Academic literature on the topic 'Universal Health Coverage(UHO)'

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Journal articles on the topic "Universal Health Coverage(UHO)"

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Ruth Owino. "Towards Universal Health Coverage." Kabarak Journal of Research & Innovation 11, no. 3 (2021): 283–98. http://dx.doi.org/10.58216/kjri.v11i3.78.

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This paper explores the universal health coverage (UHC) in Kenya through the lens of its potential to progressively realize the constitutional promise of the right to the highest attainable standard of health. The health sector in Kenya has experienced tremendous changes since the government piloted the UHC program in four counties that led to the abolition of all fees, more than 200 community health units launched, 7700 community health volunteers with over 700 health workers recruited (MOH, 2020). Still, the government is in the process of scaling up UHC, reforming the national hospital insurance fund (NHIF) to establish a mandatory universal health coverage scheme. This paper sought to examine the framing of UHC; assess the healthcare system between 2017 -2020; investigate the challenges faced in the implementation of UHC in Kenya. The researcher utilized documents analysis to collect the relevant data using a coding schedule. A purposive search was undertaken to identify key policy documents and relevant documents. 18 documents were sampled. The findings reveal that Kenya’s healthcare facilities index stands at 59%, with a density of 2.2 per 10,000 population, the workforce density is at 15.6/10,000. Four counties including Tharaka Nithi (33.8), Nyeri (31.0), Uasin Gishu (28.2), and Nairobi (26.3) have achieved well above the WHO target. Several strategies and programs such as Afya Care, abolished maternity fees for mothers delivering at public facilities, and expansion of the National Health Insurance Fund, has been initiated to drive the UHC agenda. The Ministry of Health’s (MoH) budget also continues to rise, in 2018/19 the MoH received its largest allocation. Kenya, now more than ever, has an opportunity to accelerate progress towards equitable access to healthcare.
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Plianbangchang, Samlee. "Universal Health Coverage (UHC)." Journal of Health Research 32, no. 4 (2018): 322–24. http://dx.doi.org/10.1108/jhr-05-2018-029.

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Purpose The WHO Health for All goal of the year 2000 was unreachable due to a number of irreconcilable factors. However, governments agree that a resolution must be found to effectively cope with increasing health care costs. Furthermore, national health insurance schemes must be properly refined to suit local situations. Workable health policies and strategies for caring and treating sick people through reduced or cost effective methods must be developed as part of a Universal Health Coverage scheme. A review of progress made toward achieving the WHO goal of health for all. The purpose of this paper is to explore the government’s role and responsibilities to educate and support society to achieve optimum health. Design/methodology/approach This is a commentary piece. Findings Participation and involvement of all people of all walks of life in the development and management of their nation’s health care programs is an important requisite of good health for all. This should include financial participation and co-payment into the national health insurance scheme. Furthermore, national health care systems should involve or include the traditional/local and alternative systems of medicine in the most appropriate manner. Health care has to encompass the total range of comprehensive health interventions, inclusive of at least preventive, curative and rehabilitative care. Originality/value This paper provides a review of the current health system constraints and assesses the effectiveness of available options by way of ensuring that a country-specific UHC system may be successfully implemented.
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Osoro, Alfred A., Edwine B. Atitwa, and John K. Moturi. "Universal Health Coverage." World Journal of Social Science Research 7, no. 4 (2020): p14. http://dx.doi.org/10.22158/wjssr.v7n4p14.

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Universal Health Coverage has attracted global attention as an ideal vehicle that will drive health care services to the individuals, families, and communities globally. Good health systems are capable of serving the needs of entire populations, including the availability of infrastructure, human resources, health technologies, and medicines. This study seeks to identify the barriers and challenges which have hindered the provision of basic health care to communities and suggest ways of addressing some of them. Literature search reviewed 40 materials which were more relevant. Results revealed that there have been disparities in the provision of healthcare. Challenges in service provision include; lack of political commitment, weak health system resulting from limited financial allocation and poor leadership, lack of adequate number of skilled human resources, equipment and supplies and poor infrastructures. For UHC to be successful, an effective and well-functioning Primary Health Care (PHC) system is essential. Thus health systems can be strengthened through financial allocation; training of skilled and well-motivated healthcare workers. Also provision of right equipment and supplies, equity in resource distribution, improvement of infrastructures to meet the needs of the people is fundamental.
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Meessen, Bruno, EL Houcine Akhnif, Joël Arthur Kiendrébéogo, et al. "Learning for Universal Health Coverage." BMJ Global Health 4, no. 6 (2019): e002059. http://dx.doi.org/10.1136/bmjgh-2019-002059.

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The journey to universal health coverage (UHC) is full of challenges, which to a great extent are specific to each country. ‘Learning for UHC’ is a central component of countries’ health system strengthening agendas. Our group has been engaged for a decade in facilitating collective learning for UHC through a range of modalities at global, regional and national levels. We present some of our experience and draw lessons for countries and international actors interested in strengthening national systemic learning capacities for UHC. The main lesson is that with appropriate collective intelligence processes, digital tools and facilitation capacities, countries and international agencies can mobilise the many actors with knowledge relevant to the design, implementation and evaluation of UHC policies. However, really building learning health systems will take more time and commitment. Each country will have to invest substantively in developing its specific learning systemic capacities, with an active programme of work addressing supportive leadership, organisational culture and knowledge management processes.
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Nabila Erinaputri, Resa Listiani, Faza Duta Pramudyawardani, and Novita Dwi Istanti. "Peran Puskesmas Untuk Mencapai Universal Health Coverage di Indonesia: Literature Review." Jurnal Medika Nusantara 1, no. 2 (2023): 190–99. http://dx.doi.org/10.59680/medika.v1i2.310.

