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Paths towards Universal Health Coverage: beyond political commitments.

Viroj Tangcharoensathien1, Walaiporn Patcharanarumol1, Anond Kulthanmanusorn1

  • 1International Health Policy Program, Ministry of Public Health, Nonthaburi, Thailand.

Journal of Global Health
|December 16, 2021
PubMed
Summary
This summary is machine-generated.

Achieving Universal Health Coverage in low and middle-income countries requires addressing fiscal challenges and political inertia. Focusing on primary healthcare and citizen entitlements can drive progress towards equitable health access.

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Area of Science:

  • Health Economics
  • Public Health Policy
  • Global Health

Background:

  • Low and middle-income countries (LMICs) face significant hurdles in achieving Universal Health Coverage (UHC) despite economic growth.
  • Challenges include donor dependence, limited fiscal space, insufficient primary healthcare focus, and underdeveloped pre-payment systems.

Purpose of the Study:

  • To analyze the obstacles and opportunities for implementing Universal Health Coverage in LMICs.
  • To identify strategies for overcoming political inertia and ensuring health systems efficiency.

Main Methods:

  • This study synthesizes existing literature and policy analyses on UHC implementation in LMICs.
  • It examines the interplay of economic, political, and systemic factors influencing health coverage.

Main Results:

  • Political windows of opportunity must be leveraged to prioritize UHC on party agendas.
  • Effective strategic purchasing and addressing inefficiencies are crucial for maximizing health gains from available funds.
  • UHC must be framed as a citizen's right, necessitating full subsidies for vulnerable populations.

Conclusions:

  • Translating political commitment into UHC reality in LMICs demands a multi-faceted approach.
  • Addressing fiscal constraints, strengthening primary care, and ensuring political accountability are essential.
  • Viewing health as a citizen's entitlement, supported by targeted subsidies, is key to equitable UHC.