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Emerging challenges in implementing universal health coverage in Asia

Author

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  • Bredenkamp, Caryn
  • Evans, Timothy
  • Lagrada, Leizel
  • Langenbrunner, John
  • Nachuk, Stefan
  • Palu, Toomas

Abstract

As countries in Asia converge on the goal of universal health coverage (UHC), some common challenges are emerging. One is how to ensure coverage of the informal sector so as to make UHC truly universal; a second is how to design a benefit package that is responsive and appropriate to current health challenges, yet fiscally sustainable; and a third is how to ensure “supply-side readiness”, i.e. the availability and quality of services, which is a necessary condition for translating coverage into improvements in health outcomes. Using examples from the Asia region, this paper discusses these three challenges and how they are being addressed.

Suggested Citation

  • Bredenkamp, Caryn & Evans, Timothy & Lagrada, Leizel & Langenbrunner, John & Nachuk, Stefan & Palu, Toomas, 2015. "Emerging challenges in implementing universal health coverage in Asia," Social Science & Medicine, Elsevier, vol. 145(C), pages 243-248.
  • Handle: RePEc:eee:socmed:v:145:y:2015:i:c:p:243-248
    DOI: 10.1016/j.socscimed.2015.07.025
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    References listed on IDEAS

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    1. Wagstaff, Adam & Manachotphong, Wanwiphang, 2012. "Universal health care and informal labor markets : the case of Thailand," Policy Research Working Paper Series 6116, The World Bank.
    2. Bredenkamp,Caryn & Buisman,Leander Robert, 2015. "Universal health coverage in the Philippines : progress on financial protection goals," Policy Research Working Paper Series 7258, The World Bank.
    3. Zhiyuan Hou & Ellen Van de Poel & Eddy Van Doorslaer & Baorong Yu & Qingyue Meng, 2014. "Effects Of Ncms On Access To Care And Financial Protection In China," Health Economics, John Wiley & Sons, Ltd., vol. 23(8), pages 917-934, August.
    4. Li, Cheng & Yu, Xuan & Butler, James R.G. & Yiengprugsawan, Vasoontara & Yu, Min, 2011. "Moving towards universal health insurance in China: Performance, issues and lessons from Thailand," Social Science & Medicine, Elsevier, vol. 73(3), pages 359-366, August.
    5. Capuno, Joseph J. & Kraft, Aleli D. & Quimbo, Stella & Tan, Jr. Carlos R. & Wagstaff, Adam, 2014. "Effects of interventions to raise voluntary enrollment in a social health insurance scheme : a cluster randomized trial," Policy Research Working Paper Series 6893, The World Bank.
    6. World Bank & Indonesia National Institute of Research and Development, 2014. "Universal Maternal Health Coverage? Assessing the Readiness of Public Health Facilities to Provide Maternal Health Care in Indonesia," World Bank Publications - Reports 20404, The World Bank Group.
    7. Amanda Glassman & Kalipso Chalkidou, 2012. "Priority-Setting in Health: Building Institutions for Smarter Public Spending," Working Papers id:5043, eSocialSciences.
    8. Wagstaff, Adam & Nguyen, Ha Thi Hong & Dao, Huyen & Balesd, Sarah, 2014. "Encouraging health insurance for the informal sector : a cluster randomized trial," Policy Research Working Paper Series 6910, The World Bank.
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    Cited by:

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    2. Abdillah Ahsan & Elisabeth Kramer & Nadhila Adani & Askar Muhammad & Nadira Amalia, 2021. "The politics of funding universal healthcare: Diverting local tobacco taxes to subsidise the national health scheme in Indonesia," Asia and the Pacific Policy Studies, Wiley Blackwell, vol. 8(3), pages 351-366, September.
    3. Dayashankar Maurya, 2019. "Understanding public health insurance in India: A design perspective," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1633-1650, October.
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    5. Dao, Amy, 2020. "What it means to say “I Don't have any money to buy health insurance” in rural Vietnam: How anticipatory activities shape health insurance enrollment," Social Science & Medicine, Elsevier, vol. 266(C).
    6. Robert Kolesar & Sambo Pheakdey & Bart Jacobs & Narith Chan & Samedy Yok & Martine Audibert, 2019. "Expanding Social Health Protection in Cambodia: An assessment of the current coverage potential and gaps, and social equity considerations," CERDI Working papers halshs-02018867, HAL.

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