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Research for Universal Health Coverage

Research for Universal Health Coverage. The World Health Report 2013. W hy Universal H ealth Coverage? . 2005-12: all nations have made the commitment to achieve universal health coverage .

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Research for Universal Health Coverage

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  1. Research for Universal Health Coverage The World Health Report 2013

  2. Why Universal Health Coverage? • 2005-12: all nations have made the commitment to achieve universal health coverage • "everyone should have access to the health services they need without risk of financial ruin or impoverishment" • a powerful mechanism for achieving better health and well-being, and for promoting human development. • Historical background: • Alma Ata Declaration of 1978

  3. Why is research essential?

  4. HIV/AIDS and TB towards universal coverage (but not there yet) Source: Lancet 381, 413-418 (2013)

  5. Financial risk protection is patchy Where out-of-pocket expenditure is high in relation to total health expenditure; 150M people suffer catastrophic expenditure each year Source: WHO

  6. Coverage of health services is uneven Not just about wealth. What else?

  7. The growth of research… for universal health coverage

  8. Foundations to build on: comparatively high growth rate of research in low- and middle-income countries

  9. How research contributes… to universal health coverage

  10. Case study 1 Does antiretroviral therapy prevent HIV transmission?

  11. Case study 2 Do conditional cash transfers stimulate demand for services?

  12. Case study 3 Will public health expenditure increase in aging Europe? Annual increases in health expenditure <1% and falling; more older people but costs of health care are large only in the last few years of life (Rechel, Lancet 381, 1312, 2013)

  13. Action on research… for universal health coverage

  14. Setting national research priorities Brazil’s top 10 investments in health research, 2004-2009 Source: HPRS 9, 35, 2011

  15. Translating evidence into policy and practice Why so variable? Why so slow? Source: BMC Pub Health 12, 683, 2012

  16. Finding local as well as global solutions All nations need to do research

  17. Supporting the people who do research The key to building capacity Innovation in action. Mobile phone software developed by students in Uganda to monitor foetal movements and heartbeats (photo AbbieTraylor-Smith/Oxfam).

  18. Research for universal prevention Energy efficient, cost-saving, smoke-free housing

  19. Measuring progress towards UHC Global and local tracers of coverage and risk protection

  20. Stimulating R&D+ Funding, coordinating, monitoring WHO Consultative Expert Working Group on Research and Development: Financing and Coordination (CEWG)

  21. The World Health Report 2013 Key messages

  22. The World Health Report 2013 Key messages

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