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Innovación para la cobertura universal de salud en Bangladesh: un llamado a la acción
Alayne M Adams1, Tanvir Ahmed1, Shams El Arifeen2
1Centre for Equity and Health Systems, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Lancet (London, England)
|November 26, 2013
Resumen
Bangladesh necesita una nueva agenda de salud centrada en la cobertura universal de salud e innovaciones. Las reformas clave incluyen los recursos humanos, el seguro nacional y la mejora de los sistemas de información de salud para una mejor atención médica.
Área de la Ciencia:
- Salud Pública La salud pública.
- Fortalecimiento de los sistemas de salud.
- Política de salud Política de salud
Sus antecedentes:
- Bangladesh ha logrado importantes avances en salud, lo que hace necesaria una agenda posterior a los Objetivos de Desarrollo del Milenio.
- Las rápidas transiciones sociales y de salud requieren una adaptación proactiva del sistema de salud.
- Las innovaciones sanitarias existentes proporcionan una base para los avances futuros.
Objetivo del estudio:
- Definir una agenda de salud para Bangladesh después de los Objetivos de Desarrollo del Milenio.
- Para esbozar innovaciones estratégicas para lograr la cobertura universal de salud.
- Para abordar los futuros desafíos de salud y los problemas estructurales en el sistema de salud.
Principales métodos:
- Desarrollar un enfoque estratégico multidimensional para la reforma de la salud.
- Aprendiendo de las lecciones de innovaciones sanitarias anteriores.
- Analizar las demandas existentes y anticipar las necesidades futuras de salud.
Principales resultados:
- Una agenda de reforma propuesta incluye una política nacional de recursos humanos, un sistema nacional de seguros y un sistema electrónico de información de salud interoperable.
- El fortalecimiento de la capacidad del Ministerio de Salud y Bienestar Familiar es crucial.
- Se recomienda el establecimiento de un consejo supraministerial sobre salud.
Conclusiones:
- La implementación de las reformas propuestas requiere una mayor inversión política, financiera y técnica.
- Estas inversiones fomentarán un sistema de salud más fuerte, más resistente, sostenible y equitativo.
- La agenda tiene como objetivo lograr la cobertura universal de salud a través de servicios de salud innovadores e integrados.
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