scholarly journals Unregulated Private Health Sector: India’s Challenges in Realizing Universal Health Coverage

2020 ◽  
Keyword(s):  
Universal Health Coverage ◽  
Health Sector ◽  
Health Coverage ◽  
Private Health Sector ◽  
Universal Health

scholarly journals The Legislative Role of Universal Health Coverage Achievement in Kolaka Regency

2020 ◽  
Vol 8 (T2) ◽  
pp. 41-46
Author(s):  
Rahmat Anzari ◽  
Sukri Palutturi ◽  
Aminuddin Syam
Keyword(s):  
Universal Health Coverage ◽  
Health Sector ◽  
Health Coverage ◽  
Data Validity ◽  
District Government ◽  
Document Review ◽  
Fully Functioning ◽  
Depth Interviews ◽  
Universal Health

BACKGROUND: The legislative role intended in accordance with the mandate of law number 17 of 2014 concerning the MPR, DPR, DPD, and DPRD in article 365 mentions three functions of the DPRD, namely, legislation, budgeting, and supervision. AIM: This study aimed to determine the legislative role in the achievement of Universal Health Coverage (UHC) in Kolaka Regency. METOHDS: This research method uses a qualitative with four informants selected by accidental sampling. Data obtained through in-depth interviews, observation, and document review. Data triangulation analysis is used to obtain data validity. RESULTS: The results showed that the role of the legislature in the legislative function had not been carried out properly because there were no regional regulations issued by the district government of Kolaka who supports the achievement of UHC and will only conduct academic studies related to JKN, the budgeting function has been carried out well because of Commission III of the District Parliament of Kolaka has provided full support regarding budgeting in the health sector and the oversight function is also well implemented. Parliamentary budget oversight in Kolaka is carried out 3 times a year/per quarter by the DPRD in collaboration with the inspectorate, BPK and APIP by comparing planning with reality on the ground. It was concluded that the legislative role in the achievement of UHC in Kolaka was not fully functioning properly. CONCLUSION: It is expected to immediately formulate and issue regional regulations that support the implementation of the JKN program as a manifestation of the achievement of UHC in Kolaka and involve academic experts in UHC/JKN in formulating the regional regulation.

scholarly journals People’s Voice and Civil Society Participation as a Core Element of Universal Health Coverage Reforms: Review of Experiences in Iran

2021 ◽  
Author(s):  
Dheepa Rajan ◽  
Mohammad Hadi Ayazi ◽  
Maziar Moradi-Lakeh ◽  
Narges Rostamigooran ◽  
Maryam Rahbari ◽  
...  
Keyword(s):  
Civil Society ◽  
International Development ◽  
Universal Health Coverage ◽  
Health Sector ◽  
Civil Society Organizations ◽  
Health Coverage ◽  
Health Governance ◽  
Core Element ◽  
Governance Challenges ◽  
Universal Health

Health governance challenges can make or break universal health coverage (UHC) reforms. One of the biggest health governance challenges is ensuring meaningful participation and adequately reflecting people’s voice in health policies and implementation. Recognizing this, Iran’s Health Transformation Plan (HTP) lays out the country’s blueprint for UHC with an explicit emphasis on the ‘socialization of health.’ ‘Socialization’ is seen as a key means to contribute to HTP objectives, meaning the systematic and targeted engagement of the population, communities, and civil society in health sector activities. Given its specific cultural and historical context, we sought to discern what notions such as ‘civil society,’ ‘non-governmental organization,’ etc mean in practice in Iran, with the aim of offering policy options for strengthening and institutionalizing public participation in health within the context of the HTP. For this, we reviewed the literature and analysed primary qualitative data. We found that it may be more useful to understand Iranian civil society through its actions, ie, defined by its motivation and activities rather than the prevailing international development understanding of civil society as a structure which is completely independent of the state. We highlight the blurry boundaries between the different types of civil society organizations (CSOs) and government institutions and initiatives, as well as high levels of overlaps and fragmentation. Reducing fragmentation as a policy goal could help channel resources more efficiently towards common HTP objectives. The National Health Assembly (NHA) model which was first launched in 2017 offers a unique platform for this coordination role, and could be leveraged accordingly.

scholarly journals Nurses’ perceptions of universal health coverage and its implications for the Kenyan health sector

2016 ◽  
Vol 27 (1) ◽  
pp. 28-38 ◽  
Author(s):  
Adam D. Koon ◽  
Lahra Smith ◽  
David Ndetei ◽  
Victoria Mutiso ◽  
Emily Mendenhall
Keyword(s):  
Universal Health Coverage ◽  
Health Sector ◽  
Health Coverage ◽  
Nurses Perceptions ◽  
Universal Health

scholarly journals A Narrative Synthesis Review of Out-of-Pocket Payments for Health Services Under Insurance Regimes: A Policy Implementation Gap Hindering Universal Health Coverage in Sub-Saharan Africa

2021 ◽  
Author(s):  
Abigail Nyarko Codjoe Derkyi-Kwarteng ◽  
Irene Akua Agyepong ◽  
Nana Enyimayew ◽  
Lucy Gilson
Keyword(s):  
Policy Implementation ◽  
Universal Health Coverage ◽  
Health Sector ◽  
Sub Saharan Africa ◽  
Narrative Synthesis ◽  
Health Coverage ◽  
Implementation Gap ◽  
Street Level ◽  
Sub Saharan ◽  
Universal Health

