scholarly journals Perceptions of quality of care during birth at private Chiranjeevi facilities in Gujarat: lessons for Universal Health Coverage

2020 ◽  
Vol 28 (2) ◽  
pp. 1850199
Author(s):  
Veena Iyer ◽  
Dileep Mavalankar ◽  
Rachel Tolhurst ◽  
Ayesha De Costa
Keyword(s):  
Quality Of Care ◽  
Universal Health Coverage ◽  
Health Coverage ◽  
Universal Health

scholarly journals Factors associated with high Cesarean deliveries in China and Brazil - A Call for reducing elective surgeries in moving towards Universal Health Coverage

2014 ◽  
Vol 3 (5) ◽  
pp. 67 ◽  
Author(s):  
Xiaohui Hou ◽  
Noor Sabah Rakhshani ◽  
Roberto Iunes
Keyword(s):  
Quality Of Care ◽  
Health Care Providers ◽  
Universal Health Coverage ◽  
Financial Burden ◽  
Labor Pain ◽  
Health Coverage ◽  
Care Providers ◽  
Cesarean Deliveries ◽  
Universal Health

Background: Annually 6.2 million unnecessary Cesarean Deliveries (CD) are performed globally. Such high unnecessary CD rate is a concern not only due to the additional financial burden it places on the health system but also because the quality of care could be compromised. There is an even more imperative need to reduce elective surgeries in moving towards the Universal Health Coverage (UHC), to ensure the ever stretched resources are effectively channeled for the best health outcomes. Methods: The paper uses a case study method. China and Brazil were selected primarily due to their alarmingly high number and percentage of the CD rate. Systematic literature review was conducted and the analyses were structured based on the framework “Determinants of High Cesarean Delivery Rates”, developed by the authors. Results: In China and Brazil, cultural belief, fear of labor pain and patient’s perception regarding quality of care may play a role in the patient’s preference for CD but these perceptions are shaped by their health care providers as well. The principal-agent relation comes into play as the health professionals can modify perceived needs of their patients. Availability of health insurance to mothers, physicians’ preference for convenient working hours, and payment incentives for performing higher yielding Cesarean procedures are driving the high CD rate phenomena in China and Brazil. Understand the social determinants of CD and using various instruments to change women’s perceptions of birthing options and physicians’ behaviors are critical in managing the CD rate. Conclusion: In the context of the rapid movement towards UHC, the evidence presented in this paper supports the call for implementing complementary policy interventions and regulation to ensure minimal efficiency loss due to resources being diverted to unnecessary procedures or hospital stays. 

scholarly journals Effective cataract surgical coverage: An indicator for measuring quality-of-care in the context of Universal Health Coverage

PLoS ONE ◽  
2017 ◽  
Vol 12 (3) ◽  
pp. e0172342 ◽  
Author(s):  
Jacqueline Ramke ◽  
Clare E. Gilbert ◽  
Arier C. Lee ◽  
Peter Ackland ◽  
Hans Limburg ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Universal Health Coverage ◽  
Health Coverage ◽  
Universal Health

scholarly journals Access to and Quality of Primary Healthcare: a Multi-Country Qualitative Case Study in West and East Africa

2020 ◽  
Author(s):  
Soter Ameh ◽  
Bolarinwa Oladimeji Akeem ◽  
Caleb Ochimana ◽  
Abayomi Olabayo Oluwasanu ◽  
Shukri F Mohamed ◽  
...  
Keyword(s):  
East Africa ◽  
Universal Health Coverage ◽  
Primary Healthcare ◽  
Qualitative Case Study ◽  
Financial Burden ◽  
Cost Of Care ◽  
Health Coverage ◽  
Universal Health

