scholarly journals Stigma and psychiatric care in Latin America: its inclusion on the universal health coverage agenda

2015 ◽  
Vol 12 (4) ◽  
pp. 81-83
Author(s):  
Cecilia Acuña ◽  
Rafael Sepúlveda ◽  
Osvaldo Salgado
Keyword(s):  
Universal Health Coverage ◽  
Universal Access ◽  
Daily Routine ◽  
Health Coverage ◽  
Universal Healthcare ◽  
Access To Health ◽  
Mental Health Patients ◽  
Pan American ◽  
Health Organization ◽  
Universal Health

In 2014, the Pan American Health Organization (PAHO) approved Resolution CP53.R14, which aimed to provide a framework for universal access to health and universal health coverage. It sets the stage for the inclusion of psychiatric practice within the provision of universal healthcare and highlights the fight against stigma. We propose to concentrate our efforts on changing the model of medical management. To that end, we are promoting the inclusion of mental health patients within the daily routine of primary care centres, thus allowing them to interact with other users of health services on a regular basis.

scholarly journals Handbook for Monitoring the Plan of Action on Human Resources for Universal Access to Health and Universal Health Coverage 2018-2023

2021 ◽  
Keyword(s):  
Human Resources ◽  
Universal Health Coverage ◽  
Human Resources For Health ◽  
Universal Access ◽  
Final Report ◽  
Health Coverage ◽  
Access To Health ◽  
Pan American ◽  
Health Organization ◽  
Universal Health

This handbook presents the methodology for monitoring the Plan of Action on Human Resources for Universal Access to Health and Universal Health Coverage 2018-2023 of the Pan American Health Organization (PAHO). Developed by PAHO in collaboration with the Andalusian School of Public Health (Spain), it defines and explains the objectives, indicators, and attributes of the three lines of action contained in the Strategy on Human Resources for Universal Access to Health and Universal Health Coverage and in the Plan of Action. It is intended for the ministerial teams responsible for human resources for health in the countries of the Region of the Americas and for the PAHO advisers who accompany them in this process. The methodology will serve as a technical cooperation tool to help the countries of the Region measure and evaluate their progress toward fulfilling the Plan of Action. It will also help them identify the main challenges in their specific context, with a view to making the necessary decisions. The information obtained through this process will also serve as input for the progress report and final report on the Plan of Action, to be submitted to PAHO's Governing Bodies in 2021 and 2024, respectively.

scholarly journals Advanced Practice Nursing: A Strategy for Achieving Universal Health Coverage and Universal Access to Health

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Denise Bryant-Lukosius ◽  
Ruta Valaitis ◽  
Ruth Martin-Misener ◽  
Faith Donald ◽  
Laura Morán Peña ◽  
...  
Keyword(s):  
Latin America ◽  
Universal Health Coverage ◽  
Universal Access ◽  
Advanced Practice Nursing ◽  
Advanced Practice ◽  
Health Coverage ◽  
Access To Health ◽  
The Caribbean ◽  
Universal Health ◽  
Role Implementation

ABSTRACT Objective: to examine advanced practice nursing (APN) roles internationally to inform role development in Latin America and the Caribbean to support universal health coverage and universal access to health. Method: we examined literature related to APN roles, their global deployment, and APN effectiveness in relation to universal health coverage and access to health. Results: given evidence of their effectiveness in many countries, APN roles are ideally suited as part of a primary health care workforce strategy in Latin America to enhance universal health coverage and access to health. Brazil, Chile, Colombia, and Mexico are well positioned to build this workforce. Role implementation barriers include lack of role clarity, legislation/regulation, education, funding, and physician resistance. Strong nursing leadership to align APN roles with policy priorities, and to work in partnership with primary care providers and policy makers is needed for successful role implementation. Conclusions: given the diversity of contexts across nations, it is important to systematically assess country and population health needs to introduce the most appropriate complement and mix of APN roles and inform implementation. Successful APN role introduction in Latin America and the Caribbean could provide a roadmap for similar roles in other low/middle income countries.

scholarly journals Fiscal space for Health in the Americas: is economic growth sufficient?

