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Review
. 2014 Sep 22;11(9):e1001731.
doi: 10.1371/journal.pmed.1001731. eCollection 2014 Sep.

Monitoring progress towards universal health coverage at country and global levels

Ties Boerma  1 , Patrick Eozenou  2 , David Evans  1 , Tim Evans  2 , Marie-Paule Kieny  1 , Adam Wagstaff  2
Affiliations
Review

Monitoring progress towards universal health coverage at country and global levels

Ties Boerma et al. PLoS Med. .

Abstract

Universal health coverage (UHC) has been defined as the desired outcome of health system performance whereby all people who need health services (promotion, prevention, treatment, rehabilitation, and palliation) receive them, without undue financial hardship. UHC has two interrelated components: the full spectrum of good-quality, essential health services according to need, and protection from financial hardship, including possible impoverishment, due to out-of-pocket payments for health services. Both components should benefit the entire population. This paper summarizes the findings from 13 country case studies and five technical reviews, which were conducted as part of the development of a global framework for monitoring progress towards UHC. The case studies show the relevance and feasibility of focusing UHC monitoring on two discrete components of health system performance: levels of coverage with health services and financial protection, with a focus on equity. These components link directly to the definition of UHC and measure the direct results of strategies and policies for UHC. The studies also show how UHC monitoring can be fully embedded in often existing, regular overall monitoring of health sector progress and performance. Several methodological and practical issues related to the monitoring of coverage of essential health services, financial protection, and equity, are highlighted. Addressing the gaps in the availability and quality of data required for monitoring progress towards UHC is critical in most countries.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Progressive realization of universal health coverage.
See this image and copyright information in PMC

References

    1. World Health Organization (2010) The world health report – health systems financing: the path to universal coverage. Geneva: World Health Organization. Available: http://www.who.int/whr/en/index.html. Accessed 29 April 2014. - PMC - PubMed
    1. United Nations (2013). A new global partnership: eradicate poverty and transform economies through sustainable development. Report of the High-level Panel of Eminent Persons on the Post-2015. Development Agenda. New York: United Nations. Available: http://www.post2015hlp.org/wp-content/uploads/2013/05/UN-Report.pdf. Accessed 29 April 2014.
    1. World Health Organization (2010) World Health Report. Health Systems Financing: the Path to Universal Coverage. Geneva: WHO. Adapted from Busse R, Schlette S (2007) Focus on Prevention, Health and Aging, New Health Professions. Health Policy Developments 7/8. Gütersloh: Bertelsmann Foundation.
    1. World Health Organization (2008) World Health Report. Primary Health Care - Now More Than Ever. Geneva: WHO.
    1. Huda TM, Khan JAM, Jamil KZAK, El Arifeen S (2014) Monitoring and evaluating progress towards universal health coverage in Bangladesh. PLoS Med 11: e1001722. - PMC - PubMed

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