Best practices for the design, implementation, reporting and analysis of participatory surveillance for influenza-like illness

Best practices for the design, implementation, reporting and analysis of participatory surveillance for influenza-like illness

Author: World Health Organization

Publisher: World Health Organization

Published: 2024-07-05

Total Pages: 67

ISBN-13: 9240095039

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Epidemiological information on influenza comes from multiple sources. Participatory surveillance for influenza and influenza-like illness (ILI) is one approach for gathering information from the community to monitor trends in influenza, while also helping to inform other important public health issues. The approach should be considered to be complementary to other sources of influenza surveillance information. One advantage of participatory surveillance is that information comes from both asymptomatic and symptomatic individuals, and from symptomatic individuals who may not initially seek health care. Information may also come from members of the population who may be underrepresented in traditional facility-based surveillance. Where participatory surveillance for influenza and ILI has been implemented experience indicates that such systems are accurate, flexible, cost-effective and robust with regard to changes in health care seeking behaviour. However, there are also a number of limitations, challenges and biases that must be taken into consideration. This WHO document provides globally applicable guidance on implementing participatory surveillance for influenza and ILI based on expert input and abundant experience from countries in which such surveillance has been implemented. The document sets out best practices for public health officials to consider, either when looking to implement a participatory surveillance system or when making changes to an existing system.


Book Synopsis Best practices for the design, implementation, reporting and analysis of participatory surveillance for influenza-like illness by : World Health Organization

Download or read book Best practices for the design, implementation, reporting and analysis of participatory surveillance for influenza-like illness written by World Health Organization and published by World Health Organization. This book was released on 2024-07-05 with total page 67 pages. Available in PDF, EPUB and Kindle. Book excerpt: Epidemiological information on influenza comes from multiple sources. Participatory surveillance for influenza and influenza-like illness (ILI) is one approach for gathering information from the community to monitor trends in influenza, while also helping to inform other important public health issues. The approach should be considered to be complementary to other sources of influenza surveillance information. One advantage of participatory surveillance is that information comes from both asymptomatic and symptomatic individuals, and from symptomatic individuals who may not initially seek health care. Information may also come from members of the population who may be underrepresented in traditional facility-based surveillance. Where participatory surveillance for influenza and ILI has been implemented experience indicates that such systems are accurate, flexible, cost-effective and robust with regard to changes in health care seeking behaviour. However, there are also a number of limitations, challenges and biases that must be taken into consideration. This WHO document provides globally applicable guidance on implementing participatory surveillance for influenza and ILI based on expert input and abundant experience from countries in which such surveillance has been implemented. The document sets out best practices for public health officials to consider, either when looking to implement a participatory surveillance system or when making changes to an existing system.

“Crafting the mosaic”: a framework for resilient surveillance for respiratory viruses of epidemic and pandemic potential

“Crafting the mosaic”: a framework for resilient surveillance for respiratory viruses of epidemic and pandemic potential

Author: World Health Organization

Publisher: World Health Organization

Published: 2023-04-03

Total Pages: 96

ISBN-13: 9240070281

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Book Synopsis “Crafting the mosaic”: a framework for resilient surveillance for respiratory viruses of epidemic and pandemic potential by : World Health Organization

Download or read book “Crafting the mosaic”: a framework for resilient surveillance for respiratory viruses of epidemic and pandemic potential written by World Health Organization and published by World Health Organization. This book was released on 2023-04-03 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Global Infectious Disease Surveillance and Detection

