Sustainable Development Goal 3: Psychologists as leaders in universal health coverage

2019 ◽  
2018 ◽  
Vol 3 (3) ◽  
pp. e000904 ◽  
Author(s):  
Edwine Barasa ◽  
Peter Nguhiu ◽  
Di McIntyre

BackgroundThe inclusion of universal health coverage (UHC) as a health-related Sustainable Development Goal has cemented its position as a key global health priority. We aimed to develop a summary measure of UHC for Kenya and track the country’s progress between 2003 and 2013.MethodsWe developed a summary index for UHC by computing the geometrical mean of indicators for the two dimensions of UHC, service coverage (SC) and financial risk protection (FRP). The SC indicator was computed as the geometrical mean of preventive and treatment indicators, while the financial protection indicator was computed as a geometrical mean of an indicator for the incidence of catastrophic healthcare expenditure, and the impoverishing effect of healthcare payments. We analysed data from three waves of two nationally representative household surveys.FindingsThe weighted summary indicator for SC increased from 27.65% (27.13%–28.14%) in 2003 to 41.73% (41.34%–42.12%) in 2013, while the summary indicator for FRP reduced from 69.82% (69.11%–70.51%) in 2003 to 63.78% (63.55%–63.82%) in 2013. Inequities were observed in both these indicators. The weighted summary measure of UHC increased from 43.94% (95% CI 43.48% to 44.38%) in 2003 to 51.55% (95% CI 51.29% to 51.82%) in 2013.ConclusionSignificant gaps exist in Kenya’s quest to achieve UHC. It is imperative that targeted health financing and other health sector reforms are made to achieve this goal. Such reforms should be focused on both, rather than on only either, of the dimensions of UHC.


Author(s):  
Ema Paulino ◽  
Filipa Alves da Costa ◽  
Mariana Rosa

The pharmacist is key in assuring a safe and effective supply of medicines, as well as their responsible use. As a direct provider of services, from primary prevention of disease to therapeutic monitoring, pharmacists work to ensure that the patient's drug therapy is appropriate, the most effective available, the safest possible, and most convenient. This chapter contextualizes the importance of aligning pharmacists' education with societal needs, considering the path to Universal Health Coverage and Sustainable Development Goal 3, and makes the case for investing in the pharmacy workforce of tomorrow. It presents a vision for pharmacy and its place in the healthcare system, linking this vision with a needs-based pharmaceutical workforce transformation program of work.


2017 ◽  
Vol 95 (7) ◽  
pp. 537-539 ◽  
Author(s):  
Marie Paule Kieny ◽  
Henk Bekedam ◽  
Delanyo Dovlo ◽  
James Fitzgerald ◽  
Jarno Habicht ◽  
...  

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