Abstract
Background. Geography, society, economic development, and health outcomes vary much among the Association of Southeast Asian Nations (ASEAN). The health systems, structure and services vary considerably. As a consequence, the progress toward Universal Health Coverage (UHC) in these countries also varies. This paper aims to describe the progress toward UHC in the ASEAN countries and discuss how regional integration could influence UHC.
Design. Data reported in this paper were obtained from published literature, reports, and other literatures available in the ASEAN countries available online.
Results. It is found that, in general, ASEAN countries have made good progress toward UHC. However, there are major barriers to all the countries in achieving UHC, namely 1) financial constraints; 2) supply side constraints,; and 3) the ongoing epidemiological transition at different stages characterized by increasing burdens of non-communicable diseases, persisting infectious diseases, and reemergence of potentially pandemic infectious diseases. Whereas the minor barriers are the diversification of 1) language; and 2) cultures. The ASEAN Economic Community’s (AEC) goal of regional economic integration and a single market by 2015 presents both opportunities and challenges for UHC.
Discussion. Healthcare services have become more available but health and healthcare inequities will likely worsen as better-off citizens of member states might receive more benefits from the liberalization of trade policy in health. Migration of professional health personnel such as medical doctors and nurses as well as other health providers may face challenges in new languages and cultures in the destination countries. Further research may be conducted to study the migration trend of professional health profession among ASEAN countries, and the possibility of a common medical profession competence standard that is acceptable by all these ten countries.
Conclusions. The researcher believe that ASEAN has significant potential to become a force for better health in the region. It is hoped that all ASEAN citizens can enjoy higher health and safety standards, comprehensive social protection, and improved health status. We believe economic and other integration efforts can further these aspirations.