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Universal Health Coverage (UHC) is a health insurance system where every citizen has access to health services, both promotive, preventive, curative, rehabilitative, and palliative. Universal Health Coverage (UHC) not only provides protection for health services, but also provides financial protection to the community. Puskesmas is an effort to realize this, which provides health services with the main program of mandatory health efforts. However, health services at puskesmas still require a lot of leverage in achieving Universal Health Coverage (UHC). The purpose of this study is to analyze the role of puskesmas to achieve Universal Health Coverage (UHC). This research uses the Literature Review literature study method with Search engines used in literature searches, namely Google Scholar and journal databases such as Researchgate with the keywords Indonesia, Puskesmas, Universal Health Coverage (UHC). The criteria for articles used were based on publications published between 2019 and 2023. The results showed that the health service efforts of puskesmas in Indonesia still have to be improved to realize quality services in order to realize universal health coverage (UHC). Efforts to increase community empowerment are carried out through community empowerment in the independence of healthy living, maintaining, and improving health status. The conclusion of this study shows that improving services at puskesmas continues to be carried out through several capacity building, infrastructure and system improvements or updates as well as several programs with preventive, promotive, and community empowerment to achieve Universal Health Coverage (UHC).
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Saputro, Cipto Rizqi Agung, and Fenny Fathiyah. "Universal Health Coverage: Internalisasi Norma di Indonesia." Jurnal Jaminan Kesehatan Nasional (JJKN) 2, no. 2 (2022): 204–16. http://dx.doi.org/10.53756/jjkn.v2i2.108.

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Abstrak: Akses terhadap pelayanan kesehatan merupakan bagian dari hak asasi manusia. Sebagai upaya mewujudkan hak tersebut, PBB dan WHO menginisiasi sebuah program yakni universal health coverage (UHC). PBB mendorong penerimaan dan implementasi UHC oleh seluruh negara di dunia guna memberikan hak akses pelayanan kesehatan terhadap seluruh penduduk dunia. Indonesia sebagai salah satu anggota PBB tentu juga mendorong upaya pemenuhan UHC di dalam negeri. Tulisan ini melihat bahwa UHC merupakan sebuah norma internasional baru yang berusaha untuk disebarkan ke seluruh dunia. Dengan menggunakan konsep difusi norma yang dikemukakan oleh Finnemore & Sikkink serta konsep lokalisasi norma oleh Amitav Acharya, penulis berargumen bahwa Pemerintah Indonesia telah melakukan lokalisasi norma UHC di Indonesia dengan aktor lokal yang ditunjuk yakni BPJS Kesehatan.
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Laurell, Asa Cristina. "Universal health coverage in Latin America?" Social Medicine 9, no. 2 (2016): 54–55. https://doi.org/10.71164/socialmedicine.v9i2.2015.843.

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This Medicina Social/Social Medicine issue includes, among others, two articles critical of so-called Universal Health Coverage (UHC), one by Mishra and Seshadri and another by Waitzkin. The debate surrounding UHC has been around for a while in Latin America, where progressive governments have worked towards guaranteeing the universal right to health through a single, free, public health system, whilst neoliberal governments have implemented policies based on public-private insurance schemes and competition between public and private health service providers. The debate therefore swings between two different and opposing perspectives based on different views of the world and society where the competition between public and private insurance forms part of the neoliberal doctrine and the single, free, public health system is linked to the welfare state. The doctrinal and ideological nature of the neoliberal approach is demonstrated by the fact that it is modeled on the most expensive and inefficient health system in the world: that of the US. ...
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Resky, Nurhayati, Nilawati Uly, Ishaq Iskandar, and Zamli Zamli. "Analysis Of Universal Health Coverage (UHC) Coverage In Tana Toraja Regency." Jurnal Kesehatan Mahardika 11, no. 2 (2024): 124–31. https://doi.org/10.54867/jkm.v11i2.223.

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Universal Health Coverage (UHC) is a type of health insurance in Indonesia that is managed by an official institution receiving direct orders from the President, known as the Health Social Security Administration Agency. Tana Toraja Regency is one of the areas where this program is implemented, providing health coverage to those without insurance. The goal of the study is to analyze the UHC program's implementation by the Tana Toraja Regency Government. The study used qualitative research methods, collected data through interviews, and conducted the research within Tana Toraja Regency. According to the interviews, the bureaucratic structure of UHC services in Tana Toraja Regency is straightforward, making patients feel comfortable with the service procedures. While there are still some obstacles in its implementation, 84.71% of the people in Tana Toraja have been registered as participants in the UHC program. Overall, Tana Toraja Regency has successfully achieved its target of providing health insurance for almost all its residents, despite some who have not been registered. This success is attributed to the commitment and hard work of the Tana Toraja Regency Government.
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Reynolds, Teri, Thomas Wilkinson, Melanie Y. Bertram, et al. "Building implementable packages for universal health coverage." BMJ Global Health 8, Suppl 1 (2023): e010807. http://dx.doi.org/10.1136/bmjgh-2022-010807.

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Since no country or health system can provide every possible health service to everyone who might benefit, the prioritisation of a defined subset of services for universal availability is intrinsic to universal health coverage (UHC). Creating a package of priority services for UHC, however, does not in itself benefit a population—packages have impact only through implementation. There are inherent tensions between the way services are formulated to facilitate criteria-driven prioritisation and the formulations that facilitate implementation, and service delivery considerations are rarely well incorporated into package development. Countries face substantial challenges bridging from a list of services in a package to the elements needed to get services to people. The failure to incorporate delivery considerations already at the prioritisation and design stage can result in packages that undermine the goals that countries have for service delivery. Based on a range of country experiences, we discuss specific choices about package structure and content and summarise some ideas on how to build more implementable packages of services for UHC, arguing that well-designed packages can support countries to bridge effectively from intent to implementation.
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Guntoro, Adi Suci, Kristise Hindro Kusumo, Asep Komarudin, Merry Krisima, and Yudi Prasetya. "Village Government Strategies to Achieve Universal Health Coverage." Jurnal Berkala Kesehatan 11, no. 1 (2025): 22. https://doi.org/10.20527/jbk.v11i1.21662.

