Research to support universal coverage reforms in
Guest Editors: Di McIntyre and Anne Mills
Health Policy Plan. (2012) 27(suppl 1): Volume 27 March 2012
“…….With the release of the 2010 World Health Report (World Health Organization 2010), universal coverage has been placed high on the global health policy agenda. We understand universal coverage to involve two key elements: first, ensuring financial protection for all from the costs of health care; and second, enabling access to needed health care for all citizens.
Pre-payment financing mechanisms (such as tax and various forms of health insurance), rather than direct out-of-pocket payments by individuals, are required to ensure financial protection. Indeed, most of the attention in recent health policy debates has been on the alternative ways of generating financial resources for health care, and to some extent on the pooling of these financial resources, to provide financial protection. Considerably less attention has been paid to the second element of universal coverage—how to improve access to, and the use of, quality health services.
To date, relatively limited progress towards universal coverage has been made in African countries. There is generally a heavy reliance on out-of-pocket payments in Africa, with some countries (such as
Where progress has been made towards universal financial protection in
"......While there remains a massive research agenda to inform universal coverage reforms in Africa, the findings of the SHIELD project presented in this special issue not only provide evidence of value to current reform debates, but also illustrate the range of technical and policy analyses that should be undertaken to comprehensively assess equity in existing health systems and appropriate reforms to promote universal coverage...."
Content: Full text at: http://bit.ly/xpGRIK
· Research to support universal coverage reforms in
· Progress towards universal coverage: the health systems of
· Progressivity of health care financing and incidence of service benefits in
· Who pays and who benefits from health care? An assessment of equity in health care financing and benefit distribution in
· Paying for and receiving benefits from health services in
· Factors influencing the burden of health care financing and the distribution of health care benefits in
· Social solidarity and willingness to tolerate risk- and income-related cross-subsidies within health insurance: experiences from
· Using stakeholder analysis to support moves towards universal coverage: lessons from the SHIELD project
· Inside the black box: modelling health care financing reform in data-poor contexts
· Modelling the implications of moving towards universal coverage in
· Modelling the affordability and distributional implications of future health care financing options in
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