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

2021 ◽  

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.

2015 ◽  
Vol 12 (4) ◽  
pp. 81-83
Author(s):  
Cecilia Acuña ◽  
Rafael Sepúlveda ◽  
Osvaldo Salgado

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.


Author(s):  
Denise Bryant-Lukosius ◽  
Ruta Valaitis ◽  
Ruth Martin-Misener ◽  
Faith Donald ◽  
Laura Morán Peña ◽  
...  

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.


Author(s):  
Sameh El-Saharty ◽  
Susan Powers Sparkes ◽  
Helene Barroy ◽  
Karar Zunaid Ahsan ◽  
Syed Masud Ahmed

2019 ◽  
Vol 43 ◽  
pp. 1
Author(s):  
Camilo Cid Pedraza ◽  
Mauricio Matus-López ◽  
Ernesto Báscolo

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.


2018 ◽  
Vol 24 (09) ◽  
pp. 846-854
Author(s):  
Gholamhossein Salehi Zalani ◽  
Roghayeh Khalilnezhad ◽  
Elmira Mirbahaeddin ◽  
Azad Shokri ◽  
Tahereh Kashkalani ◽  
...  

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