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Universal Health Coverage (UHC) is one of the SDG targets set by the UN. The government then issued Presidential Instruction No. 1 Year 2022 on Optimizing the Implementation of the JKN Program. JKN membership coverage of JKN participants in Gunung Mas District has reached 100%, but there are still villages that have not reached UHC coverage >95%. This study aims to explore the strategies used by village governments to achieve UHC in Gunung Mas District. This study used a qualitative approach based on thematic analysis. Data were collected through focus group discussions, in-depth interviews, and literature review. The research subjects were village governments with the highest, medium, and lowest levels of UHC achievement. Village government strategies in achieving UHC include data collection, education, proposing JKN for the poor, and collaborating with related agencies. Barriers that arise are the lack of regulation of village funds for JKN registration, limited funds, and the large budget required. There are gaps in UHC achievement, with the highest achieving villages actively involving community cadres. Village governments with the lowest UHC achievement are advised to more actively involve community cadres. BPJS Kesehatan is also advised to socialize Presidential Instruction No. 1 of 2022 to village governments
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Dissertations / Theses on the topic "Universal Health Coverage(UHO)"

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Nkosi, Mbhekeni Sabelo. "National Health Insurance (NHI) – towards Universal Health Coverage (UHC) for all in South Africa: a philosophical analysis." University of the Western Cape, 2020. http://hdl.handle.net/11394/7703.

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Philosophiae Doctor - PhD<br>This study is a philosophical analysis of the National Health Insurance (NHI) policy and legislation, including the related NHI Fund, with a view to assessing its prospects in realising Universal Health Coverage (UHC). The NHI system is about ensuring universal access to quality healthcare for all. The rationale is to provide free healthcare for all at the point of care/service. This legislation has the potential to transform, on the one hand, the relationship between the public and private healthcare sectors and, on the other, the nature of public funding for healthcare. Part of the challenge with the NHI system is that it seeks to provide healthcare for all, but by seeking to integrate the private sector it runs the risk of commercializing healthcare. The study is philosophical in that it holds that ideas have consequences (and conversely actions have presuppositions with certain meanings). In part, it aims to show that an implementing mechanism of the NHI system as presently envisaged has socio-political and economic implications with fundamental contradictions within it; for it seeks to incorporate the private healthcare sector in offering free public healthcare services. This introduces a tension for private healthcare services operate with a neoliberal outlook and methodology which is at odds with a public approach that is based on a socialist outlook. The analysis may make explicit conceptual and ideological tensions that will have practical consequences for healthcare. Much of the commentary on the NHI system have focused on the practical consequences for healthcare; my intervention is to explore and critically assess the various philosophical assumptions that lie behind these practical concerns. Some of these practical consequences are related to the possibility that healthcare is likely to become commercialized and the public healthcare sector will remain in a crisis. This study argues for the provision of access to high quality healthcare facilities for all members of the South African population. Healthcare must be provided free at the point of care through UHC legislation or by the setting up of the NHI Fund as financing mechanism. The study provides reason for the decommercialization of healthcare services completely – that is for eliminating private healthcare from contracting with the NHI Fund. Essentially, it argues for the claim that healthcare should not be traded in the market system as a commodity and that the NHI system in its current incarnation seeks to do precisely that. I further argue that in theory and in practice the neoliberal and socialist assumptions underlying the NHI system in its present formulation do not fit together. On the contrary, rather than a two-tiered system incorporating the private and public healthcare sectors, the dissertation argues for a different way of conceptualizing the NHI system that privileges the latter.
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Roman, Tamlyn. "Universal health coverage: a systems thinking approach." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/11976.

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Includes abstract.<br>Includes bibliographical references.<br>This dissertation uses a systems thinking approach to investigate how current health system frameworks conceive of universal coverage schemes and the conditions which led to their implementation and sustainability.
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Nandi, Sulakshana. "Equity, access and utilisation in the state-funded universal insurance scheme (RSBY/MSBY) in Chhattisgarh State, India: What are the implications for Universal Health Coverage?" University of the Western Cape, 2019. http://hdl.handle.net/11394/7393.

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Philosophiae Doctor - PhD<br>Universal Health Coverage (UHC) has provided the impetus for the introduction of publicly-funded health insurance (PFHI) schemes, involving the private sector, especially in low-and middle-income countries with mixed health systems. Although equity is considered as being core to UHC, the implication of UHC interventions for equity in access (availability, affordability and acceptability) beyond financial protection is inadequately researched. India introduced a national PFHI scheme (Rashtriya Swasthya Bima Yojana) in 2007 which has since then been expanded considerably through the Pradhan Mantri Jan Aarogya Yojana (PMJAY) scheme. However, contestation remains as to whether PFHI schemes are the most appropriate interventions for UHC in India. Evidence so far provides cause for concern regarding their impact on financial protection and health equity. With PFHI schemes burgeoning globally, there is an urgent need for a holistic understanding of the pathways of impact of these schemes, including their roles in promoting equity of access and achievement of UHC objectives. The state-funded universal health insurance scheme (RSBY/MSBY) in Chhattisgarh State provided the opportunity to explore these pathways of impact, especially on vulnerable communities, as the State has a universal health insurance scheme. This PhD aims to study equity, access and utilisation in the state-funded universal insurance scheme in Chhattisgarh State of India, in the context of Universal Health Coverage. It is presented as a thesis by publications.
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Koon, A. D. "Framing Universal Health Coverage in Kenya : an interpretive analysis of health financing politics." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2017. http://researchonline.lshtm.ac.uk/4398421/.

