Thursday, January 26, 2012

[EQ] Social Health Protection: addressing inequities in access to health care

Social Health Protection: addressing inequities in access to health care

Pre-course e-learning: 20 February - 11 March 2012

Residential phase: 12 - 23 March 2012

Turin, Italy with a study visit to Chambéry, France

International Training Centre of the ILO Social Protection Programme


WHO website:

The course will identify inequities in effective access and main causes, review the importance of universal access to health care in crisis and post crisis situations, issues related to the feasibility of introducing a scheme and planning for implementation; designing the appropriate contribution levels and benefits, monitoring the provision of services and ensuring the sound governance and financing of the scheme.


This course enables participants to

• know about main determinants of inequities of social health protection systems

• identify and analyse root causes of those

• assess (dis-)advantages of various financing mechanisms for social health protection through comparative analysis

• evaluate impact and costs of social health insurance and government tax-funded systems

• design and implement policy interventions to reform current schemes

• respond to the specific needs of vulnerable groups to progress towards equity in access to health care

• develop an international perspective on global initiatives on access to health care


Analysis of issues related to gaps in access to health care

• Dimensions of effective access

• Gaps in statutory coverage

• Limitations in the scope of benefits

• Gaps in financial protection

Root causes for inequities in access to health care

• Fragmentation of social protection systems, multiplicity of actors

• Incoherence of policies and strategies

• Links to the socio-economic context

• Impacts of global crises on national policy-making

Developing and implementing responses to achieve universal access to health care

• Extension of social health protection coverage and its impact on poverty reduction

• Progressing towards universal and equitable access to health services

• Main financing mechanisms, collection of funds and creation of fiscal space

• Coordination of different health financing mechanisms for sustainable schemes

• Impact of expenditures and use of resources

• Administration, cost control and good governance of social health protection schemes

• Developing coverage plans and national health budgets

• Affordability and availability of adequate benefits

• Provision of health care benef ts

• National and community-based schemes

• ILO Conventions 102 and 130, Recommendation 69

• Social health protection and international initiatives: Social Protection Floor,
  Millennium Development Goals health outcomes, Decent Work Agenda

The multiple dimensions of inequity in effective access to health care for different population groups will be highlighted throughout the programme.


Phase I: Pre-course e-learning on the internet-based learning platform – 20 February - 11 March 2012.

• During the initial on-line phase all relevant practical and organisational information about the activity is shared with participants on this platform. A pre-course survey is carried out to assess the specific learning needs and preferences which will be integrated in the face-to-face phase. Through modules and an assignment participants are introduced to the thematic focus of the learning activity.

Phase II: Face-to-Face workshop – two week course, 12 – 23 March 2012 in Turin.

• Participants are expected to attend four sessions daily of 1.5hrs each.

• During the course an action-oriented, highly participative approach is used with particular attention to presenting good practises refl ecting experiences already gained locally and internationally. Training methods will combine lectures and discussions, case studies, open space discussions, group work and individual exercises.

• A visit to a health insurance scheme in Chambéry, France will allow participants on-site questions and answers on operational issues.

• All presentations as well as other relevant information and materials are uploaded on the online platform to facilitate that participants can share with their institutions what they have learned.

Phase III: Post-training on the internet-based learning platform

– following the face to face course.

• During the follow up phase participants upload action plans and discuss their follow-up actions. New resources, expertise and knowledge about the topic of the activity are regularly linked to the platform.



To foster interregional experience-sharing, the course is offered in English and in French, with simultaneous interpretation. All course materials are provided in both languages.


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