Seeking consensus on universal health coverage indicators in the sustainable development goals

Reddock, Jennifer

doi:10.1177/1355819617704676

Cited by 8 publications

(7 citation statements)

References 18 publications

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“…8 Prior to the decision to use CHE as the official SDG indicator, the IAEG SDG had recommended using the proportion of the population with health insurance coverage as the official SDG indicator, partially motivated by these concerns as well concerns about data availability. 13 Vocal objections to this recommendation, however, eventually led to the replacement of the health insurance indictor, which only imperfectly measures FP as insurance coverage does not guarantee FP, 33 with the current FP indicator, but the focus on risk was lost in this replacement. While some health spending may actually be relatively predictable (e.g.…”

Section: Relevantmentioning

confidence: 99%

“…Given the lack of consensus in the literature with regards to the best or most appropriate measure of FP, and the level of debate that has been associated with the indictor selection process, 13 there is reason to believe that all of the indicators suffer from issues related to acceptability regarding the choice of indicator. At the heart of the debate is the trade-off between identifying a measure that can be readily and easily constructed using data collected from routine, high coverage surveys, versus a measure that might better capture these concepts but that is not currently collected in as many countries.…”

Section: Stakeholder Acceptancementioning

confidence: 99%

“…The recommendation to use the CHE indicator, however, was controversial, 13 and there is a lack of agreement in the literature about which indicators are best at measuring FP. [14][15][16] The use of CHE to measure FP long predates its adoption as the official SDG indicator, as do the debates about the strengths and limitations of it and alternative indicators.…”

Section: Introductionmentioning

confidence: 99%

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On the Measurement of Financial Protection: An Assessment of the Usefulness of the Catastrophic Health Expenditure Indicator to Monitor Progress Towards Universal Health Coverage

Grépin

Irwin

Trakinsky

2020

Health Systems & Reform

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Ensuring financial protection (FP) against health expenditures is a key component of Sustainable Development Goal (SDG) 3.8, which aims to achieve Universal Health Coverage (UHC). While the proportion of households with catastrophic health expenditures exceeding a proportion of their total income or consumption has been adopted as the official SDG indicator, other approaches exist and it is unclear how useful the official indicator is in tracking progress toward the FP subtarget across countries and across time. This paper evaluates the usefulness of the official SDG indicator to measure FP using the RACER framework and discusses how alternative indicators may improve upon the limitations of the official SDG indicator for global monitoring purposes. We find that while all FP indicators have some disadvantages, the official SDG indicator has some properties that severely limit its usefulness for global monitoring purposes. We recommend more research to understand how alternative indicators may enhance global monitoring, as well as improvements to the quality and quantity of underlying data to construct FP indicators in order to improve efforts to monitor progress toward UHC.

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Section: Relevantmentioning

confidence: 99%

Section: Stakeholder Acceptancementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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On the Measurement of Financial Protection: An Assessment of the Usefulness of the Catastrophic Health Expenditure Indicator to Monitor Progress Towards Universal Health Coverage

Grépin

Irwin

Trakinsky

2020

Health Systems & Reform

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“…It proved more difficult to agree on the indicator 3.8.2 that was initially proposed as “the fraction of the population protected against catastrophic/impoverishing out‐of‐pocket health expenditure” (UNSD, 2015). One of the key points of contention was adequately measuring financial protection: the global health community debated whether insurance is the adequate measure of financial risk protection, whether the indicator should focus on public insurance coverage, and how “catastrophic” or “impoverishing” should be defined and measured (Reddock, 2017; Wagstaff & Kutzin, 2016).…”

Section: Background: Uhc Agendamentioning

confidence: 99%

Politics of success stories in the path towards Universal Health Coverage: The case of Turkey

