universal health coverage
This week’s links include highlights from this year’s UNGA meetings, including coverage of the new Global Financing Facility for Every Woman, Every Child. Each Friday, we share a selection of global health Tweets, infographics, blog posts, videos and more. Follow us @worldbankhealth.
This week, we share good news on new child mortality data, in addition to continuing global coverage of the Ebola crisis. Each Friday, we share a selection of global health Tweets, infographics, blog posts, videos and more. Follow us @worldbankhealth.
Subsidized health insurance is unlikely to lead to Universal Health Coverage (UHC); insurance coverage doesn’t always improve financial protection and when it does, doesn’t necessarily eliminate financial protection concerns; and tackling provider incentives may be just as – if not more – important in the UHC agenda as demand-side initiatives. These are the three big and somewhat counterintuitive conclusions of the Health Equity and Financial Protection in Asia (HEFPA) research project that I jointly coordinated with Eddy van Doorslaer and Owen O’Donnell.
As we all now know, UHC is all about ensuring that everyone – irrespective of their ability to pay – can access the health services they need without suffering undue financial hardship in the process. The HEFPA project set out to explore the effectiveness of a number of UHC strategies in a region of the world that has seen a lot of UHC initiatives: East Asia. The project pooled the skills of researchers from six Asian countries (Cambodia, China, Indonesia, the Philippines, Thailand and Vietnam), several European universities and the World Bank.
This week’s links highlight the 500-day countdown to the MDG deadline, global response to #Ebola and the push towards universal health coverage. Each Friday, we share a selection of global health Tweets, infographics, blog posts, videos and more. Follow us @worldbankhealth.
With people around the world struggling to afford health care, countries as diverse as Myanmar, Nigeria, Peru, Senegal, Kenya, South Africa, and the Philippines are warming to the idea of universal health coverage. This growing momentum was the subject of a high-profile Spring Meetings event examining the case for universal health coverage and the steps to get there.
Some 70 governments have asked the United Nations for help to achieve universal health coverage, said Secretary-General Ban Ki-moon. He spoke at Toward Universal Health Coverage by 2030, co-sponsored by the World Bank and World Health Organization and moderated by the WHO Director-General Margaret Chan.
“We can celebrate the fact that virtually all mothers in Sweden survive childbirth,” Ban said. “But in South Sudan, one in seven pregnant women will not live to see their babies. Addressing this inequality is a matter of health and human rights … To secure health, we have to take preventive action. The concept of universal health coverage could be an important catalyst.”
Ban was part of a panel including World Bank Group President Jim Yong Kim; Harvard University President Emeritus Lawrence H. Summers; Nigeria Minister of Finance Ngozi Okonjo-Iweala; and former New York City Mayor Michael Bloomberg, now the U.N. Special Envoy for Cities and Climate.
2014 is already shaping up to be another exciting year for the global movement for universal health coverage (UHC). I was just with World Bank Group President Jim Kim in Myanmar, where we are putting our previously announced global targets for universal health coverage into action.
On Jan. 29, 2014, World Bank Group President Jim Yong Kim spoke about Thailand’s effort to achieve universal health coverage at the Prince Mahidol Award Conference in Bangkok. In just one year, the country’s universal health coverage scheme added 18 million uninsured citizens to the rolls of the insured. Kim also addressed Thailand’s success in reducing new HIV infections by more than 90% from 1990 to 2013, which saved $18 billion. Read Kim’s full remarks.
Nobody likes to be stung. Doctors regard it as unethical. Publishers say it betrays the trust of their profession. But the fact is, as three recent studies have demonstrated, sting operations can be extremely effective at exposing questionable professional practices, and answering questions that other methods can't credibly answer.
Sting #1: Are open-access journals any good?
Much of the world has gotten fed up with the old academic publishing business. Companies like the Anglo-Dutch giant Elsevier and the German giant Springer earn high profit margins from their academic journals (Elsevier earns 36% profit, according to The Economist), through a mix of ‘free’ inputs from academics (the article itself and the peer-review process) and high (and rapidly rising) subscription charges that impede access by academics working in universities whose libraries can’t afford the subscriptions. Of course, many of these universities paid for the authors’ time in the first place, and/or that of the peer-reviewers; tax-payers also contributed, by direct subsidizing universities and/or by the research grants that supported the research assistants, labs, etc. Unsurprisingly, libraries, universities, academics and tax-payers aren’t happy.
The author with colleagues after touring a health facility in Turkey, June 2013. Also available in Turkish
Two days after joining the World Bank, I traveled to Turkey to attend the government’s ministerial meeting on universal health coverage (UHC), which corresponded with The Lancet publication of an independent 10-year assessment of Turkey’s Health Transformation Program (HTP).