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Universal Health Coverage (UHC), comprehensive access to affordable and quality health services, is a key component of the newly adopted 2015 Sustainable Development Goals (SDGs). Prior to formally adopting the goals at the United Nations in September 2015, several countries began incorporating elements of UHC into the domestic policy arena. Little research has been conducted on the process through which UHC financing policies have been contested in the political realm. In 2013, President Uhuru Kenyatta of Kenya announced initiatives aimed at moving the country towards UHC, which have proven controversial. This study drew on recent theoretical innovations in the field of critical policy studies to examine the ways in which actors understood and engaged with three highly contested health financing polices introduced as part of the movement towards UHC in Kenya: user fee removal, raising contributions to the mandatory health insurer, and the failed 2004 Bill on Social Health Insurance. In addition to document review, this study involved interpretive analysis of transcripts from 50 semi-structured interviews with leading actors involved in the health financing policy process in Kenya. The frame-critical analysis focused on how actors 1) make sense of the policy environment and create meaning through circulating finance ideas; 2) name various elements of the policy design through a process of selecting and categorizing; 3) tell stories and create narratives in ways that illustrate salient features of the process and generate shared understandings. Furthermore, this analysis also focused on what is subject to framing in this dynamic process, including 1) the substantive issues of the policies in question; 2) actor identities and relationships; and 3) the policy process itself. This study found that user fee removal was framed by finance experts as an achievable shortterm target for the Jubilee Coalition’s party manifesto. The rate increase for the mandatory insurer, the National Hospital Insurance Fund (NHIF), was consistently obscured by framing the debate around the shortcomings of NHIF and its damaged legacy. Lastly, the failed 2004 Bill on National Social Health Insurance has since fragmented into several incremental policy proposals that remain the subject of divisive framing contests. This study provides timely insight into the political dynamics surrounding the UHC movement, the policy process for health financing in Kenya, as well as theoretical and methodological considerations for frame-critical policy analysis and the field of critical policy studies more widely.
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Makhloufi, Khaled. "Towards universal health coverage in Tunisia : theoretical analysis and empirical tests." Thesis, Aix-Marseille, 2018. http://www.theses.fr/2018AIXM0025/document.

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La présente thèse explore, à travers quatre papiers, la possibilité d’étendre le régime d’assurance maladie sociale (SHI) vers la couverture santé universelle (CSU) et ce en présence d’obstacles structurels économiques.Les effets moyens de deux traitements, les deux assurances MHI et MAS, sur l’utilisation des soins de santé (consultations externes et hospitalisations) sont estimés. L’actuel régime d’assurance sociale en Tunisie (SHI), malgré l’amélioration de l’utilisation des soins de santé procurée aux groupes couverts, reste incapable d’atteindre une couverture effective de tous les membres de la population vis-à-vis des services de soins dont ils ont besoin. L’atteinte de cet objectif requière une stratégie qui cible les ‘‘arbres’’ et non la ‘‘forêt’’.Le chapitre deux contourne les principaux obstacles à l’extension de la couverture par l’assurance maladie et propose une approche originale permettant de cibler les travailleurs informels et les individus en chômage. Une étude transversale d’évaluation contingente (CV) a été menée en Tunisie se proposant d’estimer les volontés d’adhésion et les consentements à payer (WTP) pour deux régimes obligatoires présentés hypothétiquement à l’adhésion. Les résultats confirment l’hypothèse selon laquelle la proposition d’une affiliation volontaire à un régime d’assurance obligatoire serait acceptée par la majorité des non couverts et que les WTP révélés pour cette affiliation seraient substantiels. Enfin, dans le chapitre trois, on insiste sur l'’importance de prendre en compte les attitudes protestataires en évaluant la progression vers la CSU<br>This thesis explores, in a four paper format, the possibility of extending social health insurance (SHI) schemes towards Universal Health Coverage (UHC) in presence of structural economic obstacles.The average treatment effects of two insurance schemes, MHI and MAS, on the utilization of outpatient and inpatient healthcare are estimated. The current Tunisian SHI schemes, despite improving utilization of healthcare services, are nevertheless incapable of achieving effective coverage of the whole population for needed services. Attaining the latter goal requires a strategy that targets the “trees” not the “forest”.Chapter two gets around major challenges to extending health insurance coverage and proposes an original approach by targeting informal workers and unemployed. A cross-sectional Contingent valuation (CV) study was carried out in Tunisia dealing with willingness-to-join and pay for two mandatory health and pension insurance schemes.Results support the hypotheses that the proposition of a voluntary affiliation to mandatory insurance schemes can be accepted by the majority of non-covered and that the WTP stated are substantial.Finally in chapter three we focus on methodological aspects that influence the value of the WTP. Our empirical results show that the voluntary affiliation to the formal health insurance scheme could be a step towards achieving UHC in Tunisia. Overall, we highlight the importance of taking into account protest positions for the evaluation of progress towards UHC
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Diallo, Elhadj Mamadou Saliou. "Three essays on progress towards universal health coverage in developing countries." Electronic Thesis or Diss., Université Clermont Auvergne (2021-...), 2021. http://www.theses.fr/2021UCFAD034.

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De nombreux efforts, et d’immenses progrès ont été réalisés ces dernières années par les pays à revenu faible et intermédiaire vers la couverture universelle de santé. Celle-ci est atteinte lorsque tous les individus ont accès à des soins de santé de qualité lorsqu’ils en expriment le besoin, et sans encourir de difficultés financières. Cette thèse s’efforce de mesurer les progrès réalisés par les pays à revenu faible et intermédiaire en matière de couverture universelle de santé, d’en déduire les déterminants et de mettre en évidence les effets que peuvent avoir la couverture universelle de santé sur l’état de santé. La thèse s’organise autour de trois chapitres. Le premier chapitre montre l’effet des paiements directs sur la pauvreté. L’analyse vise à décrire la nécessité de progresser vers la couverture universelle de santé en mettant en exergue l’effet des paiements directs sur la pauvreté. Le deuxième chapitre vise à exposer les facteurs qui expliquent les progrès réalisés par certains pays en matière de couverture universelle de santé, en analysant l’effet spécifique des recettes du gouvernement. En outre, à la différence d’autres études, ce chapitre déduit le niveau minimal de recettes du gouvernement en pourcentage du PIB que les pays à revenu faible et intermédiaire devraient mobiliser pour progresser significativement vers la couverture universelle de santé. Enfin, le chapitre trois étudie l’effet du progrès vers la couverture universelle de santé sur l’état de santé<br>Many efforts and tremendous progress has been made in recent years by low- and middle-income countries towards universal health coverage. It is achieved when all individuals have access to quality health care when they need it, without incurring financial hardship. This thesis aims to measure the progress made by low- and middle-income countries in universal health coverage, deduce their determinants, and highlight the effects of universal health coverage on health outcomes. The thesis is organized around three chapters. The first chapter shows the effect of out-of-pocket expenditures on poverty. The analysis aims to show the necessity to move towards universal health coverage by highlighting the effect of out-of-pocket expenditures on poverty. The second chapter aims to show the factors that explain the progress made by some countries in universal health coverage and analyzing the specific effect of government revenue. In addition, this chapter, unlike other studies, deduces the minimum level of government revenue as a share of GDP that low and middle-income countries should mobilize to make significant progress towards universal health coverage. Finally, chapter three examines the effect of progress towards universal health coverage on health status
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Barroy, Hélène. "Toward Universal Health Coverage : Assessing Health Financing Reforms in Low and Middle Income Countries." Thesis, Clermont-Ferrand 1, 2014. http://www.theses.fr/2014CLF10459.

