Universal Health Coverage and Intersectoral Action for Health

Jamison, Dean T.; Alwan, Ala; Mock, Charles; Nugent, Rachel; Watkins, David; Adeyi, Olusoji; Anand, Shuchi; Atun, Rifat; Bertozzi, Stefano; Bhutta, Zulfiqar Ahmed; Binagwaho, Agnès; Black, Robert E.; Blecher, Mark; Bloom, Barry R.; Brouwer, Elizabeth; Bundy, Donald; Chisholm, Dan; Cieza, Alarcos; Cullen, Mark R.; Danforth, Kristen; Silva, Nilanthi de; Debas, Haile T.; Donkor, Peter; Dua, Tarun; Fleming, K. A.; Gallivan, Mark; García, Patricia J.; Gawande, Atul A.; Gaziano, Thomas A.; Gelband, Hellen; Glass, Roger I.; Glassman, Amanda; Gray, Glenda; Habte, Demissie; Holmes, King K.; Horton, Susan; Hutton, Guy; Jha, Prabhat; Knaul, Felícia Marie; Kobusingye, Olive; Krakauer, Eric L.; Kruk, Margaret E; Lachmann, P. J.; Laxminarayan, Ramanan; Levin, Carol; Looi, Lai‐Meng; Madhav, Nita; Mbanya, Jean-Claude; Measham, Anthony R; Medina‐Mora, María Elena; Medlin, Carol; Mills, Anne; Mills, Jody-Anne; Montoya, Jaime; Norheim, Ole Frithjof; Olson, Zachary; Omokhodion, Folashade O.; Oppenheim, Ben; Ord, Toby; Patel, Vikram; Patton, George C; Peabody, John; Prabhakaran, Dorairaj; Qi, Jinyuan; Reynolds, Teri; Ruacan, Şevket; Sankaranarayanan, Rengaswamy; Sepúlveda, Jaime; Skolnik, Richard; Smith, Kirk R.; Temmerman, Marleen; Tollman, Stephen; Verguet, Stéphane; Walker, Damian; Walker, Neff; Wu, Yangfeng; Zhao, Kun

doi:10.1596/978-1-4648-0527-1_ch1

Cited by 5 publications

(5 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Further more, although DAH will continue to be needed in some low-income countries, a continued need for and value in DAH provision to cover so-called global public goods or common goods for health exists (such as pandemic preparedness or research and development for neglected tropical diseases). 35,[46][47][48][49][50][51][52] This continued need is because the multisectoral nature of the SDGs and the increasingly interconnected world we live in present shared global challenges that need to be addressed beyond the individual country support framework that DAH has typically addressed.…”

Section: Discussionmentioning

confidence: 99%

Health sector spending and spending on HIV/AIDS, tuberculosis, and malaria, and development assistance for health: progress towards Sustainable Development Goal 3

Micah¹,

Su²,

Bachmeier³

et al. 2020

The Lancet

110

View full text Add to dashboard Cite

Background Sustainable Development Goal (SDG) 3 aims to "ensure healthy lives and promote well-being for all at all ages". While a substantial effort has been made to quantify progress towards SDG3, less research has focused on tracking spending towards this goal. We used spending estimates to measure progress in financing the priority areas of SDG3, examine the association between outcomes and financing, and identify where resource gains are most needed to achieve the SDG3 indicators for which data are available. MethodsWe estimated domestic health spending, disaggregated by source (government, out-of-pocket, and prepaid private) from 1995 to 2017 for 195 countries and territories. For disease-specific health spending, we estimated spending for HIV/AIDS and tuberculosis for 135 low-income and middle-income countries, and malaria in 106 malaria-endemic countries, from 2000 to 2017. We also estimated development assistance for health (DAH) from 1990 to 2019, by source, disbursing development agency, recipient, and health focus area, including DAH for pandemic preparedness. Finally, we estimated future health spending for 195 countries and territories from 2018 until 2030. We report all spending estimates in inflation-adjusted 2019 US$, unless otherwise stated. FindingsSince the development and implementation of the SDGs in 2015, global health spending has increased, reaching $7•9 trillion (95% uncertainty interval 7•8-8•0) in 2017 and is expected to increase to $11•0 trillion (10•7-11•2) by 2030. In 2017, in low-income and middle-income countries spending on HIV/AIDS was $20•2 billion (17•0-25•0) and on tuberculosis it was $10•9 billion (10•3-11•8), and in malaria-endemic countries spending on malaria was $5•1 billion (4•9-5•4). Development assistance for health was $40•6 billion in 2019 and HIV/AIDS has been the health focus area to receive the highest contribution since 2004. In 2019, $374 million of DAH was provided for pandemic preparedness, less than 1% of DAH. Although spending has increased across HIV/AIDS, tuberculosis, and malaria since 2015, spending has not increased in all countries, and outcomes in terms of prevalence, incidence, and per-capita spending have been mixed. The proportion of health spending from pooled sources is expected to increase from 81•6% (81•6-81•7) in 2015 to 83•1% (82•8-83•3) in 2030.Interpretation Health spending on SDG3 priority areas has increased, but not in all countries, and progress towards meeting the SDG3 targets has been mixed and has varied by country and by target. The evidence on the scale-up of spending and improvements in health outcomes suggest a nuanced relationship, such that increases in spending do not always results in improvements in outcomes. Although countries will probably need more resources to achieve SDG3, other constraints in the broader health system such as inefficient allocation of resources across interventions and populations, weak governance systems, human resource shortages, and drug shortages, will also need to be addressed.Funding The Bill & ...

