scholarly journals Strengthening public health services to achieve universal health coverage in China

BMJ ◽  
2019 ◽  
pp. l2358 ◽  
Author(s):  
Beibei Yuan ◽  
Dina Balabanova ◽  
Jun Gao ◽  
Shenglan Tang ◽  
Yan Guo
Keyword(s):  
Public Health ◽  
Health Services ◽  
Universal Health Coverage ◽  
Health Coverage ◽  
Public Health Services ◽  
Universal Health

scholarly journals The Legal Determinants of Health: How Can We Achieve Universal Health Coverage and What Does it Mean?

2020 ◽  
Author(s):  
Lawrence O. Gostin
Keyword(s):  
Public Health ◽  
Global Health ◽  
Social Determinants ◽  
Universal Health Coverage ◽  
Good Health ◽  
Essential Medicines ◽  
Health Coverage ◽  
Public Health Services ◽  
The Right ◽  
Universal Health

How can we keep people – wherever they live – healthy and safe? Among all global health initiatives, universal health coverage (UHC) has garnered most political attention. But can UHC (as important as it is) actually achieve the two fundamental aspirations of the right to health: keeping people healthy and safe, while leaving no one behind? There is a universal longing for health and security, but also a deep-seated belief in fairness and equity. Can UHC achieve both health and equity, or what I have called, "global health with justice?" What makes a population healthy and safe? Certainly, universal and affordable access to healthcare is essential, including clinical prevention, treatment, and essential medicines. But beyond medical care are public health services, including surveillance, clean air, potable water, sanitation, vector control, and tobacco control. The final and most important factor in good health are social determinants, including housing, employment, education, and equity. If we can provide everyone with these three essential conditions for good health (healthcare, public health and social determinants), it would vastly improve global health. But we also need to take measures to leave no one behind. To achieve equity, we need to plan for it, and here I propose national health equity programs of action. Society’s highest obligation is to achieve global health, with justice.

scholarly journals A STUDY ON INTER-STATE DISPARITIES IN PUBLIC HEALTH EXPENDITURE AND ITS EFFECTIVENESS ON HEALTH STATUS IN INDIA

2018 ◽  
Vol 6 (2) ◽  
pp. 54-64
Author(s):  
L. Ganesan ◽  
R. Senthamizh Veena
Keyword(s):  
Public Health ◽  
Health Status ◽  
Health Services ◽  
Universal Health Coverage ◽  
Health Expenditure ◽  
Health Sector ◽  
Health Coverage ◽  
The People ◽  
Universal Health ◽  
Inter State

Public health services play an important role in the health status of the people and Health Expenditure by the Government occupies crucial part in influencing the health outcome in the country. The healthcare finances are influenced by the respective State's budgetary allocation which leads to inter-state disparity in health services and health status in India. This has implications on providing Universal Health Coverage, which aims at ensuring equitable health services to people at all levels in the country (National Health Portal, GoI). The researcher has selected 15 major states based on the level of population (which accounts for about 90 percent of the total population in India) to analyse the inter-state disparities in health sector. Alongside, this study focuses on the performance of public health sector of the selected states through a comparative analysis of various parameters depicting health expenditure, availability of health services, their utilization and health outcomes. With vast variation in the availability, affordability and utilisation of health services across different states, it is found that the economic conditions, health finance, infrastructure and effectiveness of health services at the state level have direct bearing on the health status of the people in the respective states. Therefore, it is essential to take necessary corrective measures that target the disparity, to achieve better and equitable health services for all, leading to Universal Health Coverage which is the real inclusiveness.

scholarly journals Universal Health Coverage and COVID-19 Pandemic: A Bangladesh Perspective

2020 ◽  
Author(s):  
Most. Zannatul Ferdous ◽  
Ummay Soumayia Islam
Keyword(s):  
Public Health ◽  
Health Services ◽  
Health Systems ◽  
Universal Health Coverage ◽  
Social Protection ◽  
Health Care Facilities ◽  
Health Coverage ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Universal Health