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La Couverture Santé Universelle (CSU) vise permettre à chaque individu d’utiliser les services de santé dont il a besoin sans risque de ruine financière ou d’appauvrissement. Bien que le concept de CSU offre un cadre directeur important pour une nation, tous les pays, quel que soit leur niveau de revenu, sont aux prises avec la réalisation ou le maintien de la couverture universelle. Dans ce contexte, générer des preuves sur les expériences des pays et partager les leçons sur les principales contraintes et les choix stratégiques utilisés pour surmonter les barrières techniques serait susceptible de permettre aux pays à revenus faibles ou intermédiaires d’aller de l'avant et de progresser plus rapidement vers la CSU. La thèse propose une analyse comparative de plusieurs instruments politiques, utilisés par cinq cas pays (Niger, Vietnam, Bangladesh, Gabon, France), pour étendre la couverture sanitaire et la protection financière. L’analyse montre que les interventions simples, comme la suppression des frais des utilisateurs (Niger) ou de l'assurance santé à base communautaire (Bangladesh), peuvent accroître l'utilisation des services pour les groupes les plus défavorisés, mais font face à de fortes limitations dans l’atteinte de plus grandes ambitions. Des réformes plus articulées ont démontré des gains importants dans le développement de la couverture santé, mais font également face à des défis pour trouver l'espace budgétaire suffisant (Gabon) et améliorer l’efficience et l'équité du système (Vietnam). Enfin, la thèse analyse les effets de différentes réformes utilisées pour maintenir les gains de la CSU dans des systèmes de santé mûrs, tel que la France. Dans l'ensemble, la thèse a démontré que le menu des réformes vers la couverture universelle est vaste, complexe et perpétuel mais que certains chemins peuvent conduire au succès<br>Universal Health Coverage (UHC) is to ensure that everyone can use the health services they need without risk of financial ruin or impoverishment. While the UHC concept offers a powerful framework for a nation, all countries, irrespective of their income level, are struggling with achieving or sustaining universal coverage. In this context, generating evidence about countries’ experiences and sharing lessons on key constraints and strategic choices used to overcome technical barriers would likely enable low-and-middle countries to move forward and make faster progress toward UHC. The thesis provides a comparative analysis of policy instruments used by five selected country cases (Niger, Vietnam,Bangladesh, Gabon and France), to expand health coverage and financial coverage. Analysis shows that single interventions, like user fee removal (Niger) or community-based insurance (Bangladesh), can increase service utilization for the most disadvantaged groups but face strong limitations toward greater ambitions. More articulated reforms have demonstrated significant gains in expanding health coverage but also face challenges in finding the adequate fiscal space (Gabon) and in strengthening system’s efficiency and equity (Vietnam). Finally, the thesis analyzed the effects of different reforms used to sustain gains of UHC in mature health systems, like France. Overall, the thesis demonstrated that the reform agenda for universal coverage is large, complex and perpetual but that certain pathways can ensure success
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Chamchan, Chalermpol. "Thailand's universal coverage implementation : performances and impacts on public health service system." 京都大学 (Kyoto University), 2007. http://hdl.handle.net/2433/137062.

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Kyoto University (京都大学)<br>0048<br>新制・課程博士<br>博士(地域研究)<br>甲第13194号<br>地博第44号<br>新制||地||14(附属図書館)<br>UT51-2007-H467<br>京都大学大学院アジア・アフリカ地域研究研究科東南アジア地域研究専攻<br>(主査)教授 水野 廣祐, 教授 松林 公蔵, 教授 玉田 芳史<br>学位規則第4条第1項該当
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Tapsoba, Palingwindé Yann. "Sustainable health financing for progress towards universal health coverage in low- and middle-income countries." Thesis, Université Clermont Auvergne‎ (2017-2020), 2017. http://www.theses.fr/2017CLFAD022/document.

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Cette thèse s’intéresse aux questions de soutenabilité dans le financement de la santé au sein des pays à revenus faible et intermédiaire. Elle est articulée autour de quatre chapitres. Les deux premiers chapitres proposent respectivement d’explorer les déterminants de l’efficience technique des dépenses de santé et de leur niveau par habitant dans les pays à revenus faible et intermédiaire. Le premier chapitre analyse l’effet de l’ouverture commerciale sur l’efficience technique des dépenses de santé. Le second chapitre étudie l’effet de la pollution de l’air sur les dépenses de santé. Dans les deux derniers chapitres, nous nous focalisons sur les pays d’Afrique subsaharienne. Le troisième chapitre étudie le rôle que joue le financement prépayé de la santé pour l’amélioration de la santé dans les ménages tandis que le quatrième chapitre se fixe pour objectif d’analyser les déterminants des dépenses prépayées de santé en se focalisant plus particulièrement sur l’instabilité politique<br>This thesis focuses on the sustainability issues in health financing in low-and middle –income countries. It is articulated around four chapters. The two first chapters propose to respectively explore the determinants of technical efficiency of health expenditures and their level per capita in low-and middle –income countries. The first chapter analyzes trade openness effect on the technical efficiency of health expenditures. The second chapter investigates air pollution effect on health expenditures. In the two last chapters, we focus on Sub-Saharan African countries. The third chapter studies the role that plays prepayment health financing for health improvement in households whereas the fourth one sets the goal to analyze the determinants of prepayment health expenditures, by particularly focusing on political instability
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Wungchun, Kittipadakul Nonglak Pancharuniti. "Client satisfaction towards oral health services under universal health coverage project in Singburi province, Thailand /." Abstract, 2004. http://mulinet3.li.mahidol.ac.th/thesis/2547/cd363/4637905.pdf.