Abstract Background: Universal health coverage is one of the Sustainable Development Goal targets known to improve population health and reduce financial burden. There is little qualitative data on access to and quality of primary healthcare in West and East Africa. We elicited in-depth viewpoints of healthcare users and providers, and other stakeholders regarding access to and quality of healthcare.Methods: A qualitative case study was conducted in four communities in Nigeria, and one community each in Kenya, Uganda and Tanzania in 2018. Purposive sampling was used to recruit 155 participants for 24 focus group discussions, 24 in-depth interviews, and 12 key informant interviews. The conceptual framework in this study combined elements of the Health Belief Model, Health Care Utilisation Model, four ‘As’ of access to care, and pathway model to better understand health-seeking behaviours of the study participants. The data were analysed with MAXQDA 2018 qualitative software to identify three themes identified a priori and one emerging theme.Results: Access to primary healthcare in the seven communities was limited. Quality of care was perceived to be unacceptable in public facilities whereas cost of care was unaffordable in private facilities. Patients and health providers and stakeholders highlighted shortage of equipment, frequent drug stock-outs and long waiting times as major issues, but had varying opinions on satisfaction with care. Use of herbal medicines and other traditional treatments delayed or deterred seeking modern healthcare in Nigerian sites. Conclusions: There was a substantial gap in primary healthcare coverage and quality in the selected communities in rural and urban East and West Africa. Alternative models of healthcare delivery should be used to fill this gap and facilitate achieving universal health coverage.

scholarly journals Nursing challenges for universal health coverage: a systematic review

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Mariana Cabral Schveitzer ◽  
Elma Lourdes Campos Pavone Zoboli ◽  
Margarida Maria da Silva Vieira
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Primary Health Care ◽  
Universal Health Coverage ◽  
Community Empowerment ◽  
Holistic Care ◽  
Health Coverage ◽  
Primary Health ◽  
Universal Health

Objectives to identify nursing challenges for universal health coverage, based on the findings of a systematic review focused on the health workforce' understanding of the role of humanization practices in Primary Health Care. Method systematic review and meta-synthesis, from the following information sources: PubMed, CINAHL, Scielo, Web of Science, PsycInfo, SCOPUS, DEDALUS and Proquest, using the keyword Primary Health Care associated, separately, with the following keywords: humanization of assistance, holistic care/health, patient centred care, user embracement, personal autonomy, holism, attitude of health personnel. Results thirty studies between 1999-2011. Primary Health Care work processes are complex and present difficulties for conducting integrative care, especially for nursing, but humanizing practices have showed an important role towards the development of positive work environments, quality of care and people-centered care by promoting access and universal health coverage. Conclusions nursing challenges for universal health coverage are related to education and training, to better working conditions and clear definition of nursing role in primary health care. It is necessary to overcome difficulties such as fragmented concepts of health and care and invest in multidisciplinary teamwork, community empowerment, professional-patient bond, user embracement, soft technologies, to promote quality of life, holistic care and universal health coverage.

scholarly journals Engagement of non-governmental organisations in moving towards universal health coverage: a scoping review

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Arman Sanadgol ◽  
Leila Doshmangir ◽  
Reza Majdzadeh ◽  
Vladimir Sergeevich Gordeev
Keyword(s):  
Public Health ◽  
Universal Health Coverage ◽  
Vulnerable Groups ◽  
Health Coverage ◽  
Population Coverage ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Government ◽  
Universal Health

Abstract Background Developing essential health services through non-governmental organisations (NGOs) is an important strategy for progressing towards Universal Health Coverage (UHC), especially in low- and middle-income countries. It is crucial to understand NGOs’ role in reaching UHC and the best way to engage them. Objective This study reviewed the role of NGOs and their engagement strategies in progress toward UHC. Method We systematically reviewed studies from five databases (PubMed, Web of Science (ISI), ProQuest, EMBASE and Scopus) that investigated NGOs interventions in public health-related activities. The quality of the selected studies was assessed using the mixed methods appraisal tool. PRISMA reporting guidelines were followed. Findings Seventy-eight studies met the eligibility criteria. NGOs main activities related to service and population coverage and used different strategies to progress towards UHC. To ensure services coverage, NGOs provided adequate and competent human resources, necessary health equipment and facilities, and provided public health and health care services strategies. To achieve population coverage, they provided services to vulnerable groups through community participation. Most studies were conducted in middle-income countries. Overall, the quality of the reported evidence was good. The main funding sources of NGOs were self-financing and grants from the government, international organisations, and donors. Conclusion NGOs can play a significant role in the country’s progress towards UHC along with the government and other key health players. The government should use strategies and interventions in supporting NGOs, accelerating their movement toward UHC.

