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Monitoring Progress towards Universal Health Coverage at Country and Global Levels

Author

Listed:
  • Ties Boerma
  • Patrick Eozenou
  • David Evans
  • Tim Evans
  • Marie-Paule Kieny
  • Adam Wagstaff

Abstract

: As part of the Collection on Monitoring Universal Health Coverage, Ties Boerma and colleagues discuss the key findings from the country case studies and technical reviews included in the Collection and, also, how these papers will help with the development of a global framework for monitoring progress towards Universal Health Coverage. 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.

Suggested Citation

  • Ties Boerma & Patrick Eozenou & David Evans & Tim Evans & Marie-Paule Kieny & Adam Wagstaff, 2014. "Monitoring Progress towards Universal Health Coverage at Country and Global Levels," PLOS Medicine, Public Library of Science, vol. 11(9), pages 1-8, September.
    • Handle: RePEc:plo:pmed00:1001731
    DOI: 10.1371/journal.pmed.1001731
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    Citations

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    Cited by:

    1. Tuba I. Agartan, 2021. "Politics of success stories in the path towards Universal Health Coverage: The case of Turkey," Development Policy Review, Overseas Development Institute, vol. 39(2), pages 283-302, March.
    2. Gabriella Conti & Rita Ginja, 2023. "Who Benefits from Free Health Insurance?: Evidence from Mexico," Journal of Human Resources, University of Wisconsin Press, vol. 58(1), pages 146-182.
    3. Tracy Alexis Kakyo & Lily Dongxia Xiao, 2017. "Nurse managers’ experiences in continuous quality improvement in resource‐poor healthcare settings," Nursing & Health Sciences, John Wiley & Sons, vol. 19(2), pages 244-249, June.
    4. Anupa Rijal & Tara Ballav Adhikari & Jahangir A M Khan & Gabriele Berg-Beckhoff, 2018. "The economic impact of non-communicable diseases among households in South Asia and their coping strategy: A systematic review," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-23, November.
    5. Taniguchi, Hiroko & Rahman, Md Mizanur & Swe, Khin Thet & Hussain, Ashraf & Shibuya, Kenji & Hashizume, Masahiro, 2021. "Trends and projections of universal health coverage indicators in Iraq, 2000–2030: A national and subnational study," Social Science & Medicine, Elsevier, vol. 270(C).
    6. Scheil-Adlung, Xenia., 2015. "Long-term care protection for older persons : a review of coverage deficits in 46 countries," ILO Working Papers 994886493402676, International Labour Organization.
    7. Kathrin Durizzo & Kenneth Harttgen & Fabrizio Tediosi & Maitreyi Sahu & August Kuwawenaruwa & Paola Salari & Isabel Günther, 2022. "Toward mandatory health insurance in low‐income countries? An analysis of claims data in Tanzania," Health Economics, John Wiley & Sons, Ltd., vol. 31(10), pages 2187-2207, October.
    8. Cherri Zhang & Md Shafiur Rahman & Md Mizanur Rahman & Alfred E Yawson & Kenji Shibuya, 2019. "Trends and projections of universal health coverage indicators in Ghana, 1995-2030: A national and subnational study," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-19, May.
    9. Font-Gilabert, Paulino, 2020. "Taking cover: human capital accumulation in the presence of shocks and health insurance," ISER Working Paper Series 2020-16, Institute for Social and Economic Research.
    10. Thomas Fürst & Paola Salari & Laura Monzón Llamas & Peter Steinmann & Christopher Fitzpatrick & Fabrizio Tediosi, 2017. "Global health policy and neglected tropical diseases: Then, now, and in the years to come," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 11(9), pages 1-5, September.
    11. Masoumeh Shohani & Firoz Balavandi & Reza Valizadeh & Hamed Tavan, 2017. "Threats and Opportunities of the Health Reform Plan from the Nurses’ Perspective in Ilam," Global Journal of Health Science, Canadian Center of Science and Education, vol. 9(5), pages 1-85, May.