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Books on the topic "Universal Health Coverage(UHO)"

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Alamgir, Nadia Ishrat. Building awareness on universal health coverage (UHC): Advancing the agenda in Bangladesh. Centre for Excellence for Universal Health Coverage, 2017.

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Centre of Excellence for Universal Health Coverage (Dhaka, Bangladesh), ed. Creating momentum for Universal Health Coverage (UHC) in Bangladesh: Challenges and opportunities. Centre of Excellence for Universal Health Coverage, James P Grant School of Public Health, BRAC University, 2017.

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Commission, Minnesota Health Care. Universal coverage report. The Commission, 1994.

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USAID/Uganda and World Bank Group, eds. A roadmap towards universal health coverage in Uganda 2020/21 to 2029/30: Priority actions for orienting implementation of existing policies and strategies coherently in a manner that moves towards UHC and ensure long-term success. Ministry of Health, 2020.

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Burma. Kyanʻʺ mā reʺ Vanʻ krīʺ Ṭhāna. Health system assessment for universal health coverage Myanmar. Ministry of Health, 2012.

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Commission, Minnesota Health Care, ed. An affordable step toward universal coverage: Summary. Minnesota Health Care Commission, 1995.

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Medcalf, Alexander. Health For All: The Journey of Universal Health Coverage. Orient Blackswan, 2015.

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E, Hamner James, and Frank M. Norfleet Forum for the Advancement of Health., eds. Universal health care coverage in the United States. University of Tennessee, Memphis, 1991.

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World Health Organization (WHO). Health Systems Financing: The path to universal coverage. World Health Organization, 2010.

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United States. Congressional Budget Office., ed. Universal health insurance coverage using Medicare's payment rates. Congress of the U.S., Congressional Budget Office, 1991.

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Book chapters on the topic "Universal Health Coverage(UHO)"

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Pablos-Méndez, Ariel, and Timothy G. Evans. "Universal Health Coverage (UHC): From Global Consensus to National Action." In Sustainable Development Goals Series. Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-33851-9_42.

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Ghandour, Hiba, and Paul Truche. "UHC Surgery and Anesthesia as Essential Components of Universal Health Coverage (WHA 68.15)." In Sustainable Development Goals Series. Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-83864-5_3.

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Katsuma, Yasushi. "Global Health Diplomacy to Combat Communicable Diseases and to Promote Universal Health Coverage in Achieving the Sustainable Development Goal 3." In Sustainable Development Goals Series. Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-4859-6_2.

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AbstractThe aspiration of the Goal 3 of the Sustainable Development Goals (SDGs) to “ensure healthy lives and promote well-being for all at all ages” is derived from both the “right to health” norm in the field of international human rights and the “health for all (HFA)” goal in the field of international development. The principle of “Leave no one behind” in achieving the SDGs is logically endorsed both by the right to health and the HFA. First, communicable diseases have become perceived as a threat to “human security” in global health, and Japan started to use the concept in global health diplomacy to elevate the level of dialogues. Nevertheless, Ebola Virus Diseaseand COVID-19, not anticipated when the SDGs were adopted, now urge us to re-visit the needs to reform global health governance. Second, to promote universal health coverage (UHC), international partnership has been strengthened. In 2019, at the G20 Summit, Japan played an important role in promoting the UHC among the twenty members. This led to an expanded international commitment made at UN High-Level Meeting on UHC in the same year. It shows that global health has become an important agenda for diplomacy.
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Ahmed, Ashir, Forhad Hossain, Nuren Abedin, Rafiqul Islam, Faiz Shah, and Hiroshi Hoshino. "Digital Healthcare and a Social Business Model to Ensure Universal Health Coverage (UHC): A Case Study of Bangladesh." In Base of the Pyramid and Business Process Outsourcing Strategies. Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-19-8171-5_3.

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Legge, David G. "Universal health coverage." In The Routledge Handbook of the Political Economy of Health and Healthcare. Routledge, 2024. http://dx.doi.org/10.4324/9781003017110-27.

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Gitahi, Githinji, and Cheryl Cashin. "Universal Health Coverage." In Handbook of Global Health. Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-45009-0_69.

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Gitahi, Githinji, and Cheryl Cashin. "Universal Health Coverage." In Handbook of Global Health. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-05325-3_69-1.

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Tashiro, Ai, and Ryo Kohsaka. "Universal Health Coverage: Healthcare System for Universal Health Coverage Under Partnerships." In Encyclopedia of the UN Sustainable Development Goals. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-71067-9_18-1.

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Tashiro, Ai, and Ryo Kohsaka. "Universal Health Coverage: Healthcare System for Universal Health Coverage Under Partnerships." In Encyclopedia of the UN Sustainable Development Goals. Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-319-95963-4_18.

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Hsiao, William, Mingqiang Li, and Shufang Zhang. "China’s Universal Health Care Coverage." In Towards Universal Health Care in Emerging Economies. Palgrave Macmillan UK, 2017. http://dx.doi.org/10.1057/978-1-137-53377-7_9.

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Conference papers on the topic "Universal Health Coverage(UHO)"

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Ray, Pradeep K., and Congfei Zhang. "Role of entrepreneurship in Universal Health Coverage (UHC) using mHealth." In 2017 IEEE Technology & Engineering Management Conference (TEMSCON). IEEE, 2017. http://dx.doi.org/10.1109/temscon.2017.7998365.

