WHO is leading production of a “Handbook on Conducting Assessments of Barriers to Health Services” to identify supply- and demand-side barriers using the Tanahashi framework for effective coverage. WHO has been working with John Hopkins University (Alliance for Healthier World and the Bloomberg School of Public Health), and EquiAct for this, which includes various modules to conduct barrier assessments.
The handbook does not focus on humanitarian crises/ emergency settings, which requires specialized approaches. The plan is to include an annex with the adaptations necessary for these settings, using rapid assessment methods and accounting for scarcity of data and other contextual factors. This will involve close collaboration between the Johns Hopkins Center for Humanitarian Health and the Johns Hopkins Alliance for a Healthier World, along with WHO and its partners.