2021
DOI: 10.1136/bmjgh-2021-005842
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The journey to UHC: how well are vertical programmes integrated in the health benefits package? A scoping review

Abstract: BackgroundCountries are recommended to progressively work towards universal health coverage (UHC), and to make explicit choices regarding the expansion of priority services. However, there is little guidance on how to manage the inclusion of vertical programmes, funded by external partners, in health benefits packages (HBP) in low and middle-income countries (LMICs).ObjectiveWe conducted a scoping review to map the inclusion of six vertical programmes (HIV, tuberculosis, malaria, maternal and child health, con… Show more

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Cited by 8 publications
(4 citation statements)
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“…There are major challenges in the provision of SRH services in the country, and emerging studies suggest that indirect effects of the national COVID‐19 response deteriorated the situation (Burt et al, 2021). With regard to SRHR, one of the main components, contraception, is not included in Uganda's national minimum healthcare package (Regan et al, 2021), resulting in an unmet need for family planning among approximately 30% of women (Uganda Bureau of Statistics ICF, 2017). Moreover, sexual rights for adolescents and sexual minority groups are highly contentious (McKay & Angotti, 2016), and this is seen to curtail the universality in access to healthcare and fulfilment of the SRHR for these groups (Müller et al, 2018).…”
Section: Methodsmentioning
confidence: 99%
“…There are major challenges in the provision of SRH services in the country, and emerging studies suggest that indirect effects of the national COVID‐19 response deteriorated the situation (Burt et al, 2021). With regard to SRHR, one of the main components, contraception, is not included in Uganda's national minimum healthcare package (Regan et al, 2021), resulting in an unmet need for family planning among approximately 30% of women (Uganda Bureau of Statistics ICF, 2017). Moreover, sexual rights for adolescents and sexual minority groups are highly contentious (McKay & Angotti, 2016), and this is seen to curtail the universality in access to healthcare and fulfilment of the SRHR for these groups (Müller et al, 2018).…”
Section: Methodsmentioning
confidence: 99%
“…9 , 11–13 However, there has been poor progress toward specification of services that are covered by vertical health programs in benefit packages. 61 Considering the public health value of immunization, 24 it is recommended that it should be prioritized in all the benefit packages of national health insurance schemes in the African region. Critical decisions on which vaccines to deliver should be made jointly with the national immunization program and guided by the national immunization strategy of the country and WHO recommendations.…”
Section: Leveraging Funds From National Health Insurance To Co-financ...mentioning
confidence: 99%
“…For example, Nigeria, Kenya, Vietnam and Tanzania successfully integrated their family planning and HIV/AIDS treatment programmes into UHC schemes while transitioning away from external funding. 31 32 …”
Section: Pooling Resources: From Vertical Streams To Comprehensive Pa...mentioning
confidence: 99%