Universal health coverage: necessary but not sufficient

Fried, Susana T.; Khurshid, Atif; Tarlton, Dudley; Webb, Douglas; Gloss, Sonia; Paz, Claudia; Stanley, Tamara

doi:10.1016/s0968-8080(13)42739-8

Cited by 19 publications

(25 citation statements)

References 23 publications

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“…To build such health systems, the healthcare financing models should be changed [18] to prevent financial hardship in paying for quality healthcare services for all people [11].…”

Section: Uhc Historymentioning

confidence: 99%

“…Challenges and requirements to achieve UHC Basically, the main elements of UHC are: 1) strengthening health systems, 2) ensuring affordable care, 3) improving access to quality services, 4) building the required capacity, and 5) addressing social determinants of health [11,47]. The integrated implementation of these elements faces several challenges at both technical and political levels [4,15].…”

Section: Country Case Studiesmentioning

confidence: 99%

“…-in developing countries, UHC can be considered as a tool for sustainable social and economic development, and poverty reduction [4,7,10,11]. -in developed-richest countries, UHC is necessary to cope with the high cost of medical innovations, especially with the current global circumstances of financial crisis and population ageing [3,12] -at the global level, UHC will be a key enabler for social equity [2] through supporting high levels of coverage with quality health services while maintaining financial risk protection [10].…”

Section: Introductionmentioning

confidence: 99%

“…-Financial protection: overcoming financial barriersthrough applying suitable health financing mechanisms that will eventually reduce the out-of-pocket expenses [11].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A Review of Realizing the Universal Health Coverage (UHC) Goals by 2030: Part 1- Status quo, Requirements, and Challenges

Hussein

2015

J Med Syst

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This paper is the first part of a review of how to realize the Universal Health Coverage (UHC) goals by 2030. The objective of this review is to investigate the role of eHealth and technology in achieving UHC, focusing on four aspects: 1) identifying the importance of UHC and highlighting how UHC is influenced by health systems and eHealth, 2) investigating the current status of UHC worldwide and indicating the current challenges facing the realization of UHC, 3) reviewing the current research activities in the UHC domain and emphasizing the role of eHealth and technology in achieving UHC, and 4) discussing the results of the review to identify the current gaps in UHC implantation and the corresponding research lines for future investigation.This part covers the first two aspects through: providing the required background on UHC, highlighting the potential benefits of eHealth utilization in UHC, addressing the current status quo of UHC implementation worldwide, and finally concluding the lessons learned in terms of the UHC challenges and requirements.This part also described the used search methodology and selection criteria to synthesize this review. It also indicates the limitations of conducting a systematic review in this early stage of deploying UHC-oriented eHealth solutions.

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“…To build such health systems, the healthcare financing models should be changed [18] to prevent financial hardship in paying for quality healthcare services for all people [11].…”

Section: Uhc Historymentioning

confidence: 99%

Section: Country Case Studiesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…-Financial protection: overcoming financial barriersthrough applying suitable health financing mechanisms that will eventually reduce the out-of-pocket expenses [11].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Review of Realizing the Universal Health Coverage (UHC) Goals by 2030: Part 1- Status quo, Requirements, and Challenges

Hussein

2015

J Med Syst

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“…. The path to UHC must build in a human rights focus (Fried et al, 2014) that addresses critical elements of gender inequality -the non-recognition of girls' and women's health needs, and harmful practices and behaviours within homes, communities and in health centres that limit girls' and women's access and affordability, impacting on their health care access and outcomes. .…”

Section: Integrating Srr Into Uhcmentioning

confidence: 99%

Sexual and reproductive health and rights in changing health systems

2015

Reproductive Health Matters

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Sexual and reproductive health and rights (SRHR) are centrally important to health. However, there have been significant shortcomings in implementing SRHR to date. In the context of health systems reform and universal health coverage/care (UHC), this paper explores the following questions. What do these changes in health systems thinking mean for SRHR and gender equity in health in the context of renewed calls for increased investments in the health of women and girls? Can SRHR be integrated usefully into the call for UHC, and if so how? Can health systems reforms address the continuing sexual and reproductive ill health and violations of sexual and reproductive rights (SRR)? Conversely, can the attention to individual human rights that is intrinsic to the SRHR agenda and its continuing concerns about equality, quality and accountability provide impetus for strengthening the health system? The paper argues that achieving equity on the UHC path will require a combination of system improvements and services that benefit all, together with special attention to those whose needs are great and who are likely to fall behind in the politics of choice and voice (i.e., progressive universalism paying particular attention to gender inequalities).Keywords: sexual and reproductive health and rights; universal health coverage/care; quality of care; accountability; equity Introduction Sexual and reproductive health and rights (SRHR) are centrally important to health outcomes in all countries. Sex and reproduction define unique and specific health needs for girls and women over the entire life course. Whether, how and to what extent these health needs are met by the health system depends on the extent to which girls' and women's human rights are respected, protected and fulfilled. Throughout the life course, the sexual and reproductive rights (SRR) of girls and women -to bodily autonomy and integrity, to choice in relation to sexuality and reproduction, to freedom from coercion, discrimination and violence or fear of violence, to safety, satisfaction and pleasureprofoundly shape their physical and mental health and well-being.

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Sexual and reproductive health and rights in the evolving post-2015 agenda: perspectives from key players from multilateral and related agencies in 2013

Brolan¹,

Hill

2014

Reproductive Health Matters

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This paper reports the views of participants from key multilaterals and related agencies in the evolving global negotiations on the post-2015 development agenda on the strategic location of sexual and reproductive health and rights. The research was carried out in June and July 2013, following the release of the report of the High-Level Panel of Eminent Persons on the Post-2015 Development Agenda, and comprised 40 semi-structured interviews with 57 participants and two e-mail respondents. All respondents were responsible for the post-2015 health and development agenda, or the post-2015 agenda more broadly, within their organisations. The interviews provide an insight into the intention to ensure that sexual and reproductive health and rights are integrated into the post-2015 trajectory by key players who sit at the interface of UN and Member State interaction. They reveal both an awareness of the shortcomings of the Millennium Development Goal process and its impact on advocacy for sexual and reproductive health and rights in early post-2015 engagement, as well as the vulnerability of sexual and reproductive health and rights in the remaining phases of post-2015 negotiations. Recent events bear these concerns out. Ensuring sexual and reproductive health and rights are included in the final post-2015 outcome document in the time remaining for negotiations, will be anything but a "doddle".

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Universal health coverage: necessary but not sufficient

Cited by 19 publications

References 23 publications

A Review of Realizing the Universal Health Coverage (UHC) Goals by 2030: Part 1- Status quo, Requirements, and Challenges

A Review of Realizing the Universal Health Coverage (UHC) Goals by 2030: Part 1- Status quo, Requirements, and Challenges

Sexual and reproductive health and rights in changing health systems

Sexual and reproductive health and rights in the evolving post-2015 agenda: perspectives from key players from multilateral and related agencies in 2013

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