WHO has estimated that about 100 million people are driven below the …
WHO has estimated that about 100 million people are driven below the poverty line every year because of out-of-pocket payments for health services. Universal Health Coverage (UHC) is a strategy to ensure that all people can use health services of sufficient quality to be effective, while the use of these services does not expose the user to financial hardship. UHC receives increasing global attention, strongly promoted by the WHO, and the strategy is a cornerstone of the global post 2015-agenda for health. In this video lesson we will discuss three central questions for achieving UHC: How to secure adequate financing for health, how to protect the poor from financial consequences of ill health, and how to encourage optimum use of resources.
Achieve universal health coverage, including financial risk protection, access to quality essential …
Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all Professor Bjarne Robberstad, CIH, CISMAC, University of Bergen
Robberstad began his presentation by stating that “universal” is a big word! Universality must be considered along several dimensions.
Robberstad used a visual model to explain the interaction between competing factors. He suggests that a box, or the WHO “cube”, is a useful framework for considering universal coverage. Population, or who is covered, is one dimension. Financing, or cost sharing, is a second dimension. The third dimension is which services are included – which are most essential? The next step is to consider the size of the box. The largest box would represent a hypothetical situation, where everything is possible and covered for everyone. Boxes of smaller sizes represent the compromises that are necessary to design for the actual coverage possible within given budget constraints.
This is priority setting – the challenges of trade-offs and compromises in health-care service plans.
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