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Monitoring Progress towards Universal Health Coverage at Country and Global Levels

Bibliographic Data

ID23337353
AuthorsTies Boerma (0000-0002-8489-4499, World Health Organization - Pakistan, corresponding author), Patrick Eozenou (0000-0001-7460-0760, World Bank Group), David Evans (0000-0001-7258-3485), Tim Evans (0000-0002-2725-6730, World Bank Group), Marie-Paule Kieny (World Health Organization - Pakistan), Adam Wagstaff (0000-0003-4442-5070, World Bank Group)
Year2014
Volume11
Issue9
Pagese1001731
Publication date2014-09-22
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLoS Medicine (JOURNAL)
Journal identifiersISSN: 1549-1277 • E-ISSN: 1549-1676
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pmed.1001731
PMID25243899
PMCIDPMC4171369
OpenAlexW2068166908
LanguageEN
Citations received92
References cited23

Universal health coverage (UHC) has been defined as the desired outcome of health system performance whereby all people who need health services (promotion, prevention, treatment, rehabilitation, and palliation) receive them, without undue financial hardship. UHC has two interrelated components: the full spectrum of good-quality, essential health services according to need, and protection from financial hardship, including possible impoverishment, due to out-of-pocket payments for health services. Both components should benefit the entire population. This paper summarizes the findings from 13 country case studies and five technical reviews, which were conducted as part of the development of a global framework for monitoring progress towards UHC. The case studies show the relevance and feasibility of focusing UHC monitoring on two discrete components of health system performance: levels of coverage with health services and financial protection, with a focus on equity. These components link directly to the definition of UHC and measure the direct results of strategies and policies for UHC. The studies also show how UHC monitoring can be fully embedded in often existing, regular overall monitoring of health sector progress and performance. Several methodological and practical issues related to the monitoring of coverage of essential health services, financial protection, and equity, are highlighted. Addressing the gaps in the availability and quality of data required for monitoring progress towards UHC is critical in most countries.

Business · Economic growth · Economics · Equity (law) · Health care · Health equity · Payment · Political science · Finance · Global Maternal and Child Health · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine · Health Policy

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Unique citing works92
Citations per year7,67
Citation span2014 - 2026 (13)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 67

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