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Fuad, Anis, Siti Setyawati Mulyono Putri, Mei Neni Sitaresmi, and Diah Ayu Puspandari. "Financial Sources Options for Telemedicine Program within Universal Health Coverage (UHC) Era in Indonesia." In 2018 1st International Conference on Bioinformatics, Biotechnology, and Biomedical Engineering (BioMIC). IEEE, 2018. http://dx.doi.org/10.1109/biomic.2018.8610595.

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Rădulescu, Carmen-Valentina, Cătălin Octavian Mănescu, Maria Loredana Popescu, and Mihaela Diana Oancea-Negescu. "Population Growth and Global Nutrition: Implications for Universal Health Coverage and Sustainable Development Goals." In 9th BASIQ International Conference on New Trends in Sustainable Business and Consumption. Editura ASE, 2023. http://dx.doi.org/10.24818/basiq/2023/09/021.

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The purpose of this article is to examine the implications of population growth for global nutrition, and how nutrition interventions can support universal health coverage (UHC) and the sustainable development goals (SDGs). The article uses a systematic review of literature to analyze the relationships between population dynamics and nutrition outcomes across different regions and contexts. The findings show that population growth poses significant challenges for food systems, health systems and environmental sustainability, and that malnutrition in all its forms undermines human development and well-being. The article also highlights the opportunities and benefits of integrating nutrition into UHC and the SDGs and proposes a set of policy and programmatic actions to achieve nutrition equity. The article contributes to the existing knowledge on population-nutrition linkages and provides valuable insights for policymakers and practitioners working on health and development issues. The article also suggests some practical implications for improving nutrition service delivery, financing, governance and accountability within health systems and beyond.
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Octavia, Eva Nur, and Pandu Riono. "Effectivity of National Health Insurance on Maternal Health in Developing Countries: A Systematic Review." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.03.

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ABSTRACT Background: Improving maternal health services is one of the main objectives in reducing maternal mortality. The national health insurance system is one of the efforts to achieve Universal Health Coverage (UHC) which aims to ensure that people can access health services without financial difficulties as stated in the third point of SDGs 2030. This system ensures that women are able to access quality maternal health services. This study aimed to review the effectiveness of national health insurance implementation on maternal health service in developing countries, systematically. Subjects and Method: This was a systematic review conducted by searching for articles through three databases, namely Cinahl, Medline, and JSTOR. The search was carried out using the Population, Intervention, Comparison, Outcome, Study Design (PICO-S method). In the identification stage, it was found 251 articles and 8 articles were selected to meet the criteria for this study. Results: The national health insurance system was an effort to ensure that women of reproductive age were able to access quality maternal health services. However, there were still gaps in the utilization of health services which are influenced by factors of education, economic status, and geographic area. Conclusion: The implementation of the national health insurance system has an impact on increasing the utilization of maternal health services, especially in developing countries. Keywords: national health insurance, women of reproductive age, maternal health services, developing country Correspondence: Eva Nur Octavia. Postgraduate of Reproductive Health, Faculty of Public Health, Universitas Indonesia. Jl. Margonda Raya, Pondok Cina, Beji, Depok 16424, East Java. Email: evanuroctavia@gmail.com. Mobile: +62 87759656772 DOI: https://doi.org/10.26911/the7thicph.04.03
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Denny, Hanifa M. "1701d Universal health coverage and workers’ health developments in indonesia." In 32nd Triennial Congress of the International Commission on Occupational Health (ICOH), Dublin, Ireland, 29th April to 4th May 2018. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/oemed-2018-icohabstracts.1190.

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Ati, Ni Luh Putu Arum Puspitaning. "Public Health in the Decentralization Era Towards Universal Coverage." In Indonesian Health Economics Association. SCITEPRESS - Science and Technology Publications, 2017. http://dx.doi.org/10.5220/0007026501790182.

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Masyfufah, Lilis, and Erwin Astha Triyono. "A Challenge of Universal Coverage to HIV/AIDS Outpatients." In Indonesian Health Economics Association. SCITEPRESS - Science and Technology Publications, 2017. http://dx.doi.org/10.5220/0007027902380241.

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Ifeagwu, SC, J. Yang, R. Parkes-Ratanshi, and C. Brayne. "P21 Universal health coverage in sub-saharan Africa: implications for planetary health." In Society for Social Medicine and Population Health Annual Scientific Meeting 2020, Hosted online by the Society for Social Medicine & Population Health and University of Cambridge Public Health, 9–11 September 2020. BMJ Publishing Group Ltd, 2020. http://dx.doi.org/10.1136/jech-2020-ssmabstracts.117.

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Ernawati, CH Tuty, Sri Siswati, and Donal Ortega. "Implementation of Integration West Sumatera Sakato Health Insurance Program Towards Universal Health Coverage." In Proceedings of the Third Andalas International Public Health Conference, AIPHC 2019, 10-11th October 2019, Padang, West Sumatera, Indonesia. EAI, 2020. http://dx.doi.org/10.4108/eai.9-10-2019.2297249.

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Matlala, SF, B. Mutsago, and OR Chabalala. "VIOLENT ATTACKS ON NURSES AS BARRIERS TO ACHIEVING UNIVERSAL HEALTH COVERAGE IN SOUTH AFRICA." In Global Public Health Conference. The International Conference on Knowledge Management, 2025. https://doi.org/10.17501/26138417.2025.8101.

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Reports on the topic "Universal Health Coverage(UHO)"

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Lipsky, Alyson, Molly Adams, and Chinyere Okeke. Ground-Truthing Social Network Analysis for Universal Health Coverage Advocacy Networks in Nigeria. RTI Press, 2024. http://dx.doi.org/10.3768/rtipress.2024.pb.0028.2405.

