scholarly journals Mapping evidence of Universal Health Coverage in the world: a protocol for a scoping review

2021 ◽  
Author(s):  
Aklilu Endalamaw ◽  
Charles F Gilks ◽  
Fentie Ambaw ◽  
Yibeltal Assefa
Keyword(s):  
Health Care ◽  
Universal Health Coverage ◽  
Scoping Review ◽  
Meta Analysis ◽  
World Health ◽  
Health Coverage ◽  
Scoping Reviews ◽  
The World ◽  
Research Questions ◽  
Universal Health

Abstract Background Universal health coverage (UHC) is critical for improving global health and socioeconomic development. Monitoring and evaluating UHC's progress has also been suggested as an additional intervention to improve its road map. Globally, the concept of UHC is being desperately used by health care delivery systems and research institutions using a variety of indicators. More evidence is required to know what is known and the gaps are in the UHC literature that helps to identify research problems. The review will map the available researches of UHC from around the world. Methods The scoping review will be reported using the checklist The Preferred Reporting Items for Systematic Reviews and Meta-analysis Extension for Scoping Reviews (PRISMA-ScR). For studies reporting data on UHC and its dimensions, systematic searches will be conducted in PubMed, Scopus, Web of Science, Google Scholar, and the United Nations, World Health Organization, and World Bank repositories. To present the review findings, a narrative synthesis will be performed. Discussion UHC is a cornerstone to achieve the health goal of UN’s by the end of 2030. The mapping of available literature towards UHC will provide evidence that will help in the designing and implementation of health policy, health research and health care services. Conclusions A protocol for a global scoping review of UHC research is described. This scoping review will add to the body of knowledge about UHC research. The review will identify UHC research questions for which primary research or a systematic review and meta-analysis will be conducted. This is the first review of UHC to be conducted. This review will prioritize UHC research questions in relation to the sustainable development goals.

scholarly journals Making fair choices on the path to universal health coverage: a précis

2015 ◽  
Vol 11 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Alex Voorhoeve ◽  
Trygve Ottersen ◽  
Ole F. Norheim
Keyword(s):  
Universal Health Coverage ◽  
World Health ◽  
Health Coverage ◽  
Ability To Pay ◽  
Trade Offs ◽  
The World ◽  
Extra Weight ◽  
Universal Health

AbstractWe outline key conclusions of the World Health Organisation's report 'Making Fair Choices on the Path to Universal Health Coverage (UHC)'. The Report argues that three principles should inform choices on the path to UHC: I. Coverage should be based on need, with extra weight given to the needs of the worse off; II. One aim should be to generate the greatest total improvement in health; III. Contributions should be based on ability to pay and not need. We describe how these principles determine which trade-offs are (un)acceptable. We also discuss which institutions contribute to fair and accountable choices.

scholarly journals What level of domestic government health expenditure should we aspire to for universal health coverage?

2017 ◽  
Vol 12 (2) ◽  
pp. 125-137 ◽  
Author(s):  
Di Mcintyre ◽  
Filip Meheus ◽  
John-Arne Røttingen
Keyword(s):  
Health Care ◽  
Universal Health Coverage ◽  
Low Income ◽  
Government Spending ◽  
Health Expenditure ◽  
World Health ◽  
Health Coverage ◽  
Government Health ◽  
Government Health Expenditure ◽  
Universal Health

AbstractGlobal discussions on universal health coverage (UHC) have focussed attention on the need for increased government funding for health care in many low- and middle-income countries. The objective of this paper is to explore potential targets for government spending on health to progress towards UHC. An explicit target for government expenditure on health care relative to gross domestic product (GDP) is a potentially powerful tool for holding governments to account in progressing to UHC, particularly in the context of UHC’s inclusion in the Sustainable Development Goals. It is likely to be more influential than the Abuja target, which requires decreases in budget allocations to other sectors and is opposed by finance ministries for undermining their autonomy in making sectoral budget allocation decisions. International Monetary Fund and World Health Organisation data sets were used to analyse the relationship between government health expenditure and proxy indicators for the UHC goals of financial protection and access to quality health care, and triangulated with available country case studies estimating the resource requirements for a universal health system. Our analyses point towards a target of government spending on health of at least 5% of GDP for progressing towards UHC. This can be supplemented by a per capita target of $86 to promote universal access to primary care services in low-income countries.

