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Universal Health Coverage: Concepts and Measurement

Universal Health Coverage: Concepts and Measurement. Outline. UHC: Definition and propositions M&E Results Chain for UHC Suggestions for Countries Suggestions for post-MDG agenda. Propositions about UHC.

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Universal Health Coverage: Concepts and Measurement

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  1. Universal Health Coverage: Concepts and Measurement

  2. Outline • UHC: Definition and propositions • M&E Results Chain for UHC • Suggestions for Countries • Suggestions for post-MDG agenda

  3. Propositions about UHC • Two essential components – coverage with needed health services (of good quality); coverage with financial risk protection • Interrelated and not separable • Intrinsic goals – although also instrumental in obtaining better health outcomes • Note: health services included prevention, promotion, treatment, rehabilitation

  4. Millions more suffer financially when they use health services Number of people (million)

  5. Millions miss out on needed health services Percentage of births attended by medically trained persons

  6. Three dimensions (policy choices) of Universal Coverage

  7. UC with co-payments

  8. Outline • UHC: Definition and propositions • M&E Results Chain for UHC • Suggestions for Countries • Suggestions for post-MDG agenda

  9. UHC Results Chain Social Determinants

  10. Outline • UHC: Definition and propositions • M&E Results Chain for UHC • Suggestions for Countries • Suggestions for post-MDG agenda

  11. Table 1: Intervention areas, tracer indicators and additional indicators for coverage index . Social Determinants

  12. Table 2: Other Indicators Linked to Coverage with Health Services .

  13. Table 3: Quality .

  14. Table 4: Financial Risk Protection: Impact Indicators .

  15. Table 5: Input and Output Indicators. Financial Risk Protection .

  16. Equity Average and Distribution need to be considered in almost all of the indicators

  17. Outline • UHC: Definition and propositions • M&E Results Chain for UHC • Suggestions for Countries • Suggestions for post-MDG agenda

  18. Propositions • In post MDG agenda, difficult to maintain 3 health specific goals, plus nutrition, medicines • UHC an umbrella for the health part of post-MDG development goals • Probably won't be too difficult to get some health service coverage indicators – much more difficult for financial risk protection • Debate will focus on how to define a goal for UHC with targets, what indicators for service coverage and financial risk protection. Health impact?

  19. Suggestions • Ties will talk about health service coverage • For financial risk protection, exploring the idea of suggesting only 1: % of population impoverished because of OOPs.

  20. For Discussion • What indicators for tracking progress to UHC at country level? • Should we move towards a UHC index – with separate indexes for services and financial risk protection? • How to incorporate inequality? • What should we be suggesting for the post-MDG development agenda?

  21. www.who.int/whr/2010 Thank you

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