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Universal health coverage: A political struggle and governance challenge

Author

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  • Greer, S.L.
  • Méndez, C.A.

Abstract

Universal health coverage has become a rallying cry in health policy, but it is often presented as a consensual, technical project. It is not. A review of the broader international literature on the origins of universal coverage shows that it is intrinsically political and cannot be achieved without recognition of its dependence on, and consequences for, both governance and politics. On one hand, a variety of comparative research has shownthathealthcoverage is associated with democratic political accountability. Democratization, and in particular left-wing parties, givesgovernmentsparticular cause to expand health coverage.Ontheotherhand, governance, the ways states make and implement decisions,shapesanydecisionto strive for universal health coverage and the shape of its implementation.

Suggested Citation

  • Greer, S.L. & Méndez, C.A., 2015. "Universal health coverage: A political struggle and governance challenge," American Journal of Public Health, American Public Health Association, vol. 105, pages 637-639.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302733_9
    DOI: 10.2105/AJPH.2015.302733
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    Cited by:

    1. Masoud Behzadifar & Maryam Saran & Meysam Behzadifar & Mariano Martini & Nicola Luigi Bragazzi, 2021. "The ‘Health Transformation Plan’ in Iran: A policy to achieve universal health coverage in slums and informal settlement areas," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(2), pages 267-272, March.
    2. Mladovsky, Philipa, 2020. "Fragmentation by design: Universal health coverage policies as governmentality in Senegal," Social Science & Medicine, Elsevier, vol. 260(C).

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