scholarly journals The Human Rights Framework for Establishing Social Protection Floors and Achieving Universal Health Coverage

Author(s):  
Markus Kaltenborn
2021 ◽  
Author(s):  
Beverly Ochieng ◽  
Margaret Kaseje ◽  
Dan Kaseje ◽  
Kevin Oria ◽  
Monica Magadi

Abstract The strategic aim of universal health coverage (UHC) is to ensure that everyone can use health services they need without risk of financial impoverishment. Linda mama (Taking care of the mother) initiative focuses on the most vulnerable women, newborns and infants in offering free health services. Financial risk protection is one element in the package of measures that provides overall social protection, as well as protection against severe financial difficulties in the event of pregnancy, childbirth, neonatal and perinatal health care for mothers and their children. Purpose of study was to find out the extent of awareness, and involvement among managers, service providers and consumers of “Linda mama” supported services and benefits of the initiative from the perspectives of consumers, providers and managers Methods We carried out cross sectional study in four sub counties in western Kenya: Rachuonyo East, Nyando, Nyakach, and Alego Usonga. We used qualitative techniques to collect data from purposively selected knowledge rich individuals, managers, service providers and service consumers. Findings From the perspectives of managers, service providers and consumers of the “Linda Mama” scheme emerge concepts, principles and pathways of successful health interventions. Managers and service providers were well aware of the initiative and were involved in it. Participation in “Linda Mama” seemed to be more prominent among managers and service providers. Routine household visits by community health volunteers to sensitize mothers and community engagement was core to the initiative. The managers and providers of services displayed profound awareness of how requiring identification cards and telephone numbers had the potential to undermine equity by excluding those in greater need of care such as under-age pregnant adolescents.Maternity and mother child health services improved as a result of the funds received by health facilities. “Linda Mama” reimbursements helped to purchase drug and reduced workload in the facility by hiring extra hands. Conclusion The initiative seems to have influenced attitudes on health facility delivery through: Partnership among key stakeholders and highlighting the need for enhanced partnership with the communities. It enhanced the capacity of health facilities to deliver high quality comprehensive, essential care package and easing economic burden.


2019 ◽  
Vol 7 (1) ◽  
pp. 642-651
Author(s):  
Lyna Magdalyna Naulinta Hutapea

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.  


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Manuela Villar Uribe ◽  
Maria-Luisa Escobar ◽  
Ana Lorena Ruano ◽  
Roberto F. Iunes

AbstractThis special issue “Realizing the Right to Health in Latin America and the Caribbean” provides an overview of one of the most challenging objectives of health systems: equity and the realization of the right to health. In particular, it concentrates on the issues associated with such a challenge in countries suffering of deep inequity. The experience in Latin America and the Caribbean demonstrates that the efforts of health systems to achieve Universal Health Coverage are necessary but not sufficient to achieve an equitable realization of the right to health for all. The inequitable realization of all other human rights also determines the realization of the right to health.


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