2019 ◽  
Vol 43 ◽  
pp. 1
Author(s):  
Camilo Cid Pedraza ◽  
Mauricio Matus-López ◽  
Ernesto Báscolo
Keyword(s):  
Economic Growth ◽  
Latin American ◽  
Universal Access ◽  
World Health ◽  
Health Coverage ◽  
Political Dialogue ◽  
Access To Health ◽  
Fiscal Space ◽  
Health Organization ◽  
Universal Health

Objective. In 2014, the member countries of the Pan American Health Organization signed the Strategy for Universal Access to Health and Universal Health Coverage. In it, they committed to increasing public expenditure on health until reaching the benchmark of 6% of gross domestic product (GDP). The objective of this paper is to determine, for each country in the Region, whether they can reach this target through economic growth alone and, if so, how long it would take. Methods. Using World Bank and World Health Organization data, elasticity of public health expenditure (PHE) with respect to GDP was estimated for each country. Real economic growth and International Monetary Fund projections for 2016–2021 were used to project the expenditure series and determine the year each country would reach 6% of GDP. Results. Six countries have already reached the 6% target. The Latin American and Caribbean countries that have achieved it are those that have single health systems, based on universal access and coverage. If current prioritization of PHE is maintained, three countries could reach the target in the next decade. Four more countries would reach it before mid-century, 10 in the second half of the century, and one would have to wait until the next century. Finally, 13 countries would never reach the proposed target. Conclusions. This analysis demonstrates the limitations of economic growth as a source of fiscal space. Other sources will need to be tapped, such as increased tax collection, specific health taxes, and greater efficiency in public spending, which will require social and political dialogue in the countries regarding their commitment to universal health principles.

scholarly journals A multiprofessional perspective on the principal barriers to universal health coverage and universal access to health in extremely poor territories: the contributions of nursing

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Viviane Helena de França ◽  
Celina Maria Modena ◽  
Ulisses Eugenio Cavalcanti Confalonieri
Keyword(s):  
Universal Health Coverage ◽  
Universal Access ◽  
Universal Coverage ◽  
Right To Health ◽  
Health Coverage ◽  
Education Professionals ◽  
Unified Health System ◽  
Access To Health ◽  
The Right ◽  
Universal Health

Objective: to investigate the knowledge of managers and health professionals, social workers and education professionals regarding the principal barriers to universal health coverage and universal access to health on the part of the extremely poor population; and to point to the contributions made by nursing for the promotion of this right. Method: a qualitative study whose reference was, for ensuring the right to health, the reorientation of the Brazilian Unified Health System (SUS) towards universal coverage and access in these territories. Interviews were held with 27 members of the multi-professional team of a municipality with high social vulnerability. The data were worked on using thematic content analysis. Results: the following were ascertained as the principal barriers to universal health coverage and access to health: failures in the expansion and strengthening of the services; absence of diagnosis of the priority demands; shortage of technology, equipment, and material and human resources; poor local infrastructure; and actions with low resolutive power and absence of interdepartmental policies. Within the multi-professional team, nursing acts in the SUS in unique health actions and social practices in these territories, presenting an in-depth perspective on this harsh reality, being able to contribute with indispensable support for confronting these disparities in universal health coverage and universal access to health. Conclusion: nursing's in-depth understanding regarding these barriers is essential for encouraging the processes reorienting the SUS, geared towards equality in the right to health.