Agartan

2020

Development Policy Review

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Motivation: Turkey has been acknowledged as a "successful" example of Universal Health Coverage (UHC) reforms and has recently gained donor "darling status." While the literature on UHC and health reforms in various countries has increased significantly in recent years, there is still little research on the political dynamics of the rise of UHC in national and global development agendas. Purpose: This study examines the politics of UHC in Turkey's Health Transformation Program (HTP). It investigates how various policy actors, such as international organizations, policy experts and national political leaders, use UHC framing for different purposes. Approach & Methods: The article develops an interdisciplinary conceptual framework that combines elements of ideational scholarship and critical policy analysis. The analysis is based on a review of the secondary literature and primary sources. Qualitative content analysis is used to identify major themes and analyse patterns of interactions across the various policy levels. Findings: The article's main findings demonstrate the ways in which international actors and national policy-makers engage in policy work and use their relationships, global policy ideas and experiences to build legitimacy and support for their respective agendas. Reforms in Turkey were proposed and implemented before the rise of UHC in the global agenda, suggesting an ex post facto rebranding of its reforms as UHC. For Turkey's policy-makers, rebranding worked to tie their policy solutions, summarized in the HTP, to UHC as a widely accepted cultural symbol. The Ministry of Health's deliberate strategy to encourage data collection and monitoring was also a key part of its efforts to construct a success narrative in collaboration with global policy actors. For the global-level advocates of UHC, Turkey provided evidence that UHC works. Before it became a target under the health-related Social Development Goals (SDGs), advocates needed to demonstrate that they had the right framing and metrics for a UHC agenda. After 2015, successful examples have served as strategic tools for building support and political momentum as the agenda was diffused, and as these diverse agendas and interests overlapped. Policy Implications: This article contributes to the current debates on policy diffusion, translation and implementation of the UHC agenda. It unpacks the use of success stories to navigate the political dynamics among national governments and global policy communities. Success stories, alongside an emphasis on country ownership, may serve to encourage the co-production of policy across local, national and global levels.

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“…These studies are limited by the lack of reliable indicators showing the impacts of policies. Formulation of indicators aimed to describe the progress towards SDG targets is still in an early phase (Reddock 2017;Janoušková et al 2018;Guppy et al 2019). Another increasingly useful data source is provided by voluntary national reviews (VNR).…”

Section: Introductionmentioning

confidence: 99%

Untangling the interactions of sustainability targets: synergies and trade-offs in the Northern European context

Lyytimäki

Lonkila

Furman

et al. 2020

Environ Dev Sustain

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Agenda 2030 and sustainable development goals (SDG) are key formulations of sustainability policies, consisting of 17 general-level goals and 169 more detailed targets. The target setting is based on tedious international policy negotiations and compromises addressing myriad of different and sometimes incompatible interests. Identification of key trade-offs and synergies between the targets can help the efficient implementation of SDGs by improving the opportunities to focus policy attention and actions on the most relevant issues. This article focuses on trade-offs and synergies of nationally relevant targets in the context of an industrialised and affluent nation state. Results from a cross-matrix examination of targets in Finland show that most of the selected targets are characterised by synergistic interactions with other nationally relevant targets. However, policies aimed at advancing economic growth and the use of renewable energy risk a number of serious trade-offs. Methodological advances are required to make the assessment of interactions more transparent and reliable, manageable within the limited resources and capable of producing results relevant to decision-making. A recommendation for the use of cross-matrix examination as a tool of collaborative ex ante sustainability assessment is put forward, also acknowledging the risk of "paralysis by analysis" related to the wide-ranging SDG framework.

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Seeking consensus on universal health coverage indicators in the sustainable development goals

Cited by 8 publications

References 18 publications

On the Measurement of Financial Protection: An Assessment of the Usefulness of the Catastrophic Health Expenditure Indicator to Monitor Progress Towards Universal Health Coverage

On the Measurement of Financial Protection: An Assessment of the Usefulness of the Catastrophic Health Expenditure Indicator to Monitor Progress Towards Universal Health Coverage

Politics of success stories in the path towards Universal Health Coverage: The case of Turkey

Untangling the interactions of sustainability targets: synergies and trade-offs in the Northern European context

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