Universal health coverage, health systems strengthening, and the World Bank

Tichenor, Marlee; Sridhar, Devi

doi:10.1136/bmj.j3347

Cited by 61 publications

(33 citation statements)

References 13 publications

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“…In the second article, we examine the universal health coverage and health systems strengthening agenda and critically assess the bank’s history in this area and future directions. 33 In the third article, we discuss the growth, benefits, and risks of earmarked aid for global health at the bank and provide a detailed case study of onchocerciasis trust funds that supported the bank’s first flagship health project. 34 The fourth article looks at global efforts to achieve maternal, newborn, and child health by examining the Global Financing Facility.…”

Section: Global Health In the World Bankmentioning

confidence: 99%

World Bank’s financing, priorities, and lending structures for global health

Sridhar¹,

Winters²,

Strong³

2017

BMJ

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Section: Global Health In the World Bankmentioning

confidence: 99%

World Bank’s financing, priorities, and lending structures for global health

Sridhar¹,

Winters²,

Strong³

2017

BMJ

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“…Most countries have made UHC a key global health objective through the United Nations’ resolution, and move towards UHC following the Sustainable Development Goals (SDG) set in 2015. At the beginning of the 21st century, the push for UHC seems stronger than ever 4. The new WHO director general, Dr Tedros, emphasised that UHC is the ‘top strategic priority’ in the road map for WHO’s renewal 5.…”

Section: Introductionmentioning

confidence: 99%

Towards universal health coverage: lessons from 10 years of healthcare reform in China

et al. 2020

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Universal health coverage (UHC) is driving the global health agenda. Many countries have embarked on national policy reforms towards this goal, including China. In 2009, the Chinese government launched a new round of healthcare reform towards UHC, aiming to provide universal coverage of basic healthcare by the end of 2020. The year of 2019 marks the 10th anniversary of China’s most recent healthcare reform. Sharing China’s experience is especially timely for other countries pursuing reforms to achieve UHC. This study describes the social, economic and health context in China, and then reviews the overall progress of healthcare reform (1949 to present), with a focus on the most recent (2009) round of healthcare reform. The study comprehensively analyses key reform initiatives and major achievements according to four aspects: health insurance system, drug supply and security system, medical service system and public health service system. Lessons learnt from China may have important implications for other nations, including continued political support, increased health financing and a strong primary healthcare system as basis.

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“…The World Bank's current HNP portfolio focuses on poverty alleviation, global economic growth 7 . and health-specific mandates for universal health coverage and health system strengthening 8 .…”

Section: Introductionmentioning

confidence: 99%

The World Bank & financing tuberculosis control, 1986-2017

et al. 2019

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Background: Tuberculosis is among the leading contributors to global mortality and morbidity from infectious diseases and has had a major socioeconomic cost in recent history. The World Bank is a leading institution for global health governance and financing, but little research has concentrated on the role of the World Bank in global tuberculosis control. Methods: We tracked the development of the World Bank’s policies and associated financial flows for tuberculosis control. First, we performed a scoping review of both published and grey literature. Second, we used the World Bank’s Projects & Operations database to construct a dataset of all World Bank projects with funding allocated to the “Tuberculosis” theme from 1986 to 2017. Finally, we analysed the World Bank’s funding patterns alongside wider funding for tuberculosis using the Institute of Health Metrics and Evaluation’s Development Assistance for Health database. Results: We identified four periods in the World Bank’s involvement in global tuberculosis control, from the recognition of tuberculosis as a global health issue to the creation of a global coalition against tuberculosis. Between 1986 and 2017 the World Bank undertook 79 projects with financing from its core lending divisions with a tuberculosis control theme or focus. Within the 79 projects, the World Bank committed 19.6% of funding, or $0.9bn, towards tuberculosis control. The World Bank has invested significantly into Direct Observation of Treatment, Short-course chemotherapy (DOTS). After the formation of private-public partnerships against tuberculosis in 2002 such as the Global Fund to Fight HIV/AIDS, TB and Malaria, the World Bank’s core financing decreased and private-public partnerships provided increasing levels of substitutive financing for tuberculosis control. Conclusions: The World Bank has been pivotal in leading global financing, garnering advocacy and creating widespread coalition in the battle against tuberculosis control in recent decades.

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Universal health coverage, health systems strengthening, and the World Bank

Abstract: In the second article of the series, Marlee Tichenor and Devi Sridhar discuss how the World Bank is promoting better access to healthcare

Cited by 61 publications

References 13 publications

World Bank’s financing, priorities, and lending structures for global health

World Bank’s financing, priorities, and lending structures for global health

Towards universal health coverage: lessons from 10 years of healthcare reform in China

The World Bank & financing tuberculosis control, 1986-2017

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