The purpose of this presentation is to equip audiences with the ability to:
Define universal health coverage (UHC) and understand the basic tenets of UHC
Identify how UHC fits in USAID’s health and poverty reduction strategies
Effectively communicate to country stakeholders how USAID can support a country’s progress towards UHC
Identify relevant UHC resources within the Office of Health Systems and USAID
The presentation is part of the “UHC Toolkit” and accompanies Universal Health Coverage: An Annotated Bibliography, and Universal Health Coverage: Frequently Asked Questions.
This document discusses health systems strengthening from a global perspective. It defines health systems strengthening as initiatives that improve the core functions or "building blocks" of a health system, with the goal of permanently improving system performance rather than just filling gaps. The document distinguishes between supporting a health system through improving inputs versus strengthening it by facilitating comprehensive changes to performance drivers. It identifies key priorities for facilitating health systems strengthening as the health workforce, cost-effective primary health care interventions and service delivery models, progressive decentralization, results-based financing, and enhanced integrated management approaches.
Universal Health Coverage (UHC) Day 12.12.14, NepalDeepak Karki
This presentation is made on the first ever Universal Health Coverage (UHC) Day 12.12.14 celebration in Nepal by Nepal Health Economics Association (NHEA).
The World Health Organization was founded on the principle of universal health coverage and achieving the highest level of health for all people. World Health Day on April 7th aims to inspire and guide countries toward achieving universal health coverage through a series of events in 2018. Currently half the world's population lacks access to needed health services, and countries need to extend coverage to one billion more people by 2023 to meet global targets. World Health Day will highlight the need for universal coverage and benefits it provides.
- Government health spending in India is very low at just over 1% of GDP, well below what is needed to meet the country's health needs. This has forced many people to rely on private healthcare, leading to high out-of-pocket costs that push many into poverty.
- Reforms are needed such as increasing public health spending to 3-5% of GDP, regulating the private sector, and implementing a universal health coverage program. However, challenges remain due to India's large population, infrastructure weaknesses, and need to balance fiscal priorities.
- Initiatives have been launched such as the National Rural Health Mission and health insurance programs, but more focus is needed on primary care, community participation, and direct
The document summarizes healthcare financing in India. It discusses that healthcare financing aims to ensure access to health services. The key principles are generating revenue, pooling funds for cross-subsidization between rich/poor and healthy/sick, and purchasing efficient services. In India, healthcare is financed primarily through out-of-pocket payments by households, while government expenditure is low compared to other countries. Reforms like NRHM and RSBY aim to increase public allocation to healthcare. Challenges include expanding coverage with limited resources and improving spending efficiency.
The International Health Regulations originated in 1851 to promote international cooperation and limit interference with trade during disease outbreaks. The IHR have been revised multiple times to address new public health challenges, including the 2005 revision to strengthen surveillance and response systems for infectious diseases and public health emergencies. The IHR (2005) require countries to develop core surveillance and response capacities and obligate information sharing during public health events of international concern in order to rapidly detect and respond to global health threats.
This document discusses universal health coverage and provides information on key facts, definitions, objectives, and challenges. It summarizes the evolution of universal health coverage in India through various committee reports and schemes. Key recommendations from the High Level Expert Group report on achieving universal health coverage in India include establishing a national health package, developing health service norms, increasing human resources for health, strengthening community participation, and improving access to medicines and technology. Monitoring progress and overcoming challenges such as inadequate services, varying quality, and affordability issues are important to achieve universal health coverage.
The document summarizes recommendations from the High Level Expert Group on achieving Universal Health Coverage in India. It discusses expanding health coverage to all citizens through a national health package, increasing public spending on health to 3% of GDP, strengthening primary healthcare and developing norms for facilities at each level of care. It also emphasizes improving human resources for health, community participation, and access to medicines. The overall vision is to ensure equitable access to quality health services for all Indians.
