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Trends in future health financing and coverage: future health spending and universal health coverage in 188 countries, 2016-40 KU Leuven

Subash Thapa
BACKGROUND: Achieving universal health coverage (UHC) requires health financing systems that provide prepaid pooled resources for key health services without placing undue financial stress on households. Understanding current and future trajectories of health financing is vital for progress towards UHC. We used historical health financing data for 188 countries from 1995 to 2015 to estimate future scenarios of health spending and pooled health ...

Universal health coverage: yes, but coverage of what?: the need for people-centered care Universiteit Gent

Peter Decat, Karel Gyselinck, Christine Leyns, Hernan Montenegro, Bart Criel
The concepts ‘person’ and ‘people’ centred care are explored within primary health care as defined in the declaration of Alma-Ata (1978) and the WHR 2008. They share common values like equity and social justice, the necessity to address the upstream causes of ill health, the need to integrate primary care and public health, the urge for a health systems approach and the importance of ‘social cohesion’ and the role of ‘social capital’. Based on ...

Leaving no one behind: lessons from implementation of policies for universal HIV treatment to universal health coverage Instituut voor Tropische Geneeskunde Vrije Universiteit Brussel

Yibeltal Assefa, Peter S Hill, Wim Van Damme, Judith Dean, Charles F Gilks

BACKGROUND: The third Sustainable Development Goal (SDG - 3) aims to ensure healthy lives and promote well-being for all at all ages. SDG-3 has a specific target on universal health coverage (UHC), which emphasizes the importance of all people and communities having access to quality health services without risking financial hardship. The objective of this study is to review progress towards UHC using antiretroviral treatment (ART) as a case ...

Is universal health coverage the practical expression of the right to health care? Universiteit Gent Universiteit Antwerpen

Gorik Ooms, Laila A. Latif, Attiya Waris, Claire E. Brolan, Rachel Hammonds, Eric A. Friedman, Moses Mulumba, Lisa Forman
The present Millennium Development Goals are set to expire in 2015 and their next iteration is now being discussed within the international community. With regards to health, the World Health Organization proposes universal health coverage as a 'single overarching health goal' for the next iteration of the Millennium Development Goals. The present Millennium Development Goals have been criticised for being 'duplicative' or even 'competing ...

Is the healthcare provision in the Netherlands compliant with universal health coverage based on the right to health?: a narrative literature review Instituut voor Tropische Geneeskunde

T Kuipers, Anja Krumeich
Universal health coverage, as one of the targets of the Sustainable Development Goals, is the access to key promotive, preventive, curative and rehabilitative health interventions for all at an affordable cost. It is a practical expression of the concern for health equity and the right to health, and a goal for all countries. This review is a novel attempt to explore the healthcare provision in the Netherlands as an expression of universal ...

Community health extension program of Ethiopia, 2003-2018: successes and challenges toward universal coverage for primary healthcare services Instituut voor Tropische Geneeskunde Vrije Universiteit Brussel

Yibeltal Assefa, Yalemzewod Assefa Gelaw, Peter S Hill, Belaynew Wassie Taye, Wim Van Damme

Background: Ethiopia has been implementing a community health extension program (HEP) since 2003. We aimed to assess the successes and challenges of the HEP over time, and develop a framework that may assist the implementation of the program toward universal primary healthcare services.

Methods: We conducted a systematic review and synthesis of the literature on the HEP in Ethiopia between 2003 and 2018. Literature search was ...

Moving towards universal coverage in South Africa? Lessons from a voluntary government insurance scheme Universiteit Gent

Veloshnee Govender, Matthew Chersich, Bronwyn Harris, Olufunke Alaba, John E Ataguba, Nonhlanhla Nxumalo, Jane Goudge
Background: In 2005, the South African government introduced a voluntary, subsidised health insurance scheme for civil servants. In light of the global emphasis on universal coverage, empirical evidence is needed to understand the relationship between new health financing strategies and health care access thereby improving global understanding of these issues. Objectives: This study analysed coverage of the South African government health ...

The landscape of strategic health purchasing for universal health coverage in Burkina Faso: insights from five major health financing schemes Instituut voor Tropische Geneeskunde

Joel Arthur Kiendrebeogo, Charlemagne Tapsoba, Yamba Kafando, Issa Kabore, Orokia Sory, S. Pierre Yameogo

Strategic health purchasing is a key strategy in Burkina Faso to spur progress toward universal health coverage (UHC). However, a comprehensive analysis of existing health financing arrangements and their purchasing functions has not been undertaken to date. This article provides an in-depth analysis of five key health financing schemes in Burkina Faso: Gratuite (a national free health care program for women and children under age 5), credits ...

Bridging community-based health insurance and social protection for health care--a step in the direction of universal coverage? Vrije Universiteit Brussel

Bart Jacobs, Maryam Bigdeli, M Van Pelt, Por Ir, C Salze, Bart Criel
Access to affordable and effective health care is a major problem in low and middle income countries (LMIC) and out-of-pocket expenditure for health care a major cause of impoverishment (Meessen et al. 2003; Frenk et al. 2006; McIntyre et al. 2006; Van Doorslaer et al. 2006). One way to facilitate access and overcome catastrophic expenditure is through a health insurance mechanism, whereby risks are shared and financial inputs pooled by way of ...