scholarly journals Implementation research approaches to promoting universal health coverage in Africa: a scoping review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chukwudi A. Nnaji ◽  
Charles S. Wiysonge ◽  
Joseph C. Okeibunor ◽  
Thobile Malinga ◽  
Abdu A. Adamu ◽  
...  
Keyword(s):  
Universal Health Coverage ◽  
Scoping Review ◽  
Implementation Research ◽  
Reference Lists ◽  
Political Support ◽  
Cochrane Library ◽  
Health Coverage ◽  
Hand Search ◽  
Scoping Reviews ◽  
Universal Health

Abstract Background Implementation research has emerged as part of evidence-based decision-making efforts to plug current gaps in the translation of research evidence into health policy and practice. While there has been a growing number of initiatives promoting the uptake of implementation research in Africa, its role and effectiveness remain unclear, particularly in the context of universal health coverage (UHC). Hence, this scoping review aimed to identify and characterise the use of implementation research initiatives for assessing UHC-related interventions or programmes in Africa. Methods The review protocol was developed based on the methodological framework proposed by Arksey and O’Malley, as enhanced by the Joanna Briggs Institute. The review is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). MEDLINE, Scopus and the Cochrane Library were searched. The search also included a hand search of relevant grey literature and reference lists. Literature sources involving the application of implementation research in the context of UHC in Africa were eligible for inclusion. Results The database search yielded 2153 records. We identified 12 additional records from hand search of reference lists. After the removal of duplicates, we had 2051 unique records, of which 26 studies were included in the review. Implementation research was used within ten distinct UHC-related contexts, including HIV; maternal and child health; voluntary male medical circumcision; healthcare financing; immunisation; healthcare data quality; malaria diagnosis; primary healthcare quality improvement; surgery and typhoid fever control. The consolidated framework for implementation research (CFIR) was the most frequently used framework. Qualitative and mixed-methods study designs were the commonest methods used. Implementation research was mostly used to guide post-implementation evaluation of health programmes and the contextualisation of findings to improve future implementation outcomes. The most commonly reported contextual facilitators were political support, funding, sustained collaboration and effective programme leadership. Reported barriers included inadequate human and other resources; lack of incentives; perception of implementation as additional work burden; and socio-cultural barriers. Conclusions This review demonstrates that implementation research can be used to achieve UHC-related outcomes in Africa. It has identified important facilitators and barriers to the use of implementation research for promoting UHC in the region.

scholarly journals “Health Technology Assessment in High, Middle and Low-income Countries: New Systematic and Interdisciplinary Approach for Sound Informed-policymaking”

2020 ◽  
Author(s):  
Mohammed AlKhaldi ◽  
Sara Ahmed ◽  
Aisha Al Basuoni ◽  
Marcel Tanner
Keyword(s):  
Health Technology Assessment ◽  
Health Systems ◽  
Universal Health Coverage ◽  
Technology Assessment ◽  
Social Systems ◽  
Health Technology ◽  
World Health ◽  
Health Coverage ◽  
The World ◽  
Universal Health

Abstract Technological innovation has a significant role in improving health systems (HSs) and achieving universal health coverage. The World Health Organization (WHO) has declared resolutions on Health Technology Assessment (HTA) and other global organizations emphasized on HTA systems to achieve the Sustainable Development Goals (SDGs). HTA is a modern multidisciplinary decision-making framework linking knowledge and policymaking in order to provide evidence to leaders and ensuring the value of resources by evaluating properties, effects, and/or impacts. The scope of HTA focuses on conducting assessments and analyses to investigate the medical, social, economic, organizational and ethical issues within health and social systems for generating management and technical solutions. HTA is important as it is rapidly growing and is seen as an essential development approach to tackle existing challenges, particularly in developing countries as they share most of the health burdens worldwide. The research aims to comprehensively evaluate HTA within the health and social systems and understand HTA within the national health system with regards to the level of knowledge about HTA, current HTA practices, application, capacity, gaps, and solutions by investigating the perceptions of health systems’ stakeholders in five countries, Canada, Switzerland, Lebanon, Palestine, and Tanzania selected according to the World Bank income classification. The project will last 12 months starts in January 2021 and ends in January 2022. A mixed-methods, quantitative and qualitative, along with a scoping review will be applied. In each country, fifty semi-structured questionnaires, twenty in-depth interviews, and one national focus group discussion will be conducted with health experts, managers, and policymakers selected purposively from the 1st and 2nd levels of the HS structure. Excel, IBM Statistical Package for the Social Sciences (SPSS), and MAXQDA 12 (VERBI GmbH, Berlin) software programs will be used for data management and analysis. The research will form cutting-edge evidence and reference not only for the six countries, but also for the global, regional, and national endeavors with regards to opening a room for HTA best application and optimization based on the produced knowledge from this research. It will reveal lessons learned, determine gaps, and set an applicable strengthening framework for HTA. This framework will eventually aid the decision and policymakers in these countries, and other similar countries and international organizations to build a well-enabled and institutionalized HTA for better universal health coverage, health systems, and multi-sectoral development.