Health financing within the overall health systemHFG Project
Presented during Day One of the 2016 Nigeria Health Care Financing Training Workshop. Presented by Prof. Tanimola Akande and Dr. Francis Ukwuije. More: https://www.hfgproject.org/hcf-training-nigeria
The document discusses Ayushman Bharat-Health and Wellness Centres, which aims to transform India's primary healthcare system by providing comprehensive and affordable primary care services close to communities through Health and Wellness Centres. It outlines key issues with the current selective primary healthcare package and low utilization of public health facilities. The initiative will establish 150,000 Health and Wellness Centres by upgrading Sub Health Centres and Primary Health Centres to provide expanded services covering maternal and child health to non-communicable diseases and geriatric needs. It focuses on developing a continuum of care through these centres, community involvement, and leveraging technology for service delivery.
Integrated management of acute malnutrition (imam) in NepalMilan Dhakal
The document provides an overview of Integrated Management of Acute Malnutrition (IMAM) in Nepal. IMAM has four main components: community mobilization, inpatient therapeutic care, outpatient therapeutic care, and management of moderate acute malnutrition. The primary objectives are to reduce mortality from acute malnutrition, rehabilitate children, and prevent further cases. IMAM follows principles of early detection, appropriate medical care, and rehabilitation. Acute malnutrition is assessed using mid-upper arm circumference and appetite tests. Severe cases receive ready-to-use therapeutic foods as outpatients or in inpatient care. Moderate cases receive nutrient supplements or fortified foods with counseling.
Universal health coverage means that everyone has access to health care services including preventive, promotive, curative and rehabilitative care when needed at an affordable cost. The key objectives of universal health coverage are to ensure equitable access to quality health services for all, regardless of ability to pay, and provide financial protection so that costs of care do not cause financial hardship. Universal health coverage aims to make health care available, accessible and affordable for entire populations.
This document discusses universal health coverage (UHC), which aims to provide access to good quality health services for all members of a society while protecting people from financial hardship due to health costs. UHC can be defined by who and what services are covered and how much of the cost is covered. The WHO defines UHC as access to effective health services without financial hardship. Achieving UHC requires an efficient health system providing services, workers, and medicines to the population as well as a financing system to protect people from health costs. Various funding models like compulsory insurance, tax-based financing, and social health insurance can be used. Egypt has both public and private healthcare sectors working towards UHC.
This document discusses several key concepts related to health policy:
1. It identifies prerequisites for health such as peace, shelter, education, food, income, and environmental sustainability.
2. It outlines five areas for building healthy public policy: building healthy environments, strengthening communities, developing personal skills, reorienting healthcare services, and advocating for these changes.
3. It discusses prevention strategies starting from changing social and environmental risk factors and continuing support for at-risk groups. Prevention strategies are amenable to policy changes.
The document defines a health system as consisting of all organizations, people, and actions whose primary purpose is to promote, restore, or maintain health. It discusses health systems as complex adaptive systems with many interacting elements. It presents several conceptual frameworks for analyzing health systems, including the WHO health system building blocks and the Antwerp health system dynamics framework. It then discusses the concept of health system strengthening and changing global approaches to improving health systems over time, moving from a disease-focused approach to a more holistic health system strengthening approach.
Health care financing in Saudi Arabia is provided mainly through government revenues, accounting for approximately 80% of total health care spending. Government spending on health as a percentage of the national budget has risen from 2.8% in 1970 to 6.4% in 2004. The remaining sources of health care financing include private sources such as personal out-of-pocket payments and employer-sponsored health insurance programs.
This document discusses universal health coverage (UHC) and India's progress toward achieving it. It provides background on UHC, including definitions, objectives, and the global momentum behind it. It then examines India's current scenario, including existing schemes to promote UHC. Key recommendations from the High Level Expert Group on UHC include increasing public health spending, developing a national health package, and strengthening human resources and community participation. Achieving UHC would lead to benefits like greater equity, efficiency, and improved health outcomes. The document outlines the new architecture needed to achieve UHC through reforms in six critical areas.
