IHP news 478 : UHC

By on July 13, 2018

The Conversation – Corruption in the Nigerian health sector has many faces. How to fix it

O Onwujekwe et al; https://theconversation.com/corruption-in-the-nigerian-health-sector-has-many-faces-how-to-fix-it-99043

“… We were part of an anti-corruption consortium led by the School of Oriental and African Studies that looked at corruption in the health sector in Nigeria. As part of our study we set out to find the five corrupt practices that most affected the delivery of health care services. We identified them as: absenteeism, procurement-related corruption, under-the-counter payments, health financing-related corruption and employment-related corruption. The list of corrupt practices all affect the standard of care that patients received. Based on these findings, we believe that it’s perfectly feasible for government to put policies in place to tackle all five practices. All it requires is the political will to put the necessary policy and regulatory frameworks in place….”

Nice piece, even though I think we should ban the term ‘political will’ altogether.

BMJ Global Health (Analysis) – The Brazilian health system at crossroads: progress, crisis and resilience

A Massuda, R Atun et al; https://gh.bmj.com/content/3/4/e000829

The Unified Health System (Sistema Único de Saúde (SUS)) has enabled substantial progress towards Universal Health Coverage (UHC) in Brazil. However, structural weakness, economic and political crises and austerity policies that have capped public expenditure growth are threatening its sustainability and outcomes. This paper analyses the Brazilian health system progress since 2000 and the current and potential effects of the coalescing economic and political crises and the subsequent austerity policies. … … We find that, despite a favourable context, which enabled expansion of UHC from 2003 to 2014, structural problems persist in SUS, including gaps in organisation and governance, low public funding and suboptimal resource allocation. Consequently, large regional disparities exist in access to healthcare services and health outcomes, with poorer regions and lower socioeconomic population groups disadvantaged the most. These structural problems and disparities will likely worsen with the austerity measures introduced by the current government, and risk reversing the achievements of SUS in improving population health outcomes. The speed at which adverse effects of the current and political crises are manifested in the Brazilian health system underscores the importance of enhancing health system resilience to counteract external shocks (such as economic and political crises) and internal shocks (such as sector-specific austerity policies and rapid ageing leading to rise in disease burden) to protect hard-achieved progress towards UHC.

Lancet World Report – Prospects for health in Mexico after the presidential election

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31604-0/fulltext

The country’s President-elect faces a tough challenge to redress the health system, but his tough stance on corruption might help. Stephen Woodman reports from Mexico City.”

International Growth Centre – Value Added Tax in developing countries: Lessons from recent research

F Gerard et al ; https://www.theigc.org/publication/value-added-tax-developing-countries-lessons-recent-research/

The Value Added Tax has become one of the most important instruments of revenue mobilisation in the developing world. A recent and growing body of research highlights its strengths and some of the challenges it faces.”

The VAT now accounts for 1/ 4  of tax revenue raised in Sub Saharan Africa.

University of California – Global Health institute: In health research, local efforts have global benefit

UCGHI;

“… Low-income countries … …  show ways to provide public health with fewer dollars and how to mobilize communities of caregivers. UCSF’s Preterm Birth Initiative and UC Riverside’s HIV + Aging Research Project-Palm Springs are just two of many UC projects that demonstrate the idea that global is local and local is global.”

Re-watch webinar – Why quality of health services matters for achieving universal health coverage. Organised by WHO, World Bank and OECD, 9 July 2018

http://www.who.int/servicedeliverysafety/quality-report/en/

As countries commit to achieving universal health coverage by 2030, there is a growing acknowledgement that optimal health care cannot be delivered by simply ensuring coexistence of infrastructure, medical supplies and health care providers. Improvement in health care delivery requires a deliberate focus on quality of health services. This is highlighted in the first-ever global report on quality co-authored by WHO, OECD and the World Bank, entitled “Delivering Quality Health Services: A Global Imperative for Universal Health Coverage”. …” Speakers were:

Tim Evans – Senior Director – Health, Nutrition and Population Global Practice – World Bank Group

Francesca Colombo – Head of Health Division – OECD

Ed Kelley – Director – Department of Service Delivery and Safety – World Health Organization

The Presentation is available here: http://www.who.int/servicedeliverysafety/quality-report/webinar9July2018.pdf?ua=1

Recording: here.

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