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Many low- and middle-income countries are designing or revising their health benefit packages (HBPs), with appraisal—prioritizing services for reimbursement—being a critical phase. This occurs in a complex landscape of multiple criteria, multiple stakeholders, limited evidence, budget constraints, and tight timelines, varying across countries. Existing guidance documents do not fully address these complexities, requiring analysts to balance methodological rigor with practical constraints. This editorial highlights four key themes in organizing appraisal: decision-making structures, trade-offs between criteria, final recommendations, and the use of cost-effectiveness evidence, thresholds, and budgets. These emerged as central challenges in HBP revisions in Iran, Kyrgyzstan, Liberia, Pakistan, and Rwanda. We emphasize cross-country learning to address these challenges pragmatically, recognizing that high-quality, legitimate appraisal is as much an art as a science. More detailed documentation of appraisal processes is needed to refine HBP revision guidelines and strengthen priority-setting in health systems. 

The present study was conducted with the aim of investigating the effect of Learned helplessness syndrome on stagnation of the career path with the mediating role of emotional burnout of human resources. This applied research is descriptive survey and in terms of philosophy, it is a comparative research. The statistical population of the research was made up of the employees of the government Organizations of Lorestan province, and considering that the size of the statistical population in this research was limited and specific, Cochran's sample calculation formula was used to determine the sample size, and based on that, the sample size was at a confidence level of 95. 0.0 equal to 384 people were determined and selected by available sampling method. The tool of data collection in this research was a standard questionnaire, and to measure its validity and reliability, three types of instrument validity were used: content validity, convergent validity, and divergent validity, and to determine the reliability of the questionnaire, two criteria, Cronbach's alpha and composite reliability coefficient, were used. .SPSS and smart pls2 software were used to test the research hypotheses. After analyzing the data, it was found that the Learned helplessness syndrome causes stagnancy in the career path both directly and through the increase of emotional burnout in the Organization. Therefore, as a general conclusion, it should be said that the employees of government Organizations, when they get caught in the mental trap and the Learned helplessness schema, they refrain from trying to perform better due to the lack of motivation and emotional and emotional burnout, and therefore they become stagnant. They become a career path.

Project’s isconsidered a convenient space for learning, due to the temporary nature of the projects, this learning does not become institutionalized in projectbased Organizations (PBOs). Certain models have already been presented in the area of operational Organizations in order to form the concept of a learning Organization (LO), but these models cannot be used to integrate the learning concept into this type of Organizations. By literature review of learning in project-based Organization and by identifying 4 subjects of this field a primary model for PBLO is developed. This study examines the efficiency of a primary model of PBLO by conducting a qualitative research on two PBOs in the oil and gas industries. It then revises the model accordingly to present the final model.The data was collected from interviews with 20 individuals in the PBOs. A total of 615 statements made by interviewees were coded and summarized as concepts of the model. Since the qualitative approach to LOs has been neglected and no study has addressed the issue of PBLOs, this research presents an innovative study.