Universal Health Coverage: Frequently Asked QuestionsHFG Project
This brief answers several “frequently asked questions” (FAQ) on universal health coverage (UHC):
What is Universal Health Coverage (UHC)?
How does UHC align with USAID’s priorities?
How does UHC relate to broader goals for development, including the Sustainable Development Goals?
How is UHC measured?
What progress has been made towards UHC?
How does USAID support countries’ UHC efforts?
The FAQ accompanies Universal Health Coverage: An Annotated Bibliography, which presents resources that provide an overview of UHC and also delve into specific topics within UHC, such as measurement, health financing, and benefit plans. The bibliography also includes links to relevant websites that can provide additional resources.
The value of health to an economy is hard to quantify, but its importance is undeniable. A population’s health plays a key role in economic progress, and in coming years healthcare will be a key area of focus for policymakers, payers,providers and the public alike. Financing the future: Choices and challenges in global health studies the role of healthcare against a backdrop of changing demographic patterns, rising healthcare costs and technological innovation.
This document discusses healthcare in India and proposes ways to make it more affordable and accessible. It notes that healthcare costs are rising and most people rely on private healthcare, while public healthcare is underfunded and understaffed. It analyzes issues like disease burdens, the growth of private sector, health insurance schemes, use of generics, and medical tourism. It recommends increasing public spending on healthcare to at least 5% of GDP, improving infrastructure, enhancing the health workforce, and promoting primary healthcare to achieve universal coverage in an equitable manner.
A new health and development paradigm post-2015: grounded in human rightsLisa Hallgarten
Marge Berer, Editor of RHM, presentation at meeting
Divided we stand? Universal health coverage and the unfinished agenda of the health MDGs
Institute of Tropical Medicine, Antwerp February 11th 2014
As the world prepares to celebrate World Health Day on April 7th, the global focus turns to the critical issue of ensuring universal access to quality healthcare.
1) Government, individuals, policy-makers, civil societies, media, political parties, and professional organizations are the major stakeholders in universal health coverage (UHC).
2) The government implements policies to improve health and economic growth, individuals advocate for their healthcare needs, and policy-makers develop solutions through stakeholder engagement.
3) Civil societies represent community concerns, media raises awareness, and political parties advocate for social solidarity and economic growth to achieve UHC. Professional organizations ensure available facilities meet patient needs.
The MDG for HIV/AIDS, malaria and other diseases: can rhetoric become reality?cmaverga
This document discusses the Millennium Development Goals (MDGs) related to combating HIV/AIDS, malaria, and other diseases. It provides an overview of the goals and progress made, and challenges that remain in achieving the health-related MDGs by 2015. It also outlines ways that the Cochrane Collaboration can help, such as increasing high-quality reviews of interventions and engaging with policymakers, to provide evidence to improve health outcomes and meet the MDG targets.
This document provides an overview of the theme "Reproductive Health Equity" for a conference. It defines reproductive health and identifies several key sub-themes to guide discussions, including family planning, health workforce and access to healthcare, sexual health education, sexually transmitted infections, violence against women, indicators of reproductive standing, sustainability, and stakeholders. Delegates are asked to address reproductive health equity through these lenses and adhere to the identified sub-themes in their resolutions.
Mobilizing Domestic Resources for Universal Health Coverage by Dr. Ngozi Okon...Ngozi Okonjo-Iweala
Keynote Address Delivered by Dr. Ngozi Okonjo-Iweala, Chair of the Board of Gavi, the Vaccine Alliance at The First Universal Health Coverage Financing Forum Organised by the World Bank Group, and USAID Attended by Health and Finance Ministers and Health Experts.
Jonathan Quick of Management Sciences for Health explores the relationship between the present effort for universal health coverage and the quest for Health for All pioneered by Christian health leaders like John Bryant.
This report provides the first global assessment of progress toward universal health coverage. It finds that while access to essential health services has increased globally, significant gaps remain. Coverage of key services like antiretroviral therapy and tuberculosis treatment is below 80%, and inequities exist both between and within countries. The report establishes a core set of tracer indicators to monitor coverage of reproductive, maternal, child, and infectious disease services. It highlights both successes in expanding coverage and the ongoing need to address remaining gaps to achieve universal access to quality health care.
