Boosting local agency improves health aid outcomes

2019 ◽  
Keyword(s):  
Monitoring And Evaluation ◽  
Aid Effectiveness ◽  
Health Coverage ◽  
Sustainable Development Goal ◽  
Content Type ◽  
Evaluation Systems ◽  
Health Aid ◽  
Early Disease Detection ◽  
Funding Cycle ◽  
Universal Health

Subject Health aid effectiveness. Significance Sustainable Development Goal (SDG)3 is to ensure healthy lives and promote wellbeing for all at all ages. To achieve this, there are subsidiary targets within the goal, notably achieving universal health coverage for all by 2030. Impacts Investment in early disease detection and prevention have yet to be prioritised. Sustainable monitoring and evaluation systems that track the programme through the full funding cycle will proliferate. Large private donors risk creating unviable parallel health systems.

scholarly journals What can the global movement to end child marriage learn from the implementation of other multi-sectoral initiatives?

2019 ◽  
Vol 4 (5) ◽  
pp. e001739 ◽  
Author(s):  
Claudia Lo Forte ◽  
Marina Plesons ◽  
Matilda Branson ◽  
Venkatraman Chandra-Mouli
Keyword(s):  
Cost Sharing ◽  
National Level ◽  
Monitoring And Evaluation ◽  
Child Marriage ◽  
Sustainable Development Goal ◽  
The Sustainable Development ◽  
Roles And Responsibilities ◽  
Evaluation Systems ◽  
Lessons Learnt ◽  
Global Movement

If the Sustainable Development Goal (SDG) target 5.3 to end child marriage by 2030 is to be met, the annual rate of reduction in the prevalence of child marriage must increase from 1.9% to 23%. Over 30 countries have developed, or are developing, national policies/programmes towards this goal. However, many are struggling to operationalise these policies/programmes, particularly at subnational levels. Thus, Girls Not Brides and the WHO commissioned a review of lessons learnt from national and subnational implementation of multi-sectoral policies/programmes targeting other issues that could be applied to the global movement to end child marriage. This review identified a number of pragmatic lessons learnt. At the national level, countries should identify and engage committed and skilled leadership, build a shared understanding of the target issue and how to address it, and delineate and clarify the roles and responsibilities of relevant stakeholders. At the subnational level, countries should establish coordination mechanisms, build awareness and capacity of staff, use subnational evidence to contextualise and tailor interventions, develop coordinated budgets and cost-sharing mechanisms, and integrate monitoring and evaluation systems. These lessons are remarkably consistent, despite coming from different target issues and contexts. The commonality of these findings reveals that various stakeholders are repeatedly and consistently failing to ensure that these fundamental requirements are in place. It is vital that the global movement to end child marriage learns from and uses these lessons if it is to meet its SDG target.

Private healthcare will expand in Latin America

2018 ◽  
Keyword(s):  
Latin American ◽  
Health Spending ◽  
Health Coverage ◽  
Lower Growth ◽  
Public And Private ◽  
Content Type ◽  
The Public ◽  
Private Healthcare ◽  
Latin American Countries ◽  
Universal Health

Subject The outlook for private healthcare. Significance During 2003-13, various Latin American countries introduced expansionary healthcare reforms. Aiming to secure universal health coverage, they increased spending and created new non-contributory programmes. This did not necessarily affect private provision, which in several countries benefited from growing purchasing power and new private-public interactions. Impacts Regional expansion of private healthcare is likely to accelerate in the coming decade. Ageing populations will require increased health spending in both the public and private spheres. Lower growth and commodities prices may increasingly put the onus on private health spending.

scholarly journals Universal Health Coverage (UHC)

2018 ◽  
Vol 32 (4) ◽  
pp. 322-324
Author(s):  
Samlee Plianbangchang
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Universal Health Coverage ◽  
Health Care Systems ◽  
Good Health ◽  
Health Coverage ◽  
Content Type ◽  
Universal Health

