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Revisiting policies to achieve progress towards universal health coverage in low‐income countries

Realizing the pay‐offs of national social protection floors

Bibliographic Data

ID9971594
AuthorsXenia Scheil‐Adlung (International Labour office Geneva Switzerland, corresponding author)
Year2013
Volume66
Issue3-4
Pages145-170
Publication date2013-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Social Security Review (JOURNAL)
Journal identifiersISSN: 0020-871X • E-ISSN: 1468-246X
PublisherWiley (PUBLISHER • GB)
DOI10.1111/issr.12022
OpenAlexW1851628247
LanguageEN
Citations received3
References cited7

Despite progress on extending social health protection coverage, most low‐income countries are still far from achieving universal health coverage and thus key objectives related to improvements in health, such as those aimed at by the Millennium Development Goals ( MDGs ), will almost certainly not be realized by 2015. Principally affected are the most vulnerable populations: the rural and urban poor and workers in the informal economy and their families. It is of particular concern that progress might not only remain limited but even be reversed if policies continue to fail to address the root causes of gaps and deficits in health coverage. This article provides evidence that these causes lie both within and beyond the health sector and are strongly related to poverty and other forms of vulnerability. It argues that sustainable progress towards universal health coverage can only be achieved in an adequate time frame when focusing simultaneously on i) extending health coverage and improving access to needed health care; ii) providing income security through income support to those in need; iii) addressing limitations, or the inability to participate, in income generation from work; and iv) implementing coherent policies within and across the social, economic and health sectors that set priorities on poverty alleviation. Such policies can best be implemented in the context of national social protection floors ( SPF ) that focus on access to at least essential health care and on providing at least basic income security over the life cycle to all in need. Implementing SPFs may result in breaking the mutual linkages between ill health, poverty and other vulnerabilities and achieving sustainable progress towards universal health coverage and other social protection objectives

Business · Context (archaeology · Development economics · Economic growth · Economics · Geography · Health care · Political science · Poverty · Public economics · Social determinants of health · Social protection · Social security · Sustainable development · Vulnerability (computing · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Health Policy

  • Income security during periods of ill health

    Open Access•JENNIFER THORPE, Kerri Viney et al.•BMJ Global Health•2020

  • Social protection and the International Monetary Fund

    Open Access•Alexander E Kentikelenis, Alexandros Kentikelenis et al.•Globalization and Health•2024

  • Advancing health coverage of informal workers in three Latin American countries

    Open Access•Pamela Bernales‐Baksai, Orielle Solar‐Hormazábal•Social Policy and Administration•2018

  • Protecting Households From Catastrophic Health Spending

    Ke Xu, D Evans et al.•Health Affairs•2007

  • Beyond legal coverage

    Open Access•Xenia Scheil‐Adlung, Xenia Scheil-Adlung et al.•International Social Security…•2011

Unique citing works3
Citations per year0.38
Citation span2018 - 2024 (7)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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