Universal health coverage (UHC) aims to provide all people with access to needed health services without financial hardship. It has three key dimensions: who is covered, what services are covered, and how much of the cost is covered. The three core objectives of UHC are equity in access to services, access to quality essential services, and financial risk protection. Achieving UHC is a priority for many countries and organizations to ensure universal access to healthcare as a basic human right. Challenges to achieving UHC include mobilizing sufficient resources, reducing out-of-pocket costs, and improving efficiency and equity in resource use.
Prompted by the 20th anniversary of the 1993 World Development Report, a Lancet Commission revisited the case for investment in health and developed a new investment frame work to achieve dramatic health gains by 2035. Our report has four key messages, each accompanied by opportunities for action by national governments of low-income and middle-income countries and by the international community.
Global health is the health of populations in the global context;
It has been defined as "the area of study, research and practice that places a priority on improving health and achieving equity in health for all people worldwide".Health is a state of physical, mental, and social well-being in which disease and infirmity are absent. Global health practices can respond to some of the major health responsibilities such as non-communicable diseases (heart disease, diabetes, cancer, and chronic respiratory diseases) or injuries that occur in varying degrees in many countries, no matter how advanced.
The guidelines set out the principles and practices that government can look at when making laws and regulating food programs. Inequality affects the health of the world.
The future of global health is at risk and needs urgent strategies. Also, technology is contributing at a vast pace to overcome the various health challenges all over the world.
For prevention of non-communicable diseases(NCD):
Ban all forms of tobacco advertising, promotion, and sponsorship.
Restrictions on the availability of retailed alcohol.
Replacement of trans fats with polyunsaturated fats.
Scale-up early detection and coverage starting with very cost-effective, high-impact interventions.
Disparities in Health Care: The Significance of Socioeconomic StatusAmanda Romano-Kwan
This research paper discusses the disparities in the health care system, with a specific focus on socioeconomic status and how it affects the access and availability of quality care.
Health services in developing countriesKailash Nagar
1. The document discusses health services in developing countries, outlining goals of reducing mortality and morbidity, increasing life expectancy, and improving access.
2. It notes that while effective interventions exist, there is widespread underutilization, especially among the poor. Barriers include inadequate resources, poor allocation to primary care, and low quality of services.
3. Both supply- and demand-side factors constrain access. On the demand side, low income, user fees, and other costs limit utilization. Cultural preferences, lack of knowledge, and poor perceived quality also reduce demand.
The document is Jordan's position paper for the World Health Organization (WHO) addressing three topics: ensuring health coverage for all, combating non-communicable diseases, and improving health care services for aging populations. Jordan supports the WHO's goals of universal health coverage, prevention and control of non-communicable diseases, and expanding preventative care for the elderly. Jordan has taken steps domestically such as providing free preventative services and increasing public health spending to work towards these goals. Internationally, Jordan advocates for collaboration between countries to share resources and expertise to tackle these global health issues.
Similar to Understanding the concept of Universal Health Coverage: UHC and Health Financing (20)
This document outlines a training manual for a hospital costing workshop. It provides an agenda for the 3-day workshop covering topics like the fundamentals of costing, the MASH costing tool, and calculating unit costs. The workshop aims to teach participants how to conduct costing exercises to understand their hospital's costs and improve management. Sessions include introductions, an overview of costing concepts, the costing process, and a demonstration of the MASH tool which is an Excel-based framework for tracking and analyzing hospital resources, services, and costs.
Trinidad and Tobago 2015 Health Accounts - Main ReportHFG Project
This document summarizes the key findings of the 2015 health accounts report for Trinidad and Tobago. It finds that total health expenditure was 4.5 billion TT dollars in 2015, equivalent to 4.1% of GDP. The government financed 41% of health spending, while households financed 35% through direct out-of-pocket payments. Noncommunicable diseases accounted for the largest share of recurrent health spending at 42%. Out-of-pocket payments remain high, comprising over a third of total health expenditure. The report recommends strengthening government commitment to health financing, increasing risk pooling to reduce out-of-pocket spending, improving access to services, and institutionalizing ongoing health accounts estimations.
