Somehow, everyone in the universal health coverage (UHC) universe seems to assume that the future of health financing will be built on centralized financing institutions fed by a mix of general tax revenue, payroll taxes and other contributions. This large pot of money, so the assumption goes, is administered by bureaucrats sitting in big buildings in national or provincial capitals. They contract with providers and pay them through capitation, diagnosis-related groups, fee for service, and reimburse retailers (pharmacists) for medicines that the patient takes home.
universal health coverage
Maya is waiting for the physician to call her name. Her three children play in the waiting room, making happy noises, but she is worried about her health. The physician confirms her worst fears: it turns out that she has cervical cancer. Now what? A social worker tries to comfort her, saying that the medical staff will do their best to get her treated soon so that she can keep on working to sustain her family.
Last Friday, I had the privilege of attending the launch of a new global report that provides the clearest picture to date of countries’ progress moving toward universal health coverage (UHC). UHC is critical for building resilient health systems, which protect communities and strengthen societies in times of crisis and calm alike.
As we know from many health financing studies, drug expenditure typically ranks first or second among out-of-pocket expenses. In fact, it is often the cause of catastrophic expenditure, driving people from lower middle class into poverty once a severe or chronic disease affects a family member.
As the world moves into the post-2015 era and toward the 2030 goal for health, which includes universal health coverage and making sure everyone has access to essential, quality care, results matter more than ever. To show results and translate them into action, however, countries need better quality data, better capacity for health information and civil registration systems, and better incentives to use data for decision-making.
SENDAI, Japan – Without better preparation for disasters – whether they be earthquakes and tidal waves, extreme weather events, or future pandemics – we put lives and economies at risk. We also have no chance to be the first generation in human history that can end extreme poverty.
Just a few days ago, the world was again reminded of our vulnerability to disasters, after Tropical Cyclone Pam, one of the most powerful storms ever to make landfall, devastated the islands of Vanuatu. Some reports found that as much as 90 percent of the housing in Port Vila was badly damaged. When the cyclone hit, I was in Sendai for the UN World Conference on Disaster Risk Reduction, which took place only a few days after the fourth anniversary of the Great East Japan Earthquake of 2011. That quake and subsequent tsunami tragically resulted in more than 15,000 deaths and caused an estimated $300 billion in damage.
This week’s links include support for UHC and continuing coverage of the global Ebola crisis response. Each Friday, we share a selection of global health Tweets, infographics, blog posts, videos and more. Follow us @WBG_Health.
Just as a patient with a weak immune system is more susceptible to disease, the Ebola crisis reminds us that a nation with a weak health system is more susceptible to epidemics. This lesson is on our minds not only because of the crippling impact of the worst Ebola outbreak in history, but also because today is the inaugural Universal Health Coverage Day.
Today also marks the second anniversary of the United Nations' declaration in support of Universal Health Coverage (UHC), so that no one should fall into poverty to pay for the health care they need. A global coalition of more than 500 organizations, including the World Bank Group and the Rockefeller Foundation, are engaging citizens around the world in support of this goal as both a human right and a smart investment.
This mobilization toward UHC defies a one-size-fits-all approach, recognizing that diverse contexts will drive country-specific paths. Whatever the path taken, it's indisputable that progress towards UHC will bolster weak health systems.
As we honor World AIDS Day 2014, perhaps it is time to pause and take stock of the gains achieved over the last three decades by the extraordinary social movement that emerged across the globe to confront HIV.