AbstractBackgroundLike many other countries around the world, Bangladesh adopts Universal Health Coverage (UHC) as a national aspiration. The central theme of its providing quality and affordable health services which is a significant element of social protection. This paper was aimed to provide a narrative understanding of the perspectives of UHC in Bangladesh towards COVID-19 based on the existing literature.MethodsWe conducted a review combining articles and abstracts with full HTML and PDF format. We searched Google Scholar, ScienceDirect and Google using multiple terms related to UHC, COVID-19 and Bangladesh without any date boundary and without any basis of types of studies, that is, all types of studies were scrutinized.ResultsThis short description highlights that the current pandemic COVID-19 holds lessons that health systems and economies in several countries like Bangladesh are not in enough preparation to tackle a massive public health crisis. It reports the shortage of health workers, scarcity of personal protective equipment, limited and ineffective diagnostic facilities, inadequate infrastructure of health care facilities, scarcity of drugs, and underfunded health services. Further, COVID-19 pandemic highlights the country’s health system needs an ongoing rehab post-COVID-19 with strong coordination in governance, in health economics, in health systems, in information systems, as well as in community participation in health to achieve UHC.ConclusionsAddressing the needs for UHC achievement, it is important to break down the access barriers and keeping up to date all the activities addressing public health crisis like COVID-19.

scholarly journals 20.F. Workshop: Dental care – coverage and access across countries

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Oral Health ◽  
North America ◽  
Health Systems ◽  
Universal Health Coverage ◽  
Dental Care ◽  
Financial Protection ◽  
Health Coverage ◽  
Universal Health

Abstract Oral health is a central element of general health with significant impact in terms of pain, suffering, impairment of function and reduced quality of life. Although most oral disease can be prevented by health promotion strategies and routine access to primary oral health care, the GBD study 2017 estimated that oral diseases affect over 3.5 billion people worldwide (Watt et al, 2019). Given the importance of oral health and its potential contribution to achieving universal health coverage (UHC), it has received increased attention in public health debates in recent years. However, little is known about the large variations across countries in terms of service delivery, coverage and financing of oral health. There is a lack of international comparison and understanding of who delivers oral health services, how much is devoted to oral health care and who funds the costs for which type of treatment (Eaton et al., 2019). Yet, these aspects are central for understanding the scope for improvement regarding financial protection against costs of dental care and equal access to services in each country. This workshop aims to present the comparative research on dental care coverage in Europe, North America and Australia led by the European Observatory on Health Systems and Policies. Three presentations will look at dental care coverage using different methods and approaches. They will compare how well the population is covered for dental care especially within Europe and North America considering the health systems design and expenditure level on dental care, using the WHO coverage cube as analytical framework. The first presentation shows results of a cross-country Health Systems in Transition (HiT) review on dental care. It provides a comparative review and analysis of financing, coverage and access in 31 European countries, describing the main trends also in the provision of dental care. The second presentation compares dental care coverage in eight jurisdictions (Australia (New South Wales), Canada (Alberta), England, France, Germany, Italy, Sweden, and the United States) with a particular focus on older adults. The third presentation uses a vignette approach to map the extent of coverage of dental services offered by statutory systems (social insurance, compulsory insurance, NHS) in selected countries in Europe and North America. This workshop provides the opportunity of a focussed discussion on coverage of dental care, which is often neglected in the discussion on access to health services and universal health coverage. The objectives of the workshop are to discuss the oral health systems in an international comparative setting and to draw lessons on best practices and coverage design. The World Conference on Public Health is hence a good opportunity for this workshop that contributes to frame the discussion on oral health systems in a global perspective. Key messages There is large degree of variation in the extent to which the costs of dental care are covered by the statutory systems worldwide with implications for oral health outcomes and financial protection. There is a need for a more systematic collection of oral health indicators to make analysis of reliable and comparable oral health data possible.

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