Guyana 2016 Health Accounts - Dissemination BriefHFG Project
The 2016 Guyana Health Accounts study found that:
1) Total health expenditure in Guyana was $28.6 billion (Guyanese dollars), with the government contributing 81% of funding.
2) The majority (71%) of health funds were spent on public health facilities like hospitals and clinics.
3) Most funds (64%) were spent on curative care services, while non-communicable diseases received the largest share (34%) of funds.
4) Government funding represents the largest source of financing for HIV/AIDS programs and services in Guyana, providing 62% of funds.
Guyana 2016 Health Accounts - Statistical ReportHFG Project
The document provides an overview of Guyana's 2016 Health Accounts methodology. It summarizes key aspects of the System of Health Accounts 2011 framework used, including boundaries, classifications, and definitions. Data was collected from government, households, NGOs, employers, insurers, and donors to track financial flows for health for 2016. The results help understand Guyana's health financing and answer questions on spending patterns.
Guyana 2016 Health Accounts - Main ReportHFG Project
The document summarizes the key findings of Guyana's first Health Accounts exercise for fiscal year 2016. It found that total health expenditure was G$ 28.6 billion, with the government contributing 81% of funding. Household out-of-pocket spending accounted for 9% of total spending. Non-communicable diseases received the largest share of spending at 34%. The analysis aims to inform strategic health financing decisions and assess domestic resource mobilization as external donor funding declines. Recommendations include increasing prevention spending and strengthening financial commitment to HIV programs.
The Next Frontier to Support Health Resource TrackingHFG Project
The document discusses challenges and opportunities for institutionalizing health resource tracking (HRT) in low- and middle-income countries. It identifies three key elements needed for institutionalization: strong demand for HRT data; sustainable local capacity to produce HRT data; and use of HRT results in policy and decision making. It outlines remaining challenges in each area and suggestions for future investments to address challenges, such as building understanding of HRT's value, maintaining local expertise, improving health information systems, and strengthening communication and use of HRT findings.
Rivers State has a population of over 7 million people from various ethnic groups. The main occupations are fishing, farming, and trading. The state has high rates of tuberculosis, neonatal and under-5 mortality, and HIV prevalence. Key stakeholders in health include the Ministry of Health, Ministry of Finance, and various agencies. The USAID Health Finance and Governance project worked to increase domestic health financing through advocacy, establishing a health insurance scheme, and capacity building. These efforts led to increased health budgets, establishment of healthcare financing units, and improved sustainability of health financing in Rivers State.
ASSESSMENT OF RMNCH FUNCTIONALITY IN HEALTH FACILITIES IN BAUCHI STATE, NIGERIAHFG Project
This document summarizes an assessment of reproductive, maternal, newborn and child health (RMNCH) services in health facilities in Bauchi State, Nigeria. It found that infrastructure like electricity, water and toilets were lacking in many facilities. There were also shortages of skilled healthcare workers, especially midwives, and staff training. While many facilities offered antenatal care and immunizations, availability of emergency obstetric and newborn care and services like postnatal care and post-abortion care were more limited. Supplies of essential medicines, equipment and guidelines were also often inadequate. Community outreach was provided by some facilities but could be expanded.
BAUCHI STATE, NIGERIA PUBLIC EXPENDITURE REVIEW 2012-2016 HFG Project
This document summarizes a public expenditure review of health spending in Bauchi State, Nigeria from 2012 to 2016. It finds that while Bauchi State's health budget increased over this period, actual health spending lagged behind budgeted amounts. Specifically, health spending accounted for a small and declining share of the state's total budget and expenditure. The review recommends that Bauchi State increase and better target public health funding to improve health outcomes and progress toward universal health coverage goals.