Background: "Achieve universal health coverage (UHC), including financial risk protection, access to quality essential healthcare services and access to safe, effective, quality and affordable essential medicines and vaccines for all" is the Sustainable Development Goal (SDG) 3.8 target. Although most high-income countries have achieved or are very close to this target, low- and middle-income countries (LMICs) especially those in sub-Saharan Africa (SSA) are still struggling with its achievement. One of the observed challenges in SSA is that even where services are supposed to be "free" at point-of-use because they are covered by a health insurance scheme, out-of-pocket fees are sometimes being made by clients. This represents a policy implementation gap. This study sought to synthesise the known evidence from the published literature on the ‘what’ and ‘why’ of this policy implementation gap in SSA. Methods: The study drew on Lipsky’s street level bureaucracy (SLB) theory, the concept of practical norms, and Taryn Vian’s framework of corruption in the health sector to explore this policy implementation gap through a narrative synthesis review. The data from selected literature were extracted and synthesized iteratively using a thematic content analysis approach. Results: Insured clients paid out-of-pocket for a wide range of services covered by insurance policies. They made formal and informal cash and in-kind payments. The reasons for the payments were complex and multifactorial, potentially explained in many but not all instances, by coping strategies of street level bureaucrats to conflicting health sector policy objectives and resource constraints. In other instances, these payments appeared to be related to structural violence and the ‘corruption complex’ governed by practical norms. Conclusion: A continued top-down approach to health financing reforms and UHC policy is likely to face implementation gaps. It is important to explore bottom-up approaches – recognizing issues related to coping behaviour and practical norms in the face of unrealistic, conflicting policy dictates.

Blockchain for Universal Health Coverage

2019 ◽  
pp. 180-200
Keyword(s):  
Health Systems ◽  
Universal Health Coverage ◽  
Health Sector ◽  
User Participation ◽  
Health Coverage ◽  
Privacy And Security ◽  
Security Issues ◽  
High Resource ◽  
Displaced People ◽  
Universal Health

In this chapter the authors provide an overview of where Blockchain is being used in high resource settings and explore its potential use in emerging health systems for universal health coverage. There is opportunity to address issues in emerging health systems through adaptation and testing of Blockchain, especially in the management of patient records and data, financing, supply chain management, health workforce management, and surveillance processes. It also has complementary relevance for identity and financial inclusion, which are vital for improving the health of the poor in emerging economies. Reference is also made to the use of Blockchain for displaced people and humanitarian settings, which is the subject of Chapter 7 of this book. There remains, however, a need for more research and evaluation as these technologies are implemented and increased user participation in design to ensure that privacy and security issues are addressed. Furthermore, greater attention to local implementation and health sector applications in low resource settings is required.

scholarly journals Healthcare Financing in Low and Middle-Income Countries and Achieving Universal Health Coverage

2021 ◽  
Vol 4 (2) ◽  
pp. 86-94
Author(s):  
Amadou Baubacar ◽  
Keyword(s):  
Universal Health Coverage ◽  
System Approach ◽  
Health Sector ◽  
Health Coverage ◽  
Healthcare Financing ◽  
Sovereign Wealth Funds ◽  
Middle Income ◽  
Middle Income Countries ◽  
Universal Health ◽  
Low And Middle Income

Using a comparative healthcare system approach, this paper discusses the existing healthcare financing methods in low-and middle-income countries in the move towards achieving universal health coverage (UHC). The article finds that traditional channels of financing the health sector in these countries include government’s budget, donors’ aid, national health insurance, and out-of-pocket model. Moreover, the paper explores other alternative mechanisms for raising resources for the health sector including tax on demerit goods, remittances, and sovereign wealth funds’ revenues. This paper is of particular interest to policymakers in low-and middle-income countries targeting to achieve UHC.

scholarly journals Financing mechanisms applied for successful Universal Health Coverage in Malaysia, Thailand and Singapore - Lessons for Pakistan

2021 ◽  
pp. 1-11
Author(s):  
Rawshan Jabeen ◽  
Unaib Rabbani ◽  
Nazish Abbas
Keyword(s):  
Universal Health Coverage ◽  
Resource Constraints ◽  
Relevant Literature ◽  
Health Care Financing ◽  
Health Sector ◽  
Vital Role ◽  
Health Coverage ◽  
Online Databases ◽  
Current Scenario ◽  
Universal Health

Background: Universal Health Coverage (UHC) is a global health agenda in which health care financing plays a vital role. This paper presents an overview of the provision of health insurance in three countries: Malaysia, Thailand and Singapore who have achieved universal health coverage. In the current scenario of Pakistan’s health sector, achieving universal health coverage is a challenge because of human resource constraints, lack of institutional capacities, poor operationalizing and very low allocation of Gross Domestic Product for health. Online databases were used to collect the information. We used databases such as; Google scholars and PubMed and World Bank web site to retrieve relevant literature. CONTINUOUS...

Blockchain for Universal Health Coverage

2021 ◽  
pp. 488-502
Author(s):  
Jane Thomason ◽  
Sonja Bernhardt ◽  
Tia Kansara ◽  
Nichola Cooper
Keyword(s):  
Health Systems ◽  
Universal Health Coverage ◽  
Health Sector ◽  
User Participation ◽  
Health Coverage ◽  
Privacy And Security ◽  
Security Issues ◽  
High Resource ◽  
Displaced People ◽  
Universal Health

In this chapter the authors provide an overview of where Blockchain is being used in high resource settings and explore its potential use in emerging health systems for universal health coverage. There is opportunity to address issues in emerging health systems through adaptation and testing of Blockchain, especially in the management of patient records and data, financing, supply chain management, health workforce management, and surveillance processes. It also has complementary relevance for identity and financial inclusion, which are vital for improving the health of the poor in emerging economies. Reference is also made to the use of Blockchain for displaced people and humanitarian settings, which is the subject of Chapter 7 of this book. There remains, however, a need for more research and evaluation as these technologies are implemented and increased user participation in design to ensure that privacy and security issues are addressed. Furthermore, greater attention to local implementation and health sector applications in low resource settings is required.

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