Achieving the targets for universal health coverage: how is Thailand monitoring progress?

Witthayapipopsakul, Woranan; Kulthanmanusorn, Anond; Vongmongkol, Vuthiphan; Viriyathorn, Shaheda; Wanwong, Yaowaluk; Tangcharoensathien, Viroj

doi:10.4103/2224-3151.255343

Cited by 21 publications

(22 citation statements)

References 2 publications

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“…For instance, Thailand has conducted national burden of disease study and health estimates 43 and has devised a comprehensive methodology to assess progress towards universal health coverage using data from household surveys, facilities, disease registries and research. 44 Where data for monitoring are not available, various approaches being used to enhance data availability are: using data from global databases until country systems are more mature; 45 reconsidering the periodicity of national surveys to allow frequent availability of data; 16 using data from alternate sources such as think tanks and civil society organisations 12 17 and using technology to make data collection more efficient, for example, satellite technology for household surveys. 20…”

Section: Resultsmentioning

confidence: 99%

Implementation of health and health-related sustainable development goals: progress, challenges and opportunities – a systematic literature review

et al. 2020

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IntroductionWhile health is one of the Sustainable Development Goals (SDGs), many other ‘health-related’ goals comprise determinants of health. Integrated implementation across SDGs is needed for the achievement of Agenda 2030. While existing literature is rich in normative recommendations about potentially useful approaches, evidence of implementation strategies being adopted by countries is limited.MethodsWe conducted a systematic review with qualitative synthesis of findings using peer reviewed and grey literature from key databases. We included publications examining implementation of health and health-related SDGs (HHSDGs) at national or subnational level published between June 2013 and July 2019.ResultsOf the 32 included publications, 24 provided information at the national level while eight provided information for multiple countries or regions. Our findings indicate that high-level political commitment is evident in most countries and HHSDGs are being aligned with existing national development strategies and plans. A multisectoral, integrated approach is being adopted in institutional setups but evidence on effectiveness of these approaches is limited. Funding constraints are a major challenge for many countries. HHSDGs are generally being financed from within existing funded plans and, in some instances, through SDG-specific budgeting and tracking; additional funding is being mobilised by increasing domestic taxation and subsidisation, and by collaborating with development partners and private sector. Equity is being promoted by improving health service access through universal health coverage and social insurance schemes, especially for disadvantaged populations. Governments are collaborating with development partners and UN agencies for support in planning, institutional development and capacity building. However, evidence on equity promotion, capacity building initiatives and implementation approaches at subnational level is limited. Lack of coordination among various levels of government emerges as a key challenge.Conclusionstrengthening implementation of multisectoral work, capacity building, financial sustainability and data availability are key considerations to accelerate implementation of HHSDGs.

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Section: Resultsmentioning

confidence: 99%

Implementation of health and health-related sustainable development goals: progress, challenges and opportunities – a systematic literature review

et al. 2020

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“…Thailand also uses several data sources to monitor three dimensions of universal health coverage: population coverage, service coverage and financial risk protection. 41 There are many lessons for process and country stewardship here, not just for Thailand, but also for the region.…”

Section: Experiences Of Countries In the Who South-east Asia Regionmentioning

confidence: 99%

Building capacity for health equity analysis in the WHO South-East Asia Region

Nambiar

Rajbhandary²,

Koller

et al. 2019

WHO South-East Asia J Public Health

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“Leaving no one behind” is at the heart of the agenda of the Sustainable Development Goals, requiring that health systems be vigilant to how interventions can be accessed equitably by all, including population subgroups that face exclusion. In the World Health Organization (WHO) South-East Asia Region, inequalities can be found across and within countries but there has been a growing commitment to examining and starting to tackle them. Over the past decade in particular, WHO has been developing an armamentarium of tools to enable analysis of health inequalities and action on health equity. Tools include the Health Equity Assessment Toolkit in built-in database and upload database editions, as well as the Innov8 tool for reorientation of national health programmes. Countries across the region have engaged meaningfully in the development and application of these tools, in many cases aligning them with, or including them as part of, ongoing efforts to examine inequities in population subgroups domestically. This paper reflects on these experiences in Bangladesh, India, Indonesia, Nepal, Sri Lanka and Thailand, where efforts have ranged from workshops to programme reorientation; the creation of assemblies and conferences; and collation of evidence through collaborative research, reviews/synthesis and conferences. This promising start must be maintained and expanded, with greater emphasis on building capacity for interpretation and use of evidence on inequalities in policy-making. This may be further enhanced by the use of innovative mixed methodologies and interdisciplinary approaches to refine and contextualize evidence, with a concomitant shift in attention, developing solutions to redress inequities and anchor health reform within communities. There are many lessons to be learnt in this region, as well as mounting political and popular will for change.

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“…The scope of healthcare in the SDGs is much broader than the Millennium Development Goals, spanning functions such as health-system access and quality care. It especially has two monitoring indicators: (1) coverage of essential health services, and (2) catastrophic expenditure on health [ 6 ]. Changing health needs, growing public expectations, and ambitious new health goals are raising the bar for health systems to produce better health outcomes and greater social value.…”

Section: Introductionmentioning

confidence: 99%

Emergency department visits and hospital readmissions in an Argentine health system

Giunta

Fosser

Boietti

et al. 2020

International Journal of Medical Informatics

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Highlights The scope in the SDGs spanning functions such health-system access and quality care. Low-cost quality indicators represent an initiative to improve health outcomes. We evaluate the rate of ED-visits and hospital readmission rate after discharge. Improvement efforts to reduce these indicators are necessary. Strategies to detect causes and avoid potentially preventable factors will be needed.

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Achieving the targets for universal health coverage: how is Thailand monitoring progress?

Cited by 21 publications

References 2 publications

Implementation of health and health-related sustainable development goals: progress, challenges and opportunities – a systematic literature review

Implementation of health and health-related sustainable development goals: progress, challenges and opportunities – a systematic literature review

Building capacity for health equity analysis in the WHO South-East Asia Region

Emergency department visits and hospital readmissions in an Argentine health system

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