    12. Elham Ahmadnezhad & Adrianna Murphy & Rezvaneh Alvandi & Zhaleh Abdi, 2019. "The impact of health reform in Iran on catastrophic health expenditures: Equity and policy implications," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1833-1845, October.
    13. Ochalek, Jessica & Manthalu, Gerald & Smith, Peter C., 2020. "Squaring the cube: Towards an operational model of optimal universal health coverage," Journal of Health Economics, Elsevier, vol. 70(C).
    14. Olufunke A. Alaba & Charles Hongoro & Aquina Thulare & Akim Tafadzwa Lukwa, 2021. "Leaving No Child Behind: Decomposing Socioeconomic Inequalities in Child Health for India and South Africa," IJERPH, MDPI, vol. 18(13), pages 1-18, July.
    15. Lu, Jui-fen Rachel & Chiang, Tung-liang, 2018. "Developing an adequate supply of health services: Taiwan's path to Universal Health Coverage," Social Science & Medicine, Elsevier, vol. 198(C), pages 7-13.
    16. Claud J Kumalija & Sriyanjit Perera & Honorati Masanja & Josibert Rubona & Yahya Ipuge & Leonard Mboera & Ahmad R Hosseinpoor & Ties Boerma, 2015. "Regional Differences in Intervention Coverage and Health System Strength in Tanzania," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-14, November.
    17. Bhalotra, Sonia R. & Rocha, Rudi & Soares, Rodrigo R., 2019. "Does Universalization of Health Work? Evidence from Health Systems Restructuring and Expansion in Brazil," IZA Discussion Papers 12111, Institute of Labor Economics (IZA).
    18. Sonia Bhalotra & Rudi Rocha & Rodrigo R. Soares, 2020. "Can Universalization of Health Work? Evidence from Health Systems Restructuring and Expansion in Brazil," Working Papers 03, Instituto de Estudos para Políticas de Saúde.
    19. Isaiah Awintuen Agorinya & Maxwell Dalaba & Nathan Kumasenu Mensah & Samuel Tamti Chatio & Lan My Le & Yadeta Dassie Bacha & Jemima Sumboh & Gabriela Flores & Tessa Tan-torres Edejer & Amanda Ross & F, 2021. "Challenges and experiences in linking community level reported out-of-pocket health expenditures to health provider recorded health expenditures: Experience from the iHOPE project in Northern Ghana," PLOS ONE, Public Library of Science, vol. 16(9), pages 1-19, September.
    20. Thiptaiya Sydavong & Daisaku Goto & Keisuke Kawata & Shinji Kaneko & Masaru Ichihashi, 2019. "Potential demand for voluntary community-based health insurance improvement in rural Lao People’s Democratic Republic: A randomized conjoint experiment," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-21, January.
    21. Federico Toth, 2020. "Going universal? The problem of the uninsured in Europe and in OECD countries," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(5), pages 1193-1204, September.
    22. Koch, Kira Johanna & Cid Pedraza, Camilo & Schmid, Andreas, 2017. "Out-of-pocket expenditure and financial protection in the Chilean health care system—A systematic review," Health Policy, Elsevier, vol. 121(5), pages 481-494.
    23. Diriba Feyisa & Kiddus Yitbarek & Teferi Daba, 2021. "Cost of provision of essential health Services in Public Health Centers of Jimma zone, Southwest Ethiopia; a provider perspective, the pointer for major area of public expenditure," Health Economics Review, Springer, vol. 11(1), pages 1-15, December.
    24. Adam Wagstaff & Daniel Cotlear & Patrick Hoang-Vu Eozenou & Leander R. Buisman, 2016. "Measuring progress towards universal health coverage: with an application to 24 developing countries," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 32(1), pages 147-189.
    25. Diego Proaño Falconi & Eduardo Bernabé, 2018. "Determinants of catastrophic healthcare expenditure in Peru," International Journal of Health Economics and Management, Springer, vol. 18(4), pages 425-436, December.

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