HEALTH INSURANCE: PRICING REPORT FOR MINIMUM HEALTH BENEFITS PACKAGE, RIVERS ...HFG Project
This document provides a pricing report for a Minimum Health Benefit Package (MHBP) being developed by Rivers State government in Nigeria. It analyzes the cost of 6 scenarios for the package, including individual and household premiums, based on medical claims data from hospitals in Rivers State from 2014-2017. The recommended annual premiums range from N14,026 to N111,734 for individuals and N79,946 to N636,882 for households, depending on the benefits included and the percentage of the state's population covered. The report provides context on data sources and actuarial assumptions used to determine the premiums.
The document is an actuarial report for Kano State's contributory healthcare benefit package in Nigeria. It analyzes 4 scenarios for the package - a basic minimum package alone or plus HIV/AIDS, tuberculosis, or family planning services. The report finds that the estimated annual premium per individual would be between N12,180-N12,600 depending on the scenario, while the estimated annual premium per household of 6 would be between N73,081-N75,595. It provides these estimates by analyzing the state's population data, healthcare facilities, utilization rates, and costs to determine the risk premiums, administrative costs, marketing costs, and contingency margins for each scenario. The report recommends rounding the premium estimates and includes
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2025 QPP: Proposed Changes from the PFS Proposed RuleShelby Lewis
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Understanding the concept of Universal Health Coverage: UHC and Health Financing
1. Abt Associates Inc.
In collaboration with:
Avenir Health | Broad Branch Associates | Development Alternatives Inc. (DAI) | Johns Hopkins Bloomberg School of Public Health (JHSPH) |
Results for Development Institute (R4D) | RTI International | Training Resources Group, Inc. (TRG)
UHC and Health Financing
Understanding
Universal Health Coverage
February 2017
Dr. Gafar Alawode
2. Understanding UHC and HCF
What is Universal Health Coverage (UHC)?
Arguing for UHC - Why are we aiming for UHC?
What is the link between HealthCare Financing (HCF)
and UHC?
How do we make progress?
2
3. What is UHC?
UHC is a goal (aspirational)
All people have access to effective and high-quality health
services, without experiencing financial hardship
Universal: All people regardless of race, gender, social status
Health services: curative, health promotion, prevention,
rehabilitation, and palliative
Quality: sufficient quality to be effective
Financial hardship: lowering out of pocket costs and the risk of
catastrophic health expenditure
3
5. UHC Related Historical Trend
1948: Universal declaration of human rights
Article 25 states states that everyone has the right to a standard of living adequate for health,
including medical care, and the right to security in the event of sickness or disability
1977: Health for all by the year 2000
The World Health Assembly decided on target health for all by the 2000 for governments and WHO
2012: United Nations General Assembly adopt a resolution calling for countries to
toe the path of UHC
2014: Presidential Summit on UHC in Nigeria
The summit recommends ……..
