Universal Health Coverage Policies in Latin America and the Caribbean

2015 ◽  
pp. 53-80 ◽  
Author(s):  
Fernando Montenegro Torres ◽  
Tania Dmytraczenko ◽  
Adam Aten
Keyword(s):  
Latin America ◽  
Universal Health Coverage ◽  
Health Coverage ◽  
The Caribbean ◽  
Universal Health

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 Realizing the right to health in Latin America, equitably

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Manuela Villar Uribe ◽  
Maria-Luisa Escobar ◽  
Ana Lorena Ruano ◽  
Roberto F. Iunes
Keyword(s):  
Human Rights ◽  
Latin America ◽  
Health Systems ◽  
Universal Health Coverage ◽  
Right To Health ◽  
Health Coverage ◽  
Special Issue ◽  
The Caribbean ◽  
The Right ◽  
Universal Health

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.

scholarly journals Risk for COVID-19 among Migrants from different areas of the World in Spain: A population-based cohort study in a country with universal health coverage

2020 ◽  
Author(s):  
Carlos Guijarro ◽  
Elia Pérez-Fernández ◽  
Beatriz González-Piñeiro ◽  
Victoria Meléndez ◽  
Maria José Goyanes ◽  
...  
Keyword(s):  
Latin America ◽  
Universal Health Coverage ◽  
Population Based ◽  
Sub Saharan Africa ◽  
Health Coverage ◽  
Relative Risks ◽  
Increased Risk ◽  
The World ◽  
Sub Saharan ◽  
Universal Health

AbstractObjectiveTo evaluate the COVID-19 incidence among migrants from different areas of the world as compared to Spaniards living in AlcorcónDesignPopulation-based cohort analysis of the cumulative incidence of PCR-confirmed COVID-19 cases until April 25 (2020) among adult residents at Alcorcón (Spain) attended at the only public hospital serving this city. Crude incident rates for Spaniards and migrants from different areas of the world were estimated. Age and sex-adjusted relative risks for COVID19 were estimated by negative bomial regression.SettingUniversity public Hospital at Alcorcón, Madrid, SpainParticipantsAll adult residents living in Alcorcon classified by their country and region of the world of origin.Main outcomePCR confirmed COVID-19.ResultsPCR confirmed COVID-19 cumulative incidence was 6.81 cases per 1000 inhabitants among residents of Alcorcón. The crude incidence among migrants (n=20419) was higher than among Spaniards (n=131599): 8.81 and 6.51 and per 1000 inhabitants respectively (p<0.001).By regions of the world, crude cumulative COVID-19 incidence rates were: European Union 2.38, Asia 2.01,, Northern Africa 3.59, East ern Europe 4.37, Sub-Saharan Africa 11.24, Caribbean 18.26 and Latin-America 20.77 8 per 1000 inhabitants. Migrant residents were markedly younger than Spaniards (median age 52 vs 73 years, p<0.001). By negative binomial regression, adjusted for age and sex, relative risks (RR) for COVID-19 were not significantly different from Spaniards for individuals from Europe, Asia or Northern Africa. In contrast, there was an increased risk for Sub-Saharan Africa (RR 3.66, 95% confidence interval (CI) 1.42-9.41, p=0.007), Caribbean (RR 6.35, 95% CI 3.83-10.55, p<0.001) and Latin-America (RR 6.92, 95% CI 4.49-10.67, p <0.001).ConclusionsThere was a marked increased risk for COVID-19 among migrants from Sub-Saharan Africa, Caribbean and Latin-America residing in Spain. The reasons underlying this increased risk and health and social implications deserve further attention.What is known about the topicRecent reports suggest an increased burden of COVID-19 among migrants or ethnic minorities in the United Kingdom and the USA, particularly regarding mortality. Reports have failed to dissociate clinical outcomes from differences in access to medical care or pre-existing medical conditions. There is no information regarding COVID risk for latinos in countries with universal health coverageWhat this study addMigrants from subsaharian Africa resident in Spain exhibit an increased risk for COVID-19. This risk is further increased for migrants from the Caribbean and Latin-America and cannot be attributed to unequal access to medical care. Studies in countries with universal health coverage may help to dissociate COVID burden in migrants and ethnic populations from access to health care.

scholarly journals Universal health coverage and litigation in Latin America

2012 ◽  
Vol 26 (3) ◽  
pp. 390-406 ◽  
Author(s):  
Leonardo Cubillos ◽  
Maria‐Luisa Escobar ◽  
Sebastian Pavlovic ◽  
Roberto Iunes
Keyword(s):  
Latin America ◽  
Universal Health Coverage ◽  
Health Coverage ◽  
Universal Health

Health-system reform and universal health coverage in Latin America

The Lancet ◽  
2015 ◽  
Vol 385 (9974) ◽  
pp. 1230-1247 ◽  
Author(s):  
Rifat Atun ◽  
Luiz Odorico Monteiro de Andrade ◽  
Gisele Almeida ◽  
Daniel Cotlear ◽  
T Dmytraczenko ◽  
...  
Keyword(s):  
Latin America ◽  
Health System ◽  
Universal Health Coverage ◽  
System Reform ◽  
Health Coverage ◽  
Health System Reform ◽  
Universal Health
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