Purpose The WHO Health for All goal of the year 2000 was unreachable due to a number of irreconcilable factors. However, governments agree that a resolution must be found to effectively cope with increasing health care costs. Furthermore, national health insurance schemes must be properly refined to suit local situations. Workable health policies and strategies for caring and treating sick people through reduced or cost effective methods must be developed as part of a Universal Health Coverage scheme. A review of progress made toward achieving the WHO goal of health for all. The purpose of this paper is to explore the government’s role and responsibilities to educate and support society to achieve optimum health. Design/methodology/approach This is a commentary piece. Findings Participation and involvement of all people of all walks of life in the development and management of their nation’s health care programs is an important requisite of good health for all. This should include financial participation and co-payment into the national health insurance scheme. Furthermore, national health care systems should involve or include the traditional/local and alternative systems of medicine in the most appropriate manner. Health care has to encompass the total range of comprehensive health interventions, inclusive of at least preventive, curative and rehabilitative care. Originality/value This paper provides a review of the current health system constraints and assesses the effectiveness of available options by way of ensuring that a country-specific UHC system may be successfully implemented.

scholarly journals Future Challenges of Nursing in Health System of Iran

2021 ◽  
Author(s):  
Salman Barasteh ◽  
Maryam rassouli ◽  
Mohammad Reza Karimirad ◽  
Abbas Ebadi
Keyword(s):  
Nursing Education ◽  
Health System ◽  
Universal Health Coverage ◽  
Monitoring And Evaluation ◽  
Health Coverage ◽  
Structured Interviews ◽  
Framework Analysis ◽  
The Future ◽  
Future Challenges ◽  
Universal Health

Abstract Background: Nursing development is considered as one of the most important ways to achieve the universal health coverage and sustainable develop goals in different countries. Nursing in Iran has the potential to provide services at all levels of universal health coverage. Therefore, planning for nursing in Iran needs to recognize the future challenges. This study aims to explore the future challenges of nursing in the health system of Iran from the view of expertsMethods: In this qualitative study, 11 semi-structured interviews were conducted with nursing experts by purposive sampling in 2017-2018. Interviews were recorded and transcribed and framework analysis method were used to analysis the data.Results: The results showed that a favorable future requires planning in three areas of nursing governance challenges, including centralized nursing stewardship, policy-making and legislation, monitoring and evaluation, and cooperation and communication with other institutions, inadequacy of professional development with social demands, including community-based nursing, nursing upgrades with disease patterns, expanding home care, expanding care centers, and use of technology, the challenge of human resource management, including nursing education tailored to the needs of the community, empowering nursing managers, recruiting and retaining nurses, and specialized nursing.Conclusions: A favorable future requires establishing a coherent nursing government, professional developing of nursing based on social demands, and enhancing human resources in line with the emerging needs of the future.

scholarly journals Measuring progress towards Sustainable Development Goal 3.8 on universal health coverage in Kenya

2018 ◽  
Vol 3 (3) ◽  
pp. e000904 ◽  
Author(s):  
Edwine Barasa ◽  
Peter Nguhiu ◽  
Di McIntyre
Keyword(s):  
Sustainable Development ◽  
Universal Health Coverage ◽  
Two Dimensions ◽  
Health Coverage ◽  
Summary Measure ◽  
Financial Risk Protection ◽  
Sustainable Development Goal ◽  
Development Goal ◽  
Geometrical Mean ◽  
Universal Health

BackgroundThe inclusion of universal health coverage (UHC) as a health-related Sustainable Development Goal has cemented its position as a key global health priority. We aimed to develop a summary measure of UHC for Kenya and track the country’s progress between 2003 and 2013.MethodsWe developed a summary index for UHC by computing the geometrical mean of indicators for the two dimensions of UHC, service coverage (SC) and financial risk protection (FRP). The SC indicator was computed as the geometrical mean of preventive and treatment indicators, while the financial protection indicator was computed as a geometrical mean of an indicator for the incidence of catastrophic healthcare expenditure, and the impoverishing effect of healthcare payments. We analysed data from three waves of two nationally representative household surveys.FindingsThe weighted summary indicator for SC increased from 27.65% (27.13%–28.14%) in 2003 to 41.73% (41.34%–42.12%) in 2013, while the summary indicator for FRP reduced from 69.82% (69.11%–70.51%) in 2003 to 63.78% (63.55%–63.82%) in 2013. Inequities were observed in both these indicators. The weighted summary measure of UHC increased from 43.94% (95% CI 43.48% to 44.38%) in 2003 to 51.55% (95% CI 51.29% to 51.82%) in 2013.ConclusionSignificant gaps exist in Kenya’s quest to achieve UHC. It is imperative that targeted health financing and other health sector reforms are made to achieve this goal. Such reforms should be focused on both, rather than on only either, of the dimensions of UHC.

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