Global Infectious Disease Surveillance and Detection

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2007-11-11

Total Pages: 284

ISBN-13: 0309111145

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Early detection is essential to the control of emerging, reemerging, and novel infectious diseases, whether naturally occurring or intentionally introduced. Containing the spread of such diseases in a profoundly interconnected world requires active vigilance for signs of an outbreak, rapid recognition of its presence, and diagnosis of its microbial cause, in addition to strategies and resources for an appropriate and efficient response. Although these actions are often viewed in terms of human public health, they also challenge the plant and animal health communities. Surveillance, defined as "the continual scrutiny of all aspects of occurrence and spread of a disease that are pertinent to effective control", involves the "systematic collection, analysis, interpretation, and dissemination of health data." Disease detection and diagnosis is the act of discovering a novel, emerging, or reemerging disease or disease event and identifying its cause. Diagnosis is "the cornerstone of effective disease control and prevention efforts, including surveillance." Disease surveillance and detection relies heavily on the astute individual: the clinician, veterinarian, plant pathologist, farmer, livestock manager, or agricultural extension agent who notices something unusual, atypical, or suspicious and brings this discovery in a timely way to the attention of an appropriate representative of human public health, veterinary medicine, or agriculture. Most developed countries have the ability to detect and diagnose human, animal, and plant diseases. Global Infectious Disease Surveillance and Detection: Assessing the Challenges-Finding Solutions, Workshop Summary is part of a 10 book series and summarizes the recommendations and presentations of the workshop.


Book Synopsis Global Infectious Disease Surveillance and Detection by : Institute of Medicine

Download or read book Global Infectious Disease Surveillance and Detection written by Institute of Medicine and published by National Academies Press. This book was released on 2007-11-11 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Early detection is essential to the control of emerging, reemerging, and novel infectious diseases, whether naturally occurring or intentionally introduced. Containing the spread of such diseases in a profoundly interconnected world requires active vigilance for signs of an outbreak, rapid recognition of its presence, and diagnosis of its microbial cause, in addition to strategies and resources for an appropriate and efficient response. Although these actions are often viewed in terms of human public health, they also challenge the plant and animal health communities. Surveillance, defined as "the continual scrutiny of all aspects of occurrence and spread of a disease that are pertinent to effective control", involves the "systematic collection, analysis, interpretation, and dissemination of health data." Disease detection and diagnosis is the act of discovering a novel, emerging, or reemerging disease or disease event and identifying its cause. Diagnosis is "the cornerstone of effective disease control and prevention efforts, including surveillance." Disease surveillance and detection relies heavily on the astute individual: the clinician, veterinarian, plant pathologist, farmer, livestock manager, or agricultural extension agent who notices something unusual, atypical, or suspicious and brings this discovery in a timely way to the attention of an appropriate representative of human public health, veterinary medicine, or agriculture. Most developed countries have the ability to detect and diagnose human, animal, and plant diseases. Global Infectious Disease Surveillance and Detection: Assessing the Challenges-Finding Solutions, Workshop Summary is part of a 10 book series and summarizes the recommendations and presentations of the workshop.

Developing a Social Network Web Application for Influenza Surveillance

Developing a Social Network Web Application for Influenza Surveillance

Author: Ayan Ghanshyam Patel

Publisher:

Published: 2010

Total Pages:

ISBN-13: 9781124665337

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Influenza needs to be tracked effectively in order for public health organizations to better respond to potential outbreaks. Public health informatics initiatives have been established to develop more accurate and timely disease surveillance systems. These systems receive data primarily from healthcare providers and laboratories, leading to delays in reporting. This may cause a slow response from public health professionals allowing an outbreak to potentially spread. Innovative methods for surveillance that interact directly with the public may provide more accurate and timely data. A Facebook application, "Will i be ill," (WIBI) was developed for influenza surveillance. The primary purpose of the application is to collect self-reported influenza like illness (ILI) cases from users through a simple web interface. There are four main sections of the application: "Are you ill," "Where are people ill," "Who's ill," and "What's in the news." The application collects symptom information from the user and their location. They are then notified whether or not they likely have an ILI. The data collected from the users of WIBI are then aggregated by county and displayed on a map. Users are encouraged to invite their friends to add the application to their Facebook profile. As their friends begin to use the application, the user can view which friends have submitted a report, unless it was marked as private. A live news feed provides users with links to articles related to influenza. A total of 75 users were invited to add the application and had messages posted to their Facebook profiles during the initial release of WIBI. Over a period of 9 weeks 58 users added the application and 7 users submitted a report. Due to a failure to meet user expectations and poor marketing, "Will i be ill" was not able to recruit enough users to successfully track influenza. Further development to incorporate data from official influenza surveillance sources, targeted marketing strategies to reach out to a larger audience, and additional development and infrastructure resources are required to accurately test whether or not a Facebook application can be used to supplement influenza surveillance systems.


