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Universal Health Coverage

Universal health coverage (UHC) means that all people and communities can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship.

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Universal Health Coverage

  1. 1. www.nursingpath.in
  2. 2. About WHO Magnitude of problem (Key facts) What is UHC? Why UHC? Objectives of UHC Dimensions of UHC Importance of UHC Dispelling Myths about UHC Evolution of UHC in India Vision for UHC: HLEG Primary Health Care Key Messages 7/15/2019www.nursingpath.in 2
  3. 3.  The World Health Organization (WHO) is a specialized agency of the United Nations that is concerned with international public health.  It was established on 7 April 1948, and is headquartered in Geneva, Switzerland.  The WHO is a member of the United Nations Development Group.  Its predecessor, the Health Organisation, was an agency of the League of Nations. 7/15/2019www.nursingpath.in 3
  4. 4.  World Health Day helps create awareness and action on a global scale.  The conversation about different topics helps everyone live healthier.  You can better understand your own health 7/15/2019www.nursingpath.in 4
  5. 5. Universal Health Coverage: Everyone, Everywhere 7/15/2019www.nursingpath.in 5
  6. 6. “Health for All” 7/15/2019www.nursingpath.in 6
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  10. 10. Key facts…  At least half of the world’s population still do not have full coverage of essential health services.  About 100 million people are still being pushed into extreme poverty (defined as living on 1.90 USD or less a day) because they have to pay for health care.  Over 800 million people (almost 12% of the world’s population) spent at least 10% of their household budgets to pay for health care.  All UN Member States have agreed to try to achieve universal health coverage (UHC) by 2030, as part of the Sustainable Development Goals. 7/15/2019www.nursingpath.in 10
  11. 11.  Key Facts… Indian Picture 7/15/2019 www.nursingpath.in 11
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  13. 13.  hhj 7/15/2019www.nursingpath.in 13
  14. 14.  UHC means that all individuals and communities receive the health services they need without suffering financial hardship. It includes the full spectrum of essential, quality health services, from health promotion to prevention, treatment, rehabilitation, and palliative care. 7/15/2019www.nursingpath.in 14
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  17. 17.  hhj 7/15/2019www.nursingpath.in 17
  18. 18.  For 3 reasons 7/15/2019www.nursingpath.in 18
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  23. 23.  Many countries are already making progress towards UHC. All countries can take actions to move more rapidly towards it, or to maintain the gains they have already made.  Moving towards UHC requires strengthening health systems in all countries. Robust financing structures are key. When people have to pay most of the cost for health services out of their own pockets, the poor are often unable to obtain many of the services they need, and even the rich may be exposed to financial hardship in the event of severe or long-term illness. 7/15/2019www.nursingpath.in 23
  24. 24.  Improving health service coverage and health outcomes depends on the availability, accessibility, and capacity of health workers to deliver quality people-centred integrated care.  Investments in quality primary health care will be the cornerstone for achieving UHC around the world. Investing in the primary health care workforce is the most cost-effective way to ensure access to essential health care will improve.  Good governance, sound systems of procurement and supply of medicines and health technologies and well-functioning health information systems are other critical elements. 7/15/2019www.nursingpath.in 24
  25. 25. Key facts  Primary health care can cover the majority of a person’s health needs throughout their life including prevention, treatment, rehabilitation and palliative care.  At least half of the world’s people still lack full coverage of essential health services.  A fit-for-purpose workforce is essential to deliver primary health care, yet the world has an estimated shortfall of 18 million health workers.  Of the 30 countries for which data are available, only 8 spend at least US$ 40 per person on primary health care per year. 7/15/2019www.nursingpath.in 25
  26. 26.  Primary health care is a whole-of-society approach to health and well-being centred on the needs and preferences of individuals, families and communities. It addresses the broader determinants of health and focuses on the comprehensive and interrelated aspects of physical, mental and social health and wellbeing.  It provides whole-person care for health needs throughout the lifespan, not just for a set of specific diseases. Primary health care ensures people receive comprehensive care - ranging from promotion and prevention to treatment, rehabilitation and palliative care - as close as feasible to people’s everyday environment. 7/15/2019www.nursingpath.in 26
  27. 27.  Primary health care is rooted in a commitment to social justice and equity and in the recognition of the fundamental right to the highest attainable standard of health, as echoed in Article 25 of the Universal Declaration on Human Rights: “Everyone has the right to a standard of living adequate for the health and wellbeing of himself and of his family, including food, clothing, housing and medical care and necessary social services […]”.  The concept of primary health care has been repeatedly reinterpreted and redefined. In some contexts, it has referred to the provision of ambulatory or first-level of personal health care services. In other contexts, primary health care has been understood as a set of priority health interventions for low-income populations (also called selective primary health care). Others have understood primary health care as an essential component of human development, focusing on the economic, social and political aspects. 7/15/2019www.nursingpath.in 27
