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.

Universal Health Coverage for Undocumented Migrants. The Spanish Case

2018 ◽  
Vol 25 (2) ◽  
pp. 283-299
Author(s):  
María Dalli
Keyword(s):  
Health Care ◽  
Universal Health Coverage ◽  
Access To Health Care ◽  
Health Care Services ◽  
Universal Coverage ◽  
Right To Health ◽  
Undocumented Migrants ◽  
Health Coverage ◽  
The Right ◽  
Universal Health

Implementation of the universal right to health, along with the UN’s goal to achieve universal health coverage (UHC), face common challenges to ensuring universal health care entitlement. One of these difficulties is health care restrictions for undocumented migrants. A recent example is the Spanish health care regulation that places universal coverage at risk by restricting access to it by this group. The work herein examines the right to health and UHC’s regulations with the aim of determining if access to health care services for undocumented migrants is indeed recognized and if this recognition could therefore be valid to limit those kinds of measures. The UHC proposal does not sufficiently deal with this problem. Regarding the right to health, even though there are some limitations within international human rights laws regarding protection for this group, it can be concluded that the right to health is also applicable to undocumented migrants.

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 Achieving Universal Health Coverage by 2030: Parliaments to ensure the Right to Health

2019 ◽  
Vol 44 (3) ◽  
pp. 112
Author(s):  
Md Habibe Millat
Keyword(s):  
Universal Health Coverage ◽  
Right To Health ◽  
Health Coverage ◽  
The Right ◽  
Universal Health

Abstract not available Bangladesh Med Res Counc Bull 2018; 44: 112

Universal Health Coverage

2021 ◽  
pp. 134-153
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Health Systems ◽  
Universal Health Coverage ◽  
Quality Care ◽  
Universal Coverage ◽  
Health Coverage ◽  
Quality Health Care ◽  
The Sustainable Development ◽  
Quality Health ◽  
The Right ◽  
Universal Health

As part of the Sustainable Development Goals the right to health is captured under the rubric of universal health coverage (UHC). That is that all people should have access to the high quality care they need without suffering financial hardship. This chapter explores this seminal topic reviewing the theory of universal coverage and definitions that shape the current conversation about UHC. This chapter also highlights some important steps taken by countries to expand access to quality health care but challenges the rhetoric that financing care through insurance schemes, a common approach to UHC) is sufficient when the inputs into the health systems do not match the disease burden. Finally, the chapter investigates the theory and practice behind a morbidity-based approach to strengthening health systems and achieving UHC.

Priority-setting and the Right to Health: Synergies and Tensions on the Path to Universal Health Coverage

2020 ◽  
Vol 20 (4) ◽  
pp. 704-724
Author(s):  
Daniel Wei Liang Wang
Keyword(s):  
Health Systems ◽  
Universal Health Coverage ◽  
Priority Setting ◽  
Right To Health ◽  
Health Coverage ◽  
Judicial Decisions ◽  
The Third ◽  
The Right ◽  
To Receive ◽  
Universal Health

Abstract There is a growing consensus that fair priority-setting and the right to health contribute to achieving universal health coverage. The right to health creates legal entitlements to receive care and fair priority-setting promotes efficient and just health systems. However, there can be tension between them, particularly when the right to health is judicially protected. This article analyses three approaches to understanding this tension: the first minimises the conflicts between them to emphasise their synergies; the second admits the tension and considers it positive as rights create and protect substantive entitlements against priority-setting decisions; the third also recognises that this tension exists, but sees these substantive entitlements as obstacles for fair priority-setting. Building on the analysis of these approaches, this article argues that the involvement of courts in allocative decisions can be more comprehensively evaluated by assessing whether they promote or impair fair priority-setting rather than by focusing on the direct beneficiaries of judicial decisions. If this argument is correct, then courts using the right to health to create and enforce substantive entitlements to health treatments becomes very questionable.

scholarly journals Achieving universal health coverage by 2030: The role of parliaments in ensuring right to health

2019 ◽  
Vol 45 (3) ◽  
pp. 208-213
Author(s):  
Md. Habibe Millat ◽  
Mr. Christian Lohr ◽  
Ms. Mariana Carvalho
Keyword(s):  
Universal Health Coverage ◽  
Right To Health ◽  
World Health ◽  
Director General ◽  
National Council ◽  
Health Coverage ◽  
The World ◽  
The Right ◽  
Universal Health

In October 2018, on behalf of the Bangladesh Parliament, I proposed to the 139th Assembly of the Inter Parliamentary Union (IPU) to adopt a resolution on “Achieving universal health coverage by 2030: The role of parliaments in ensuring the right to health” (Annex-1). After the acceptance of my proposal, I worked as a co-rapporteur along with Mr. Christian Lohr, Member of the National Council, Switzerland and Ms. Mariana Carvalho, Member of the Chamber of Deputies, Brazil for a year to consult with and gather inputs from the parliaments and parliamentarians across the world. After several intensive discussions, debates and consultations in different parts of the world, we presented a draft proposal to the IPU member parliaments before presented it to the IPU assembly. Later, following the final debate and discussion, 141st IPU assembly 2019 in Belgrade, Serbia approved this resolution. I believe this global tool will enable parliaments and parliamentarians to contribute in ensuring the highest attainable standard of health and global health targets by 2030. I am grateful to the Hon’ble Prime Minister of Bangladesh Jononetry Sheikh Hasina MP and the Hon’ble Speaker of Bangladesh Parliament Dr. Shirin Sharmin Chaudhury MP for their encouragement. I am also thankful to IPU President Ms Gabriela Cuevas Barron, IPU Secretary General Mr Martin Chungong and World Health Organization Director General Dr Tedros Adhanom Ghebreyesus for their regular guidance towards this initiative. My sincere appreciation goes to the colleagues from the Bangladesh Parliament, Ministry of Health and Family Welfare of Bangladesh, Ministry of Foreign Affairs of Bangladesh, IPU Secretariat and WHO Secretariat for their contribution in the process. I hope our parliaments and parliamentarians will take full advantage of this resolution in their work to make the right decisions when it’s come to those health issues. I am now looking forward to working together with my fellow parliamentarians from home and abroad to deliver the commitment we have made through the IPU resolution on universal health coverage. I would appreciate your comment, suggestion and advice in this regard.

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