Book Synopsis Developing a Social Network Web Application for Influenza Surveillance by : Ayan Ghanshyam Patel

Download or read book Developing a Social Network Web Application for Influenza Surveillance written by Ayan Ghanshyam Patel and published by . This book was released on 2010 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Influenza needs to be tracked effectively in order for public health organizations to better respond to potential outbreaks. Public health informatics initiatives have been established to develop more accurate and timely disease surveillance systems. These systems receive data primarily from healthcare providers and laboratories, leading to delays in reporting. This may cause a slow response from public health professionals allowing an outbreak to potentially spread. Innovative methods for surveillance that interact directly with the public may provide more accurate and timely data. A Facebook application, "Will i be ill," (WIBI) was developed for influenza surveillance. The primary purpose of the application is to collect self-reported influenza like illness (ILI) cases from users through a simple web interface. There are four main sections of the application: "Are you ill," "Where are people ill," "Who's ill," and "What's in the news." The application collects symptom information from the user and their location. They are then notified whether or not they likely have an ILI. The data collected from the users of WIBI are then aggregated by county and displayed on a map. Users are encouraged to invite their friends to add the application to their Facebook profile. As their friends begin to use the application, the user can view which friends have submitted a report, unless it was marked as private. A live news feed provides users with links to articles related to influenza. A total of 75 users were invited to add the application and had messages posted to their Facebook profiles during the initial release of WIBI. Over a period of 9 weeks 58 users added the application and 7 users submitted a report. Due to a failure to meet user expectations and poor marketing, "Will i be ill" was not able to recruit enough users to successfully track influenza. Further development to incorporate data from official influenza surveillance sources, targeted marketing strategies to reach out to a larger audience, and additional development and infrastructure resources are required to accurately test whether or not a Facebook application can be used to supplement influenza surveillance systems.

Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases

Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases

Author: National Research Council

Publisher: National Academies Press

Published: 2010-01-24

Total Pages: 339

ISBN-13: 0309137349

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H1N1 ("swine flu"), SARS, mad cow disease, and HIV/AIDS are a few examples of zoonotic diseases-diseases transmitted between humans and animals. Zoonotic diseases are a growing concern given multiple factors: their often novel and unpredictable nature, their ability to emerge anywhere and spread rapidly around the globe, and their major economic toll on several disparate industries. Infectious disease surveillance systems are used to detect this threat to human and animal health. By systematically collecting data on the occurrence of infectious diseases in humans and animals, investigators can track the spread of disease and provide an early warning to human and animal health officials, nationally and internationally, for follow-up and response. Unfortunately, and for many reasons, current disease surveillance has been ineffective or untimely in alerting officials to emerging zoonotic diseases. Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases assesses some of the disease surveillance systems around the world, and recommends ways to improve early detection and response. The book presents solutions for improved coordination between human and animal health sectors, and among governments and international organizations. Parties seeking to improve the detection and response to zoonotic diseases-including U.S. government and international health policy makers, researchers, epidemiologists, human health clinicians, and veterinarians-can use this book to help curtail the threat zoonotic diseases pose to economies, societies, and health.


Book Synopsis Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases by : National Research Council

Download or read book Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases written by National Research Council and published by National Academies Press. This book was released on 2010-01-24 with total page 339 pages. Available in PDF, EPUB and Kindle. Book excerpt: H1N1 ("swine flu"), SARS, mad cow disease, and HIV/AIDS are a few examples of zoonotic diseases-diseases transmitted between humans and animals. Zoonotic diseases are a growing concern given multiple factors: their often novel and unpredictable nature, their ability to emerge anywhere and spread rapidly around the globe, and their major economic toll on several disparate industries. Infectious disease surveillance systems are used to detect this threat to human and animal health. By systematically collecting data on the occurrence of infectious diseases in humans and animals, investigators can track the spread of disease and provide an early warning to human and animal health officials, nationally and internationally, for follow-up and response. Unfortunately, and for many reasons, current disease surveillance has been ineffective or untimely in alerting officials to emerging zoonotic diseases. Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases assesses some of the disease surveillance systems around the world, and recommends ways to improve early detection and response. The book presents solutions for improved coordination between human and animal health sectors, and among governments and international organizations. Parties seeking to improve the detection and response to zoonotic diseases-including U.S. government and international health policy makers, researchers, epidemiologists, human health clinicians, and veterinarians-can use this book to help curtail the threat zoonotic diseases pose to economies, societies, and health.