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.

scholarly journals Universal Health Coverage- A Case Study of Indian Healthcare System during COVID-19 Pandemic

2021 ◽  
pp. 1-6
Author(s):  
Rashika Nandwani
Keyword(s):  
Healthcare System ◽  
Health Systems ◽  
Universal Health Coverage ◽  
Building Blocks ◽  
Health Systems Strengthening ◽  
World Health ◽  
Health Coverage ◽  
The World ◽  
The Government ◽  
Universal Health

Aim: The main purpose of this paper is to look at the Indian healthcare system during the COVID-19 pandemic and how COVID-19 acts as barrier and also presents some opportunities towards the road of Universal Health Coverage (UHC). Background: COVID-19 has exposed the vulnerability of health systems across the world and India is no exception. The World Health Organization (WHO) has kept the definition of UHC very flexible and has left on the country which is implementing it as to how much of the population and which services should be included in the scheme.  Discussion: India already has a unique flagship program Ayushman Bharat where it is trying to cover her most vulnerable population against catastrophic expenditure of health. This paper further investigates the progress of India towards UHC and how COVID-19 is acting as an impediment for India to progress towards it. On the other hand, it also poses some opportunities which had not been explored in the past. Health Systems Strengthening is the path towards the achievement of UHC and due to COVID-19, India has touched upon all the six building blocks which are needed to strengthen our system towards the achievement of UHC. Recommendations and Conclusion: It recommends that Indian system should be more proactive than reactive; it also suggests following a systems-based approach and to not target the problem in silos. It also suggests increasing the government funding as well as establishment of proper public health cadre. To conclude, this paper also suggests that the government should include outpatient expenses into their scheme, and they should also concentrate towards building adequate infrastructure in order to face future pandemics like COVID-19.

scholarly journals Education, leadership and partnerships: nursing potential for Universal Health Coverage

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Isabel Amélia Costa Mendes ◽  
Carla Aparecida Arena Ventura ◽  
Maria Auxiliadora Trevizan ◽  
Leila Maria Marchi-Alves ◽  
Valtuir Duarte de Souza-Junior
Keyword(s):  
Qualitative Study ◽  
Universal Health Coverage ◽  
Education Leadership ◽  
Document Analysis ◽  
World Health ◽  
Health Coverage ◽  
Partnership Development ◽  
The World ◽  
Health Organization ◽  
Universal Health

Objective: to discuss possibilities of nursing contribution for universal health coverage. Method: a qualitative study, performed by means of document analysis of the World Health Organization publications highlighting Nursing and Midwifery within universal health coverage. Results: documents published by nursing and midwifery leaders point to the need for coordinated and integrated actions in education, leadership and partnership development. Final Considerations: this article represents a call for nurses, in order to foster reflection and understanding of the relevance of their work on the consolidation of the principles of universal health coverage.

The World Health Assembly Resolutions on eHealth: eHealth in Support of Universal Health Coverage

2013 ◽  
Vol 52 (06) ◽  
pp. 463-466 ◽  
Author(s):  
N. Al-Shorbaji
Keyword(s):  
Universal Health Coverage ◽  
World Health ◽  
Health Coverage ◽  
Access To Health Services ◽  
World Health Assembly ◽  
The World ◽  
Information And Communication ◽  
Development Goals ◽  
Health Organization ◽  
Universal Health

SummaryThe World Health Assembly (WHA) of the World Health Organization (WHO) and three of the six WHO Regional Committees adopted a number of resolutions on eHealth: the use of information and communication technology for health. These resolutions have given legitimacy to eHealth as an area of work for WHO and its member states. The implementation of these resolutions will contribute to the achievement of the Millennium Development Goals (MDGs) and the Universal Health Coverage. eHealth has been per -ceived as reducing the cost of healthcare, improving quality and equitable access to health services.

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