A Framework and Indicators for Monitoring Gender Equality and Health in the Americas

2019 ◽  
Keyword(s):  
Gender Equality ◽  
Universal Access ◽  
Health Coverage ◽  
Executive Summary ◽  
The Sustainable Development ◽  
Access To Health ◽  
Development Goals ◽  
Health Organization ◽  
Health Experts

[Executive Summary]. Member States of the Region of the Americas have committed to the Strategy for Universal Access to Health and Universal Health Coverage (CD53. R14). At the same time, health experts and policymakers in many parts of the world have begun to set new targets and benchmarks in follow-up to the Sustainable Development Goals and Targets adopted by the United Nations (UN) in September 2015. As part of these processes, the Pan American Health Organization (PAHO) is working with the countries of the Americas to ensure that related resolutions, strategies, and action plans are supported with appropriate frameworks and data for monitoring and evaluating gender equality in health. The purpose of this document is to propose an updated framework and set of core indicators for monitoring advances on gender equality in health in the Region, within the framework of renewed regional commitment to health...

scholarly journals Universal Access to Health and Universal Health Coverage: identification of nursing research priorities in Latin America

2015 ◽  
Vol 23 (6) ◽  
pp. 1195-1208 ◽  
Author(s):  
Silvia Helena De Bortoli Cassiani ◽  
Alessandra Bassalobre-Garcia ◽  
Ludovic Reveiz
Keyword(s):  
Public Health ◽  
Latin America ◽  
Health Systems ◽  
Research Funding ◽  
Universal Access ◽  
Research Priorities ◽  
Nursing Research ◽  
Health Coverage ◽  
Access To Health ◽  
Universal Health

Objective: To estabilish a regional list for nursing research priorities in health systems and services in the Region of the Americas based on the concepts of Universal Access to Health and Universal Health Coverage. Method: five-stage consensus process: systematic review of literature; appraisal of resulting questions and topics; ranking of the items by graduate program coordinators; discussion and ranking amongst a forum of researchers and public health leaders; and consultation with the Ministries of Health of the Pan American Health Organization's member states. Results: the resulting list of nursing research priorities consists of 276 study questions/ topics, which are sorted into 14 subcategories distributed into six major categories: 1. Policies and education of nursing human resources; 2. Structure, organization and dynamics of health systems and services; 3. Science, technology, innovation, and information systems in public health; 4. Financing of health systems and services; 5. Health policies, governance, and social control; and 6. Social studies in the health field. Conclusion: the list of nursing research priorities is expected to serve as guidance and support for nursing research on health systems and services across Latin America. Not only researchers, but also Ministries of Health, leaders in public health, and research funding agencies are encouraged to use the results of this list to help inform research-funding decisions.

scholarly journals Burden, Access, and Disparities in Kidney Disease

2019 ◽  
Vol 48 (1) ◽  
pp. 32-39
Author(s):  
Deidra C. Crews ◽  
Aminu K. Bello ◽  
Gamal Saadi ◽  
Keyword(s):  
Kidney Disease ◽  
Universal Health Coverage ◽  
Kidney Injury ◽  
Public Health Problem ◽  
World Health ◽  
Health Coverage ◽  
Global Public Health ◽  
Health Organization ◽  
Basic Infrastructure ◽  
Universal Health

Kidney disease is a global public health problem, affecting over 750 million persons worldwide. The burden of kidney disease varies substantially across the world. In many settings, rates of kidney disease and the provision of its care are defined by socioeconomic, cultural, and political factors leading to significant disparities. World Kidney Day 2019 offers an opportunity to raise awareness of kidney disease and highlight disparities in its burden and current state of global capacity for prevention and management. Here, we highlight the need for strengthening basic infrastructure for kidney care services for early detection and management of acute kidney injury and chronic kidney disease across all countries and advocate for more pragmatic approaches to providing renal replacement therapies. Achieving universal health coverage worldwide by 2030 is a World Health Organization Sustainable Development Goal. While universal health coverage may not include all elements of kidney care in all countries, understanding what is locally feasible and important with a focus on reducing the burden and consequences of kidney disease would be an important step towards achieving kidney health equity.

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