2016: UHC became a global development agenda target - target 8 of SDG 3
2017: President Buhari launched PHC Revitalization for UHC initiative
5
6. UHC and SDGs
Goal 3: Ensure healthy lives and promote wellbeing for all
at all ages
Target 3.8: Achieve UHC
6
7. Health Goal is Not in Isolation
7
UHC also supports achievement of other SDGs
8. Arguing for UHC - why UHC?
Advancing a multi-dimensional case for UHC
The health case for UHC - Health is an end itself
The economic case for UHC
The social case for UHC
The political case for UHC
8
10. The Health Case for UHC II
Poor health outcomes:
Low progress in U5 and maternal deaths reduction
Health related MDGs not met
Suboptimal service coverage level
Less than a quarter SBA in some geopolitical zones
Inequity in access to basic health services
SBA is 10 times higher among the highest income group
Children from lowest income group are 3 times more likely to die
before their fifth birthday
Epidemiological transition
Double disease burden and its implications
Chronic diseases are more expensive to manage 10
11. The Economic Case for UHC
Poverty reduction
Reduced incidence of catastrophic
expenditure
Improved productivity
Economic growth
24% of the growth in full income in
LMICs between 2000 and 2011
resulted from health improvements
One year of added life expectancy
increases GDP by 4%
Employment creation
Health sector is large employer of
labor – NHS example
Improved service affordability means
increase service production
11
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80
100
0
5,000
10,000
15,000
20,000
25,000
30,000
Uninsured Insured
Annual per capita household OOP healthcare spending
by Insurance Status
HH OOP per capital (NGN) HH per capital OOP (US$ @ N305/$)
12. The Social Case for UHC – Social
Protection in Health
Protection from health risk
Epidemiologic surveillance
Health promotion
Disease prevention
Regulation on food and drugs
Patient protection
Availability and quality of care
Safety
Effectiveness
Responsiveness
Financial protection
Protection from catastrophic health expenditure 12
14. Measuring UHC: It is a challenge!
WHO and World Bank UHC
Measurement Framework (2014)
Population coverage with equity
Disaggregate population coverage by
gender, wealth quintile, place of residence
Health service coverage
Antenatal care (% pregnant women)
Skilled birth attendance (% pregnant
women)
Immunization (% children)
Financial protection
Households experiencing catastrophic
health expenditure (%)
Households pushed into poverty (%) 14
16. More Money for Health and More Health for
the Money
16
0
20
40
60
80
100
120
140
160
180
200
0 50 100 150 200 250 300 350 400 450 500
U
5
M
R
Total Health Expenditure/Capita ($)
Total Health Expenditure/Capita vs U5MR
<5MR
17. Can Nigeria Govt. Afford UHC?
17
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
Nigeria Ghana Uganda Liberia
USD
Axis Title
Capacity for Improved Public Expenditure on Health
Highest possible spending per capita
Actual govt. expenditure/capita
UHC benchmark
18. We Need to Mobilize More Funds Beyond
Earmarking
18
0
5
10
15
20
25
30
Akwa Ibom CRS Rivers Lagos
%oftargetedpopulation
States
Fiscal Space from Different Earmarked Funds Scenarios
BHCPF Only
BHCPF + 1% State CRF
BHCPF + 2% State CRF
19. We Need Synergy Among Financing
Mechanisms
Synergy among mix of coverage mechanisms
19
Mix of
Coverage
Mechanisms
20. Financing UHC - The Key Ingredients
No single UHC recipe but four key ingredients:
1. Promote equitable access by removing financial barriers,
especially direct payments;
2. Prepayment must be compulsory
Access to care based on needs, payment based on ability
3. Large risk pools are essential
4. Governments need to cover the health costs of people
who can not afford to contribute.
20
21. Moving Towards UHC - The Key Steps I
Garner political support for UHC
The starting point is political consensus and not technical design
Diagnosis
Fiscal space analysis, governance/political economy assessment,
PFM assessment, resource tracking
Technical design
Trajectory of coverage expansion
Appropriate mix of financing mechanisms with synergy
Health system strengthening plan
Institutional, policy and legal framework
Intersectoral collaboration, sectoral coordination, citizen
participation and accountability mechanism 21
22. Voice of Wisdom and Hope
“Women are not dying of disease we cannot treat …..they are dying because
societies have yet to make the decision that their lives are worth saving”
- Mahmoud Fathalla
“The starting point in the journey of Universal Health Coverage is not technical but
social and ethical consensus that health is human right”
Julio Frenk
“I am hopeful that our women will no more be dying during childbirth; our children
will no more be dying as a result of vaccine preventable diseases or common
ailment;
- President Muhammadu Buhari
22
access to health care will not be limited because of not having money to pay.”
23. Abt Associates Inc.
In collaboration with:
Avenir Health | Broad Branch Associates | Development Alternatives Inc. (DAI) | Johns Hopkins Bloomberg School of Public Health (JHSPH) |
Results for Development Institute (R4D) | RTI International | Training Resources Group, Inc. (TRG)
Thank you
www.hfgproject.org