National Strategy for Pandemic Influenza

National Strategy for Pandemic Influenza

Author: Homeland Security Council (U.S.)

Publisher: International Medical Publishing

Published: 2006

Total Pages: 0

ISBN-13: 9781588088895

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This Implementation Plan clarifies the roles and responsibilities of governmental and non-governmental entities, including Federal, State, local, and tribal authorities and regional, national, and international stakeholders, and provides preparedness guidance for all segments of society.--Preface.


Book Synopsis National Strategy for Pandemic Influenza by : Homeland Security Council (U.S.)

Download or read book National Strategy for Pandemic Influenza written by Homeland Security Council (U.S.) and published by International Medical Publishing. This book was released on 2006 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Implementation Plan clarifies the roles and responsibilities of governmental and non-governmental entities, including Federal, State, local, and tribal authorities and regional, national, and international stakeholders, and provides preparedness guidance for all segments of society.--Preface.

Influenza Surveillance and Vaccination Practices on a University Campus

Influenza Surveillance and Vaccination Practices on a University Campus

Author:

Publisher:

Published: 2015

Total Pages: 356

ISBN-13:

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On university campuses, shared living and learning spaces create opportunity for influenza and influenza-like illness (ILI) to spread rapidly among students, resulting in significant effects on academic performance, absences from work and class, as well as increased antibiotic use and burden on university student health centers. Despite the heightened risk of influenza within this population, vaccination rates among university students continue to be low. Surveillance data contribute essential guidance in the development and implementation of influenza prevention and control programs. The current surveillance system has several challenges including a reporting lag, which may prevent timely detection of early outbreak signs, and underrepresentation of milder cases of ILI. The purpose of this dissertation is the development, pilot implementation, and evaluation of a smartphone app for surveillance and intervention research, as informed by the Health Belief Model. Findings of this research suggest that vaccination rates on university campuses may be higher than previously estimated, although still well below levels essential for the support of herd immunity within the population. Results suggest opportunities for stimulation of behavior change in this population. OutSmart Flu introduced a novel use of the smartphone app, which allowed for the capture of salient cues to action, and the characterization of important barriers and benefits influential to the vaccination decision within this population. No statistically significant difference in signal was found between OutSmart Flu surveillance data and that of established surveillance systems. Timing and characteristics of the 2013-14 influenza seasons did not present opportunity for practical evaluation of OutSmart Flu potential for outbreak detection. More research is needed to determine the potential for a smartphone app to be used successfully for ILI surveillance in a university setting. Purposeful incorporation of smartphones for surveillance, research, and public health interventions can be useful on university campuses; however, theoretical foundations and alignment with established public health goals are essential for the success of these initiatives.


Book Synopsis Influenza Surveillance and Vaccination Practices on a University Campus by :

Download or read book Influenza Surveillance and Vaccination Practices on a University Campus written by and published by . This book was released on 2015 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: On university campuses, shared living and learning spaces create opportunity for influenza and influenza-like illness (ILI) to spread rapidly among students, resulting in significant effects on academic performance, absences from work and class, as well as increased antibiotic use and burden on university student health centers. Despite the heightened risk of influenza within this population, vaccination rates among university students continue to be low. Surveillance data contribute essential guidance in the development and implementation of influenza prevention and control programs. The current surveillance system has several challenges including a reporting lag, which may prevent timely detection of early outbreak signs, and underrepresentation of milder cases of ILI. The purpose of this dissertation is the development, pilot implementation, and evaluation of a smartphone app for surveillance and intervention research, as informed by the Health Belief Model. Findings of this research suggest that vaccination rates on university campuses may be higher than previously estimated, although still well below levels essential for the support of herd immunity within the population. Results suggest opportunities for stimulation of behavior change in this population. OutSmart Flu introduced a novel use of the smartphone app, which allowed for the capture of salient cues to action, and the characterization of important barriers and benefits influential to the vaccination decision within this population. No statistically significant difference in signal was found between OutSmart Flu surveillance data and that of established surveillance systems. Timing and characteristics of the 2013-14 influenza seasons did not present opportunity for practical evaluation of OutSmart Flu potential for outbreak detection. More research is needed to determine the potential for a smartphone app to be used successfully for ILI surveillance in a university setting. Purposeful incorporation of smartphones for surveillance, research, and public health interventions can be useful on university campuses; however, theoretical foundations and alignment with established public health goals are essential for the success of these initiatives.