  28. 28.  Primary health care is well-positioned to respond to rapid economic, technological, and demographic changes, all of which impact health and well-being.  Primary health care has been proven to be a highly effective and efficient way to address the main causes and risks of poor health and well-being today, as well as handling the emerging challenges that threaten health and well-being tomorrow.  Stronger primary health care is essential to achieving the health-related Sustainable Development Goals (SDGs) and universal health coverage. 7/15/2019www.nursingpath.in 28
  29. 29. WHO recognizes the central role of primary health care for achieving health and well-being for all, at all ages. WHO works with countries to:  Identify priority areas for improving health and context-specific approaches which draw on the technical expertise across the WHO.  Support countries to develop inclusive policies, in country leadership and health systems based on primary health care which promote health equity and works towards achieving the Sustainable Development Goals and universal health coverage.  Address the wider inequity and social determinants of health through multisectoral action. 7/15/2019www.nursingpath.in 29
  30. 30.  Health is a human right; it’s time for health for all. 7/15/2019www.nursingpath.in 30
  31. 31.  About 100 million people are pushed into extreme poverty each year because of out-of- pocket spending on health. 7/15/2019www.nursingpath.in 31
  32. 32.  Primary health care should be the first level of contact with the health system, where individuals, families and communities receive most of their health care— from promotion and prevention to treatment, rehabilitation and palliative care—as close as possible to where they live and work. 7/15/2019www.nursingpath.in 32
  33. 33.  Health workers have a crucial role to play educating patients on how to take care of their health, coordinating care and advocating for their patients’ needs to health facility managers and policy-makers. 7/15/2019www.nursingpath.in 33
  34. 34.  The member states of WHO have endorsed universal coverage as an important goal for the development of health financing system but, in order to achieve this long-term solution, flexible short-term responses are needed.  There is no universal formula. Indeed, for many countries, it will take some years to achieve universal coverage and the path is complex.  The responses each country takes will be determined partly by their own histories and the way their health financial systems have developed to date, as well as by social preference relating to concepts of solidarity 7/15/2019www.nursingpath.in 34
  35. 35.  hhj 7/15/2019www.nursingpath.in 35
  36. 36. 1. World Health Organization. Universal health coverage factsheet [Internet]. ted 2016 Aug 10]. Available from: p://www.who.int/mediacentre/factsheets/fs395/en/. 2. World Health Organization. The world health report: health systems financing: path to universal coverage. Geneva: World Health Organization; 2010. 3. Gina Lagomarsino, Alice Garabrant, Atikah Adyas, Richard Muga, haniel Otoo ;Moving towards universal health coverage: health insurance orms in nine developing countries in Africa and Asia; Lancet 2012; 380: 3–43; 4. High Level Expert Group Report on Universal Health Coverage for India ituted by Planning Commission of India; New Delhi,November, 2011 5. K Srinath Reddy, Vikram Patel, Prabhat Jha, Vinod K Paul, A K Shiva Kumar it Dandona, for The Lancet India Group for Universal Healthcare; Towards ievement of universal health care in India by 2020: a call to action; cet 2011; 377: 760–68 7/15/2019www.nursingpath.in 36
  37. 37. 6. Universal Health Coverage for Inclusive and Sustainable Development-Tracking universal health coverage: first global monitoring report;World Health Organization 2015 7. Ministry of Health and Family Welfare. Government of India. National Family Health Survey 4.2015-16. 8. Archana R, Kar SS, Premarajan K, Lakshminarayanan S. Out of pocket expenditure among the households of a rural area in Puducherry, South India. Journal of Natural Science, Biology, and Medicine. 2014;5(1):135-138 9. Aditya Karla. India keeps tight reign on public health spending in 2015-16 budget. Reuters. 2015 Feb 28. Available from: http://in.reuters.com/article/india-health- budget-idINKBN0LW0LQ , cited 1st Aug 2016. 10. Puja Mehra. Only 17% have health insurance cover. The Hindu. 2014 Dec 22. Available from: http://www.thehindu.com/news/national/only-17-have- health-ins 7/15/2019www.nursingpath.in 37
  38. 38. 11. Office of Registrar General, India. Sample Registration System. Maternal & Child Mortality and Total Fertility Rates. 2011 July 7. Available from: http://censusindia.gov.in/vital_statistics/SRS_Bulletins /MMR_release_070711.pdf, cited 2nd August 2016. 12. Statistics Division. Ministry of Health and Family Welfare. Governm of India. Family Welfare Statistics in India 2011. Available from : http://mohfw.nic.in/WriteReadData/l892s/3503492088FW%20Statist 202011%20Revised%2031%2010%2011.pdf, cited 1st August 2016. 13. Gopalan C. The changing nutrition scenario. Indian J Med Res 138, September 2013; 392-397 . 14. Krishna D R. Situation analysis of the health workforce in India. Human resource technical paper I. Public Health Foundation of India. Available from: http://uhc- india.org/uploads/SituationAnalysisoftheHealthWorkforcei Cited 5 August 2016. 7/15/2019www.nursingpath.in 38
  39. 39. Thank You Any questions please… www.nursingpath.in 7/15/2019 39