EHS-COVID (174) New WHO tool to help countries advance towards universal health coverage (2)

13 January, 2021

Dear Neil

Thanks for bringing attention to this. I've now had a look and completed the WHO 2 min survey.

It's hard to comment on some of your points as a lot doesn't seem to be live yet does it? The references aren't hyperlinked or is it operator error (ie me!).

Anyway, here are some of my thoughts:

It would be great if there was a tool that enabled you to calculate both the value to a population and the cost of achieving it. This would need a tool that offered you:

1. Latest data on cost-effectiveness with references

2. A way to calculate the size of the population who would benefit (expressed as rate per 100,000) and references to support that

3. Price ranges - what do the interventions currently cost in a range of settings (which is different from their cost-effectiveness).

It looks as if some of that is work in progress?

Meanwhile, there is a tool that creates visualisations that enables stakeholders to come together to discuss:

https://www.health.org.uk/funding-and-partnerships/programmes/star-a-too...

It would be good if the WHO tool could do this.

If you take a single example, asthma. There are a number of interventions listed, but actually, there isn't guidance about priority order. What we know is that there is a priority order, and at the top is universal access to affordable inhaled corticosteroids, devices (spacers), plus primary care education about chronic disease management and incentives to diagnose.

Thanks

Sian

HIFA profile: Sian Williams is Chief Executive Officer at the International Primary Care Respiratory Group in the UK. Professional interests: Implementation science, NCDs, primary care, respiratory health, education, evaluation, value, breaking down silos. sian.health AT gmail.com