Infectious Disease Surveillance

Infectious Disease Surveillance

Author: Nkuchia M. M'ikanatha

Publisher: John Wiley & Sons

Published: 2013-03-11

Total Pages: 1139

ISBN-13: 1118543521

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This fully updated edition of Infectious Disease Surveillance is for frontline public health practitioners, epidemiologists, and clinical microbiologists who are engaged in communicable disease control. It is also a foundational text for trainees in public health, applied epidemiology, postgraduate medicine and nursing programs. The second edition portrays both the conceptual framework and practical aspects of infectious disease surveillance. It is a comprehensive resource designed to improve the tracking of infectious diseases and to serve as a starting point in the development of new surveillance systems. Infectious Disease Surveillance includes over 45 chapters from over 100 contributors, and topics organized into six sections based on major themes. Section One highlights the critical role surveillance plays in public health and it provides an overview of the current International Health Regulations (2005) in addition to successes and challenges in infectious disease eradication. Section Two describes surveillance systems based on logical program areas such as foodborne illnesses, vector-borne diseases, sexually transmitted diseases, viral hepatitis healthcare and transplantation associated infections. Attention is devoted to programs for monitoring unexplained deaths, agents of bioterrorism, mass gatherings, and disease associated with international travel. Sections Three and Four explore the uses of the Internet and wireless technologies to advance infectious disease surveillance in various settings with emphasis on best practices based on deployed systems. They also address molecular laboratory methods, and statistical and geospatial analysis, and evaluation of systems for early epidemic detection. Sections Five and Six discuss legal and ethical considerations, communication strategies and applied epidemiology-training programs. The rest of the chapters offer public-private partnerships, as well lessons from the 2009-2010 H1N1 influenza pandemic and future directions for infectious disease surveillance.


Book Synopsis Infectious Disease Surveillance by : Nkuchia M. M'ikanatha

Download or read book Infectious Disease Surveillance written by Nkuchia M. M'ikanatha and published by John Wiley & Sons. This book was released on 2013-03-11 with total page 1139 pages. Available in PDF, EPUB and Kindle. Book excerpt: This fully updated edition of Infectious Disease Surveillance is for frontline public health practitioners, epidemiologists, and clinical microbiologists who are engaged in communicable disease control. It is also a foundational text for trainees in public health, applied epidemiology, postgraduate medicine and nursing programs. The second edition portrays both the conceptual framework and practical aspects of infectious disease surveillance. It is a comprehensive resource designed to improve the tracking of infectious diseases and to serve as a starting point in the development of new surveillance systems. Infectious Disease Surveillance includes over 45 chapters from over 100 contributors, and topics organized into six sections based on major themes. Section One highlights the critical role surveillance plays in public health and it provides an overview of the current International Health Regulations (2005) in addition to successes and challenges in infectious disease eradication. Section Two describes surveillance systems based on logical program areas such as foodborne illnesses, vector-borne diseases, sexually transmitted diseases, viral hepatitis healthcare and transplantation associated infections. Attention is devoted to programs for monitoring unexplained deaths, agents of bioterrorism, mass gatherings, and disease associated with international travel. Sections Three and Four explore the uses of the Internet and wireless technologies to advance infectious disease surveillance in various settings with emphasis on best practices based on deployed systems. They also address molecular laboratory methods, and statistical and geospatial analysis, and evaluation of systems for early epidemic detection. Sections Five and Six discuss legal and ethical considerations, communication strategies and applied epidemiology-training programs. The rest of the chapters offer public-private partnerships, as well lessons from the 2009-2010 H1N1 influenza pandemic and future directions for infectious disease surveillance.

