Is Selling The Hamptons Real, District 6 Runoff Election, Khsaa Softball Rules 2023, Northville School Calendar 2023-2024, Allina Health Medical Records, Articles H

In 2022, 84% of countries still reported disruptions. Health Care for All: A Framework for Moving to a Primary Care - AAFP Iran J Public Health. A study in Lao PDR showed that to achieve UHC, the country needs health insurance and public awareness of health insurance and its benefits [89]. Universal health coverage, as a comprehensive and new policy that overwhelm all parts of the health system and even other sectors, is influenced by many factors, such as political sustainability [33, 34], economic growth [35, 36], fragmentation in the health system [37,38,39], etc. The opinions of experts were recorded by using a digital audio recorder and used by the research team to merge, add, and remove affecting factors in the health system control knob framework. 2018;47(3):390. Considering the distinctive role of the context in policymaking, the identification of the factors affecting UHC accompanying by the countries experiences about UHC, can boost our speed toward it. The key search terms selection was done by experts and using the mesh, which included universal health coverage, universal coverage, universal healthcare coverage, universal health care coverage, UHC and Iran combined with OR Boolean in the title or abstract (Additionalfile1). Adewole DA, Akanbi SA, Osungbade KO, Bello S. Expanding health insurance scheme in the informal sector in Nigeria: awareness as a potential demand-side tool. Achieving Universal Health Coverage (UHC): Dominance analysis across All for universal health coverage. 10 years of health-care reform in China: progress and gaps in universal health coverage. Damrongplasit K, Melnick G. Funding, coverage, and access under Thailands universal health insurance program: an update after ten years. This knob, by coordinating stakeholders and involving them, can act as a facilitator and accelerator bringing the country closer to the UHC in less time. However, the public sector has the upper hand in this issue [16]. To build back better, WHOs recommendation is to reorient health systems using a primary health care (PHC) approach. UHC provides access to quality essential health services; safe, effective, and affordable essential medicines and vaccines; and protection from financial risk. What Is Universal Health Coverage and How Can We Achieve It? 2015;21(2):16. The importance of this dimension best highlights when we consider its direct impact on three goals of UHC including, financial protection, population coverage, and service coverage. Universal health coverage and primary health care: Their place in people's health. 2020;98(2):132. The initial purpose of healthcare systems around the world is to promote and maintain the health of the population. 2013;16(12):7368. Determining and prioritizing indicators of public health coverage in Iran: a qualitative study. This feature of the study can also allow other countries to benefit from the results of the study. Ghana Business News - The first place for your business news. Arch Public Health. Others have an efficient automobile, and even public transportation that carry many people safely to their destinations. 2017;25(4):21332. It enables universal, integrated access to health services as close as possible to people's everyday environments. These include a lack of trained health care workers, vaccines, medication, equipment, and infrastructure. Plausible strides have been made in some cases but a number of challenges still need to be addressed. Cairo: World Health Organization. Health Policy Plan. Int J Health Plann Manag. 1. The industrys low wages and long hours may deter others from entering the field or motivate them to move to areas with potential for higher pay and away from the frontlines, causing a shortage of health care workers who serve a critical function on the ground. 2021;24(2):1016. The world health report 2000: health systems: improving performance: World Health Organization; 2000. Also, to increase the generalizability of the results, in this study, the framework of the control knobs of the WHO has been used to classify the factors. Monitoring health inequalities is essential to identify and track disadvantaged populations in order to provide decision-makers with an evidence base to formulate more equity-oriented policies, programmes and practices towards the progressive realization of UHC. We are proud to join Japan and the Republic of Korea in this partnership to achieve Universal Coverage in Ghana, the U.S. Also, manual search and reference tracking was used to extract additional relevant studies based on citations of the eligible articles and documents. The phases of the study (all four phases) and their results for a better understanding of the readers are presented in Fig. New report calls for greater attention to childrens vital first years, Independent Oversight and Advisory Committee, WHO Global Health Observatory Data Repository for UHC, Global Action Plan for Healthy Lives and Well-being for All (SDG3 GAP), Alliance for Health Policy and Systems Research, Primary health care measurement framework and indicators: monitoring health systems through a primary health care lens, Sexual and Reproductive Health and Universal health Coverage Learning by Sharing Portal (SRH-UHC LSP), Global spending on health: rising to the pandemic's challenges, UHC Service Package Delivery & Implementation (SPDI) Tool. 2012;4(6):105062. Monitoring health inequalities is essential to identify and track disadvantaged populations in order to provide decision-makers with an evidence base to formulate more equity-oriented policies, programmes and practices towards the progressive realization of UHC. Health Policy. 