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Health care benefits package design to improve outcomes in resource-constrained settings : suggestions for Tajikistan

Wilkens, Jens LU ; Goroshko, Alona ; Khakimova, Malika ; Egamov, Farrukh ; Habicht, Triin and Dastan, Ilker (2025) In Frontiers in Health Services 5.
Abstract

The Tajik health system is characterized by improving health outcomes over the last 20 years, but also major inefficiencies in health care delivery and large difficulties for people to access affordable essential health care. The benefits package (BP) is a key tool for prioritizing state budget allocations toward health interventions that most effectively enhance health system performance. This article suggests directions for a new BP, which is envisioned in the currently ongoing reforms. Using a universal health coverage framework, the article examines how the public budget is prioritized in the current BP and investigates the main performance challenges addressed in the government's ongoing health reform efforts from a BP perspective.... (More)

The Tajik health system is characterized by improving health outcomes over the last 20 years, but also major inefficiencies in health care delivery and large difficulties for people to access affordable essential health care. The benefits package (BP) is a key tool for prioritizing state budget allocations toward health interventions that most effectively enhance health system performance. This article suggests directions for a new BP, which is envisioned in the currently ongoing reforms. Using a universal health coverage framework, the article examines how the public budget is prioritized in the current BP and investigates the main performance challenges addressed in the government's ongoing health reform efforts from a BP perspective. Criteria for a new BP are outlined, along with suggestions for their application. The article explains how BP design can improve health system performance in a budget-constrained setting by focusing on primary health care interventions and eliminating user fees for child and maternal health services, without requiring additional budget resources. The main strength of the current BP is the provision of free family doctor and nurse consultations for all. However, its narrow scope and high user fees for essential interventions hinder both the effective management of highly prevalent chronic non-communicable diseases and the efficient use of public resources. The user fee exemptions for vulnerable population groups are neither rational in design nor possible to evaluate due to the absence of data.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
benefits package, budget resources, effective primary health care, prioritization, universal health coverage
in
Frontiers in Health Services
volume
5
article number
1617679
publisher
Frontiers Media S. A.
external identifiers
  • scopus:105018634142
  • pmid:41035625
ISSN
2813-0146
DOI
10.3389/frhs.2025.1617679
language
English
LU publication?
yes
additional info
Publisher Copyright: 2025 Wilkens, Goroshko, Khakimova, Egamov, Habicht and Dastan.
id
b609c5f0-319e-4769-8d77-712bb34b13ed
date added to LUP
2026-01-26 09:57:22
date last changed
2026-01-27 03:00:02
@article{b609c5f0-319e-4769-8d77-712bb34b13ed,
  abstract     = {{<p>The Tajik health system is characterized by improving health outcomes over the last 20 years, but also major inefficiencies in health care delivery and large difficulties for people to access affordable essential health care. The benefits package (BP) is a key tool for prioritizing state budget allocations toward health interventions that most effectively enhance health system performance. This article suggests directions for a new BP, which is envisioned in the currently ongoing reforms. Using a universal health coverage framework, the article examines how the public budget is prioritized in the current BP and investigates the main performance challenges addressed in the government's ongoing health reform efforts from a BP perspective. Criteria for a new BP are outlined, along with suggestions for their application. The article explains how BP design can improve health system performance in a budget-constrained setting by focusing on primary health care interventions and eliminating user fees for child and maternal health services, without requiring additional budget resources. The main strength of the current BP is the provision of free family doctor and nurse consultations for all. However, its narrow scope and high user fees for essential interventions hinder both the effective management of highly prevalent chronic non-communicable diseases and the efficient use of public resources. The user fee exemptions for vulnerable population groups are neither rational in design nor possible to evaluate due to the absence of data.</p>}},
  author       = {{Wilkens, Jens and Goroshko, Alona and Khakimova, Malika and Egamov, Farrukh and Habicht, Triin and Dastan, Ilker}},
  issn         = {{2813-0146}},
  keywords     = {{benefits package; budget resources; effective primary health care; prioritization; universal health coverage}},
  language     = {{eng}},
  publisher    = {{Frontiers Media S. A.}},
  series       = {{Frontiers in Health Services}},
  title        = {{Health care benefits package design to improve outcomes in resource-constrained settings : suggestions for Tajikistan}},
  url          = {{http://dx.doi.org/10.3389/frhs.2025.1617679}},
  doi          = {{10.3389/frhs.2025.1617679}},
  volume       = {{5}},
  year         = {{2025}},
}