scholarly journals Monitoring Process Barriers and Enablers Towards Universal Health Coverage Within the Sustainable Development Goals: A Systematic Review and Content Analysis

2020 ◽  
Vol Volume 12 ◽  
pp. 459-472
Author(s):  
Naser Derakhshani ◽  
Leila Doshmangir ◽  
Ayat Ahmadi ◽  
Ali Fakhri ◽  
Homayoun Sadeghi-Bazargani ◽  
...  
2021 ◽  
Vol 29 (2) ◽  
pp. 78-80
Author(s):  
Sophie Hermanns ◽  
Jean-Olivier Schmidt

Abstract Maternal health is one of the 169 targets of the Sustainable Development Goals (SDGs). While the SDGs are less focused on maternal health than their predecessors, the Millennium Development Goals (MDGs), the SDGs’ commitments to multisectoral development, health systems, universal health coverage and equity could provide the foundations for sustainable advances in maternal health.


2017 ◽  
Vol 22 (3) ◽  
pp. 178-182 ◽  
Author(s):  
Jennifer Reddock

There is optimism that the inclusion of universal health coverage in the Sustainable Development Goals advances its prominence in global and national health policy. However, formulating indicators for Target 3.8 through the Inter-Agency Expert Group on Sustainable Development Indicators has been challenging. Achieving consensus on the conceptual and methodological aspects of universal health coverage is likely to take some time in multi-stakeholder fora compared with national efforts to select indicators.


2021 ◽  
pp. 140349482199369
Author(s):  
Morten Tønnessen-Krokan ◽  
Anette Bringedal Houge

Background: At the intersection of the Sustainable Development Goals, humanitarian assistance and health, the umbrella term ‘health in the last mile’ has gained traction. In August 2019, the Norwegian Red Cross commissioned a global report to conceptualise and assess what ‘health in the last mile’ refers to, in terms of access, needs and structural and geographical barriers and vulnerabilities, and describe how these vulnerabilities overlap in different humanitarian settings and regions. Aims: The purpose of this commentary article is to highlight the report’s most important findings for an academic audience, from the perspective of the Norwegian Red Cross. Discussion: The aim of the report was to propose a definition and create a methodology to help identify people and populations living in the last mile of healthcare; acknowledging that these go far beyond those affected by armed conflicts and sudden onset disasters. As the report reveals, last-mile populations are not adequately reached by current universal health coverage strategies. The report highlights the key role played by local humanitarian actors in reducing barriers to access to healthcare. Local stakeholders have first-hand knowledge of the needs of populations in the last mile and on how they navigate the barriers to healthcare access. The report also addresses questions such as: Who are the people with least access to healthcare? What are their health needs and what barriers do they face? Not least, when many live without access to healthcare services, how do we determine where the last mile begins? The report proposes a definition of ‘the last mile’ involving converging factors that exacerbate barriers to healthcare and identifies 18 groups that are considered potential last-mile populations. Global epidemics, such as the latest COVID-19, have shown that the concept of vulnerability is continually changing. These situations can bring new vulnerable populations to the edge of the last mile which were already vulnerable and ignored before the outset of the outbreak. Conclusions: Millions of people do not and will not benefit from the global progress in universal health coverage under current health systems. To reach the Sustainable Development Goals 3 and 16, we need solutions to overcome the barriers they face to access basic healthcare.


2020 ◽  
Author(s):  
Walter Denis Odoch ◽  
Flavia Senkubuge ◽  
Charles Hongoro

Abstract BackgroundAchieving universal health coverage (UHC) is necessitating reforms in the way countries finance health systems. However, health financing reforms (HFR) are inherently political and SDGs declaration is a political one. Therefore, the terrain where efforts for reforming health financing occurs is likely being influenced by the SDGs declaration. However, how the SDGs have influenced health financing reform processes at the national level, the outcomes of these processes and how stakeholders especially ministries of health are using SDGs to influence reforms towards UHC have not been explored. This review is proposed to provide information and lessons on how SDGs have influence health financing reforms for UHC at national level and identify methodological and empirical gaps in studies exploring the relationship between SDGs and health financing reforms for UHC. MethodsWe propose a systematic review of literature and shall adhere to preferred reporting items for systematic review and meta-analysis (PRISMA) guidelines. We shall search 5 databases (Ovid Medline, PubMed, EBSCO, Scopus and Web of Science) and grey literature. Boolean operators “OR” and “AND” will be used to combine the concepts of sustainable development goals and health financing. The literature to be reviewed will be those on health financing reforms (population), one of the factors influencing the reform is SDGs declaration (exposure/intervention), and there is change in a health financing function (outcome). Identification and selection of studies shall be done in duplicate using a predefined tool, the overall process shall be depicted in a PRISMA flow chart. Quality assessment will be conducted using Joanna Biggs Institute checklist. Data shall be managed in NVIVo, where a thematic synthesis of data will be conducted. The results will be presented narratively. DiscussionWe shall share our finding with relevant stakeholders through workshop and publications. The SDGs declaration is relatively new, how it is influencing health financing reforms towards UHC at national level needs to be documented and shared for cross-country learning by stakeholders involved in this area. In addition, the review is anticipated to provide information on the methodological and/or empirical gaps in studies exploring the linkage between SDGs declaration and health systems reforms.


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