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Achieving universal health coverage (UHC) requires commitment from a wide range of actors, including policy makers, civil society, and academics. In low- and middle-income countries, creating momentum among stakeholders can be challenging with competing priorities and limited funding. Advocacy coalitions—groups of like-minded organizations coalescing to achieve a common goal—have been used to achieve UHC; however, the effectiveness of advocacy coalitions for UHC is not well understood. This policy brief reviews literature on how social network analysis (SNA)—a method “effective in helping to understand how the stakeholders view one another, share information, cooperate, and take joint action”—has been used in low- and middle-income countries to evaluate UHC advocacy coalitions (Abbot et al., 2022). These findings were validated using experiences from coalition members in Nigeria advocating for UHC. The literature suggests that factors contributing to network success include network cohesion, decentralized network structure, collective action, strong transparency and trust between actors within an advocacy network, and clear communication and collaboration around advocacy objectives and the roles of all involved. The interviews suggest these themes are present in Nigeria as well. Using SNA thinking to conduct interviews in Nigeria, the authors highlighted specific strengths and areas of growth for advocacy coalitions for UHC. La réalisation de la couverture santé universelle (CSU) nécessite l'engagement d'un large éventail d'acteurs, notamment les décideurs politiques, la société civile et les universitaires. Dans les pays à faible et revenu intermédiaire, susciter un élan parmi les parties prenantes peut être difficile avec des priorités concurrentes et un financement limité. Les coalitions de plaidoyer - des groupes d'organisations partageant les mêmes idées se regroupant pour atteindre un objectif commun - ont été utilisées pour réaliser la CSU ; cependant, l'efficacité des coalitions de plaidoyer pour la CSU n'est pas bien comprise. Ce document politique passe en revue la littérature sur la manière dont l'analyse des réseaux sociaux (ARS) - une méthode "efficace pour aider à comprendre comment les parties prenantes se perçoivent mutuellement, partagent des informations, coopèrent et prennent des mesures conjointes" - a été utilisée dans les pays à faible et revenu intermédiaire pour évaluer les coalitions de plaidoyer pour la CSU (Abbot et al., 2022). Ces résultats ont été validés à l'aide des expériences des membres de la coalition au Nigéria plaidant en faveur de la CSU. La littérature suggère que les facteurs contribuant au succès du réseau comprennent la cohésion du réseau, la structure décentralisée du réseau, l'action collective, une transparence et une confiance solides entre les acteurs au sein d'un réseau de plaidoyer, et une collaboration autour des objectifs de plaidoyer et des rôles de tous les intervenants. Les entretiens suggèrent que ces thèmes sont également présents au Nigéria. En utilisant la pensée de l'ARS pour mener des entretiens au Nigéria, les auteurs ont mis en évidence des forces spécifiques et des domaines de croissance pour les coalitions de plaidoyer pour la CSU.
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Bloom, Gerald, Priya Balasubramaniam, Anabel Marin, et al. Towards Digital Transformation for Universal Health Coverage. Institute of Development Studies, 2023. http://dx.doi.org/10.19088/cc.2023.005.

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The Covid-19 pandemic has re-emphasised the need to ensure equitable access to safe, effective and affordable health services. The very rapid shift to the use of smartphone apps and telephone consultations (telemedicine) has highlighted the potential impact of digital innovations on the capacity of health services to meet this need. It is time to take digital health seriously. In 2021, The Lancet and the Financial Times published a report by a commission of experts entitled Governing health futures 2030: growing up in a digital world. It describes the many ways that digital technologies are affecting health and access to health services (Kickbusch et al. 2021). The report emphasises the changing inter-relationships between the health and digital technology sectors and makes the case for effective governance of digital health. It outlines measures that can be taken to influence the speed and direction of change, with the aims of building trust and ensuring that the needs of poor and vulnerable people are met. Its focus is on global trends and global responses. This report complements that document by focusing on actions that LMICs can take to ensure that digital innovations contribute to their strategies for improving health and access to health services.
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Courtemanche, Charles, and Daniela Zapata. Does Universal Coverage Improve Health? The Massachusetts Experience. National Bureau of Economic Research, 2012. http://dx.doi.org/10.3386/w17893.

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Glied, Sherry. Universal Public Health Insurance and Private Coverage: Externalities in Health Care Consumption. National Bureau of Economic Research, 2008. http://dx.doi.org/10.3386/w13885.

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Lavado, Rouselle, George Schieber, Ammar Aftab, Saro Tsaturyan, and Hiddo Huitzing, eds. An Actuarial Model for Costing Universal Health Coverage in Armenia. Asian Development Bank, 2020. http://dx.doi.org/10.22617/tcs200395-2.

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Hondo, Derek, and Yanghee Kim. Achieving Universal Health Coverage in Developing Asia and the Pacific. Asian Development Bank Institute, 2023. http://dx.doi.org/10.56506/vuwa5043.

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Hagos, Nardos, Irum Taqi, and Susheela Singh. How Universal Health Coverage Can Increase Access to Sexual and Reproductive Health Services in Sub-Saharan Africa. Guttmacher Institute, 2023. http://dx.doi.org/10.1363/2023.300337.

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In recent years, governments across Africa have sought to shield their populations from the high financial cost of health care by implementing universal health coverage schemes. Universal health coverage cannot be achieved unless comprehensive sexual and reproductive health (SRH) care is included in national health plans. Kenya, Ghana, Ethiopia and Benin offer examples of how to integrate SRH into broader health coverage plans. Recommendations are offered to inform stakeholders’ approach to integrating sexual and reproductive health care into national health coverage plans.
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Cataife, Guido, and Charles Courtemanche. Income-Based Disparities in Health Care Utilization under Universal Coverage in Brazil. National Bureau of Economic Research, 2011. http://dx.doi.org/10.3386/w17069.

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Abuya, Timothy, Mardieh Dennis, Dennis Matanda, Francis Obare, and Ben Bellows. Impacts of removing user fees for maternal health services on universal health coverage in Kenya. International Initiative for Impact Evaluation (3ie), 2018. http://dx.doi.org/10.23846/pw3ie91.

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Card, David, Carlos Dobkin, and Nicole Maestas. The Impact of Nearly Universal Insurance Coverage on Health Care Utilization and Health: Evidence from Medicare. National Bureau of Economic Research, 2004. http://dx.doi.org/10.3386/w10365.

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