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. Author manuscript; available in PMC: 2018 Jun 12.
Published in final edited form as: Lancet. 2017 Nov 25;391(10125):1108–1120. doi: 10.1016/S0140-6736(17)32906-9

Table 3.

Incremental costs of the highest priority package (HPP) and the essential universal health coverage (EUHC) by platform and by intervention urgency

Low-income
countries
Lower-middle-
income countries


HPP EUHC HPP EUHC
Incremental costs by platform (percentage of total)

Population-based 0·6% 2·3% 0·6% 2·6%
Community 18% 16% 12% 14%
Health centre 50% 52% 57% 52%
First-level hospital 25% 25% 22% 25%
Referral and specialty hospitals 6·4% 5·3% 9·1% 6·1%

Incremental costs by intervention urgency (percentage of total)

Urgent 35% 28% 27% 24%
Chronic 41% 48% 50% 52%
Time-bound (non-urgent) 24% 24% 23% 24%

The cost and disease structures differ between and within income levels. This is illustrated by considering two income strata, but the analyses reported here can serve only as a starting point for national and subnational analyses.

Sources: Watkins et al (2017)57 and Watkins et al (in press).43