show abstract

Section: Discussionmentioning

confidence: 99%

Health sector spending and spending on HIV/AIDS, tuberculosis, and malaria, and development assistance for health: progress towards Sustainable Development Goal 3

Micah¹,

Su²,

Bachmeier³

et al. 2020

The Lancet

110

View full text Add to dashboard Cite

show abstract

“…The authors of this Review then consolidated those policies and formats into a common level of aggregation and a common structure (eg, screening was not considered an intervention by itself but only in conjunction with the indicated response). This generated a set of harmonised essential packages (the originals appear as appendices to the first chapter of DCP3; the second and third chapter provide a full discussion of methods 42–44 ). Several interventions appear in more than one package, but the final lists of 71 intersectoral policies and 218 EUHC interventions remove this duplication.…”

Section: The Dcp3 Approachmentioning

confidence: 99%

“…Additional detail is available in the appendix, and costs by package are available in chapter 3 of DCP3 volume 9. 42 Just a small fraction of reasonably anticipated economic growth in most countries would cover the incremental costs of EUHC, although achieving the increased percentage of GNI required would require substantial reordering of public sector priorities. 21 Additional (incremental) costs needed are substantial relative to current levels of public expenditure on health.…”

Section: Essential Universal Health Coveragementioning

confidence: 99%

Universal health coverage and intersectoral action for health: key messages from Disease Control Priorities, 3rd edition

et al. 2018

Self Cite

View full text Add to dashboard Cite

The World Bank is publishing nine volumes of Disease Control Priorities, 3rd edition (DCP3) between 2015 and 2018. Volume 9, Improving Health and Reducing Poverty, summarises the main messages from all the volumes and contains cross-cutting analyses. This Review draws on all nine volumes to convey conclusions. The analysis in DCP3 is built around 21 essential packages that were developed in the nine volumes. Each essential package addresses the concerns of a major professional community (eg, child health or surgery) and contains a mix of intersectoral policies and health-sector interventions. 71 intersectoral prevention policies were identified in total, 29 of which are priorities for early introduction. Interventions within the health sector were grouped onto five platforms (population based, community level, health centre, first-level hospital, and referral hospital). DCP3 defines a model concept of essential universal health coverage (EUHC) with 218 interventions that provides a starting point for country-specific analysis of priorities. Assuming steady-state implementation by 2030, EUHC in lower-middle-income countries would reduce premature deaths by an estimated 4·2 million per year. Estimated total costs prove substantial: about 9·1% of (current) gross national income (GNI) in low-income countries and 5·2% of GNI in lower-middle-income countries. Financing provision of continuing intervention against chronic conditions accounts for about half of estimated incremental costs. For lower-middle-income countries, the mortality reduction from implementing the EUHC can only reach about half the mortality reduction in non-communicable diseases called for by the Sustainable Development Goals. Full achievement will require increased investment or sustained intersectoral action, and actions by finance ministries to tax smoking and polluting emissions and to reduce or eliminate (often large) subsidies on fossil fuels appear of central importance. DCP3 is intended to be a model starting point for analyses at the country level, but country-specific cost structures, epidemiological needs, and national priorities will generally lead to definitions of EUHC that differ from country to country and from the model in this Review. DCP3 is particularly relevant as achievement of EUHC relies increasingly on greater domestic finance, with global developmental assistance in health focusing more on global public goods. In addition to assessing effects on mortality, DCP3 looked at outcomes of EUHC not encompassed by the disability-adjusted life-year metric and related cost-effectiveness analyses. The other objectives included financial protection (potentially better provided upstream by keeping people out of the hospital rather than downstream by paying their hospital bills for them), stillbirths averted, palliative care, contraception, and child physical and intellectual growth. The first 1000 days after conception are highly important for child development, but the next 7000 days are likewise important and often neglected.

show abstract

“…En contraste, muchos países de ingresos altos gracias a políticas gubernamentales que facilitan la adopción de estilos de vida más saludables y la prestación de servicios de salud con cobertura universal han conseguido reducir considerablemente la carga de ENT (8) . Los esfuerzos de estos países desarrollados han significado no solo un impacto en ciertos indicadores de salud, también han impactado positivamente en su propia economía, lo que se traduce finalmente en la formación de un verdadero círculo virtuoso que permite sistemáticas mejoras en la calidad de vida de las personas (8) .…”

Section: Las Ent Un Desafío Mundialunclassified

Las Políticas de Salud Oral en el contexto de las enfermedades no transmisibles: Un desafío pendiente en Chile.

Baeza

Jara

Morales

et al. 2021

Int. j interdiscip. dent.

View full text Add to dashboard Cite

Universal Health Coverage and Intersectoral Action for Health

Cited by 5 publications

References 21 publications

Health sector spending and spending on HIV/AIDS, tuberculosis, and malaria, and development assistance for health: progress towards Sustainable Development Goal 3

Health sector spending and spending on HIV/AIDS, tuberculosis, and malaria, and development assistance for health: progress towards Sustainable Development Goal 3

Universal health coverage and intersectoral action for health: key messages from Disease Control Priorities, 3rd edition

Las Políticas de Salud Oral en el contexto de las enfermedades no transmisibles: Un desafío pendiente en Chile.

Contact Info

Product

Resources

About