Spatial and Syndromic Surveillance for Public Health

Spatial and Syndromic Surveillance for Public Health

Author: Andrew B. Lawson

Publisher: John Wiley & Sons

Published: 2005-05-13

Total Pages: 288

ISBN-13: 9780470092484

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Following the events of 9/11 and in the current world climate, there is increasing concern of the impact of potential bioterrorism attacks. Spatial surveillance systems are used to detect changes in public health data, and alert us to possible outbreaks of disease, either from natural resources or from bioterrorism attacks. Statistical methods play a key role in spatial surveillance, as they are used to identify changes in data, and build models of that data in order to make predictions about future activity. This book is the first to provide an overview of all the current key methods in spatial surveillance, and present them in an accessible form, suitable for the public health professional. It features an abundance of examples using real data, highlighting the practical application of the methodology. It is edited and authored by leading researchers and practitioners in spatial surveillance methods. Provides an overview of the current key methods in spatial surveillance of public health data. Includes coverage of both single and multiple disease surveillance. Covers all of the key topics, including syndromic surveillance, spatial cluster detection, and Bayesian data mining.


Book Synopsis Spatial and Syndromic Surveillance for Public Health by : Andrew B. Lawson

Download or read book Spatial and Syndromic Surveillance for Public Health written by Andrew B. Lawson and published by John Wiley & Sons. This book was released on 2005-05-13 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following the events of 9/11 and in the current world climate, there is increasing concern of the impact of potential bioterrorism attacks. Spatial surveillance systems are used to detect changes in public health data, and alert us to possible outbreaks of disease, either from natural resources or from bioterrorism attacks. Statistical methods play a key role in spatial surveillance, as they are used to identify changes in data, and build models of that data in order to make predictions about future activity. This book is the first to provide an overview of all the current key methods in spatial surveillance, and present them in an accessible form, suitable for the public health professional. It features an abundance of examples using real data, highlighting the practical application of the methodology. It is edited and authored by leading researchers and practitioners in spatial surveillance methods. Provides an overview of the current key methods in spatial surveillance of public health data. Includes coverage of both single and multiple disease surveillance. Covers all of the key topics, including syndromic surveillance, spatial cluster detection, and Bayesian data mining.

Disease Control Priorities, Third Edition (Volume 9)

Disease Control Priorities, Third Edition (Volume 9)

Author: Dean T. Jamison

Publisher: World Bank Publications

Published: 2017-12-06

Total Pages: 426

ISBN-13: 1464805288

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As the culminating volume in the DCP3 series, volume 9 will provide an overview of DCP3 findings and methods, a summary of messages and substantive lessons to be taken from DCP3, and a further discussion of cross-cutting and synthesizing topics across the first eight volumes. The introductory chapters (1-3) in this volume take as their starting point the elements of the Essential Packages presented in the overview chapters of each volume. First, the chapter on intersectoral policy priorities for health includes fiscal and intersectoral policies and assembles a subset of the population policies and applies strict criteria for a low-income setting in order to propose a "highest-priority" essential package. Second, the chapter on packages of care and delivery platforms for universal health coverage (UHC) includes health sector interventions, primarily clinical and public health services, and uses the same approach to propose a highest priority package of interventions and policies that meet similar criteria, provides cost estimates, and describes a pathway to UHC.


Book Synopsis Disease Control Priorities, Third Edition (Volume 9) by : Dean T. Jamison

Download or read book Disease Control Priorities, Third Edition (Volume 9) written by Dean T. Jamison and published by World Bank Publications. This book was released on 2017-12-06 with total page 426 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the culminating volume in the DCP3 series, volume 9 will provide an overview of DCP3 findings and methods, a summary of messages and substantive lessons to be taken from DCP3, and a further discussion of cross-cutting and synthesizing topics across the first eight volumes. The introductory chapters (1-3) in this volume take as their starting point the elements of the Essential Packages presented in the overview chapters of each volume. First, the chapter on intersectoral policy priorities for health includes fiscal and intersectoral policies and assembles a subset of the population policies and applies strict criteria for a low-income setting in order to propose a "highest-priority" essential package. Second, the chapter on packages of care and delivery platforms for universal health coverage (UHC) includes health sector interventions, primarily clinical and public health services, and uses the same approach to propose a highest priority package of interventions and policies that meet similar criteria, provides cost estimates, and describes a pathway to UHC.