IHP news 474: UHC

By on June 15, 2018

UHC & UHC 2030 updates

The below links are all worth a read, related to UHC sessions at the WHA and/or UHC 2030 governance:

UHC 2030 – “Let it not be tokenism!” Strengthening social participation for UHC

““People must have a strong voice for UHC, yet effective mechanisms for participation are often missing in countries,” said Dr Souwmya Swaminathan, Deputy Director General of the World Health Organization.”

UHC 2030 – Health for all: countries walking the talk – “Member States Commitment to the Global Movement towards Universal Health Coverage and UHC2030 Global Compact Signing Ceremony: event at World Health Assembly 71, Geneva, Switzerland.”

Short report of this High-Level event. Includes among others some new signatories to UHC 2030. “…Ghana, Iran, International Federation of Red Cross and Red Crescent Societies, Management Sciences for Health, International Federation of Medical Students’ Association, Women in Global Health, Worldwide Hospice Palliative Care Alliance all signed the UHC2030 Global Compact during the event….”

UHC 2030 – Perilous or Productive: engaging the private sector for UHC  Short report of this session at the 71st WHA.

UHC 2030 – A call to action: Advancing UHC in emergency settings  Idem.

WB’s Investing in Health blog – Keeping the promise of inclusive Universal Health Coverage: new data can improve health services for LGBTI people

F M Torres; https://blogs.worldbank.org/health/keeping-promise-inclusive-universal-health-coverage-new-data-can-improve-health-services-lgbti?cid=SURR_TT_WBGCitiesEN_D_EXT

“…In a recent survey conducted by the World Bank on economic inclusion of LGBTI groups in Thailand and published this year, about a quarter of respondents indicated that when seeking health services they were harassed or ridiculed and 24% said that they were asked to leave the facilities because of their LGBTI identity. In another study, soon to be made public, the World Bank collected data from more than 3,000 LGBTI respondents in the Western Balkans and found that almost 20 percent have difficulties accessing health providers. In addition, more than 18 percent either do not seek treatment when ill or forgo seeking medical services altogether due to fear of discrimination or intolerant reactions. And for those who overcome their fears, more than 27 percent either experience unequal treatment, pressure to involuntarily receive medical or psychological interventions or tests, or inappropriate curiosity and probing on non-relevant personal aspects of their lives.  A systematic review of peer reviewed papers published research from 2004 to 2014 highlighted that prejudice and discrimination was a real barrier suffered by the LGBT population in accessing good quality health services….”

We need more data generation like this so that we can develop truly inclusive health services and keep the promise of Universal Health Coverage that includes LGBTI people…”

International Journal for Equity in Health – Measuring financial protection against catastrophic health expenditures: methodological challenges for global monitoring

J Hsu et al; https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-018-0749-5

« Monitoring financial protection against catastrophic health expenditures is important to understand how health financing arrangements in a country protect its population against high costs associated with accessing health services. While catastrophic health expenditures are generally defined to be when household expenditures for health exceed a given threshold of household resources, there is no gold standard with several methods applied to define the threshold and household resources. These different approaches to constructing the indicator might give different pictures of a country’s progress towards financial protection. In order for monitoring to effectively provide policy insight, it is critical to understand the sensitivity of measurement to these choices. »

“…This paper examines the impact of varying two methodological choices by analysing household expenditure data from a sample of 47 countries. We assess sensitivity of cross-country comparisons to a range of thresholds by testing for restricted dominance. We further assess sensitivity of comparisons to different methods for defining household resources (i.e. total expenditure, non-food expenditure and non-subsistence expenditure) by conducting correlation tests of country rankings…. »

And some quick links:

NYTThe New Obamacare Lawsuit Could Undo Far More Than Protections for Pre-existing Conditions

A new Trump administration court challenge is explicitly aiming to remove a central promise of Obamacare — its protections for people with pre-existing health conditions. But it could also make it much harder for any individual to obtain health insurance on the open market….”

And news from South-AfricaCabinet approves an NHI bill which is thin on details.   “Cabinet has approved the long-awaited National Health Insurance (NHI) Bill, the government’s first and most crucial piece of legislation for implementing its goal of universal healthcare….

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