2010;9(2):17387. One of the main reasons for deploying this framework was to identify areas of policy action to modify health systems and to improve their performance. UHC is firmly based on the 1948 WHO Constitution, which declares health a fundamental human right and commits to ensuring the highest attainable level of health for all. The concept covers three key elements access, quality, and financial protection. But a world in which adequate and affordable health services are available to all is not impossible. Nearly 100 million people worldwide are being pushed into extreme poverty by the costs of health care, meaning that after paying for vital health services, procedures, and medication, they have less than $1.90 a day to live on. By using this website, you agree to our As mentioned, UHC is a new philosophy and approach, making major changes in most parts of the health system and other sectors related to the health system. Independent Assess First. Elhadi YAM, Adebisi YA, Abel UV, Daniel EM, Zaghloul A, III DEL-P: National health systems strengthening as the primary strategy to achieve Universal Health Coverage in African countries. Since 2000, dozens of countries,including Canada, Saudi Arabia, Rwanda, Cuba, Indonesia, and Kenya, have begun to implement reforms to establish UHC. 2015. 2011;26(3):28295. Bmj. 2019;33:65. The participants statements were summarized at the end of each interview and FGD session, the participants were told to confirm the accuracy of the results. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gtzsche PC, Ioannidis JP, et al. All UN Member States have agreed to try to achieve universal health coverage (UHC) by 2030, as part of the Sustainable Development Goals. Admin Pol Ment Health. Per the Memorandum of Cooperation, the three countries will leverage their individual expertise and resources to support three key health priorities in Ghana. Having at least a masters degree in the health field. The last control knob in the framework behavior. Second, health and community leaders should reach out to, empower and engage vulnerable and high . The state of health in Pakistan and its provinces and territories, 1990 2012;10:200110. They focus on one population group such as women or children, or a program such HIV/AIDS or Ebola or TB or cancer and neglect the other parts of the system that would support the services people need. In a study entitled the challenges and opportunities to achieving UHC in Nepal, the factors such as using Constitutional provision, global support, and progress on the health insurance act, decentralization of health service to the grass-roots level, were introduced as an opportunity to move towards UHC. Payment for health care and perception of the national health insurance scheme in a rural area in Southwest Nigeria. A weekly update of the most important issues driving the global agenda. Ranabhat CL, Kim C-B, Singh A, Acharya D, Pathak K, Sharma B, et al. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The multilateral partnership comes at a time when the world is emerging from the COVID-19 pandemic, with many countries backsliding in some essential health services. No. Brazil's unified health system: the first 30 years and prospects for the future. However, about 2 billion people are facing catastrophic or impoverishing health spending (SDG indicator 3.8.2). The participants statements were recorded by using a digital audio recorder and the research also used note-taking during the interviews. 2015;8(1):25749. Alebachew A, Hatt L, Kukla M. Monitoring and evaluating progress towards universal health coverage in Ethiopia. 2019;77(1):5. Bahadori M, Ravangard R, Alimohammadzadeh K, Hosseini SM. 2020;18:17. All articles after extraction from the databases using the keywords mentioned were evaluated by two authors using the Critical Appraisal Skills Program (CASP) checklist. But before you leave . Dalmacion GV, Juban NR, Zordilla Z. Optimizing PhilHealths case-based payment scheme to achieve greater financial protection; 2016. Koohpayehzadeh J, Azami-Aghdash S, Derakhshani N, Rezapour A, Kalajahi RA, Khasraghi JS, et al. How to achieve universal health coverage? Focus on primary care Accordingly, after the identification and integration of the factors, the research team employed the framework of control knobs to classify and present the results.