scholarly journals Akses Jaminan Kesehatan Nasional pada Pekerja Seks Perempuan

2015 ◽  
Vol 9 (4) ◽  
pp. 308
Author(s):  
Ni Made Sri Nopiyani ◽  
Putu Ayu Indrayathi ◽  
Rina Listyowati ◽  
I Ketut Suarjana ◽  
Pande Putu Januraga
Keyword(s):  
Universal Health Coverage ◽  
Sex Workers ◽  
Insurance Coverage ◽  
Health Access ◽  
Health Coverage ◽  
Depth Interview ◽  
Negative Perceptions ◽  
Universal Health ◽  
Individual Service

AbstrakPekerja seks perempuan (PSP) merupakan kelompok yang termarginalkan secara sosial dan memiliki kerentanan yang tinggi terhadap masalah kesehatan. Upaya perluasan Jaminan Kesehatan Nasional (JKN) pada PSP masih terbatas sehingga penting dilakukan untuk mendukung pencapaian universal health coverage. Penelitian ini bertujuan untuk memperoleh gambaran mengenai akses JKN pada PSP di Denpasar. Penelitian ini merupakan studi kualitatif. Data dikumpulkan melalui wawancara mendalam terhadap 15 orang PSP dan empat orang mucikari di Denpasar pada Agustus hingga Oktober 2014. Hasil wawancara diolah dengan analisis tematik. Kerangka analisis yang digunakan adalah The Health Access Livelihood Framework. Kepemilikan JKN pada PSP di Denpasar masih rendah, meskipun sebagian PSP memiliki kemauan untuk menjadi peserta JKN dan memiliki kemampuan membayar iuran JKN. Faktor penghambat akses JKN pada PSP adalah rendahnya pengetahuan mengenai prosedur pendaftaran dan portabilitas JKN, kekhawatiran keberlanjutan pembayaran iuran, persepsi buruk mengenai kualitas layanan yang akan diterima jika menggunakan JKN, ketidaklengkapan administrasi kependudukan serta kebijakan yang mengharuskan peserta bukan penerima bantuan iuran (Non-PBI) Mandiri untuk mendaftarkan seluruh anggota keluarga. Akses JKN pada PSP terhambat oleh faktor-faktor individual, layanan dan kebijakan yang perlu diatasi untuk meningkatkan cakupan JKN pada PSP. AbstractFemale sex workers (FSW) is marginalized social group having a high vulnerability of health problems. Effort to expand national health insurance on FSW is still limited, so it is necessarily performed in order to support the achievement of universal health coverage. This study aimed to obtain the depiction of the insurance access among FSW in Denpasar. This study was qualitative. Data was collected through in-depth interview of 15 FSW and four pimps in Denpasar from August to October 2014. The interview result was analyzed using thematic analysis. The analysis framework used was The Health Access Livelihood Framework. The insurance ownership among FSW in Denpasar was low, even though some FSW were willing to be participants and afford to pay the premium. Factors inhibiting the insurance access were the lack of knowledge regarding registration procedures and portability, fear of premium payment sustainability, negative perceptions of quality of services that would be received if using the insurance, incomplete population administration and policy requiring independent non-premium support receiver participants to register all of their family members. The insurance access among FSW was hindered by individual, service and policy factors that need to be conquered to increase the insurance coverage among FSW.

scholarly journals Universal Health Coverage: Everyone, Everywhere

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Obed Ofori Nyarko ◽  
Saabea Owusu Konadu ◽  
Gilda Opoku ◽  
Fiifi Agyeman-Weittey ◽  
Gwendolyn Adoteye
Keyword(s):  
Quality Of Life ◽  
Economic Growth ◽  
Universal Health Coverage ◽  
Sustainable Development Goals ◽  
World Health ◽  
Health Coverage ◽  
The Sustainable Development ◽  
Development Goals ◽  
Universal Health

“Universal Health Coverage (UHC)” as the theme for the 2018 world health day celebration means that all people receive the health services they need without suffering financial hardship. UHC is to be achieved by the year 2030 as part of the sustainable development goals (SDGs). UHC will result in reduction in the prevalence of epidemics, poverty, hunger and increase in quality of life, life expectancy and economic growth. Achieving UHC cannot be a done overnight but all countries need to take appropriate steps to hasten it.

Sign in / Sign up

Export Citation Format

Share Document