a core component of the country's Health Sector Strategic Plan II 2017-2022.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.