2018;47(7):10612. Mehrolhassani M, Najafi B, Yazdi Feyzabadi V, Abolhallaje M, Ramezanian M, Dehnavieh R, et al. also, capacity constraints in purchasing organizations are another problem that needs to be addressed in LMICs [97]. Successful global health project staff focus on health system outcomes, Solving Problems in Global Health Projects, What to do when a global health project is in trouble, They lack a health system to implement it, They lack a management structure to break up SDG3 into daily doable tasks. Iran is one of the countries that seek to reach UHC in the next coming decade. Those who do hope to enter the field may find it difficult to get proper training because resources and opportunities tend to be concentrated in certain areas. Increasing access to health workers in remote and rural areas through improved retention: global policy recommendations: World Health Organization; 2010. Int J Health Policy Manag. PLoS Med. Financial risk protection and universal health coverage: evidence and measurement challenges. The target areas are primary health care, health governance at the sub-national level (regions and districts), and global health security. Universal health coverage (UHC) has been identified as a priority for the global health agenda. 2015;42(5):53344. Derakhshani, N., Maleki, M., Pourasghari, H. et al. In their recent analysis, "Health Coverage and Financial Protection in Uganda: A Political Economy Perspective" Nanini and colleagues 1 aim to understand the political forces at play in Uganda's quest to achieve universal health coverage (UHC). Universal health insurance and the reasons of not coverage in Iran: secondary analysis of a National Household Survey. Bull World Health Organ. Infrastructure This article was originally published on The World Bank's Investing in Health blog. Dehnavieh R, Haghdoost AA, Majdzadeh R, Noorihekmat S, Ravaghi H, Mehrolhasani MH, et al. Carrin G, James C, Organization WH: Reaching universal coverage via social health insurance: key design features in the transition period. Also, the support of stakeholders, a sense of national priority and international support, Government stewardship, the political commitment under the changing political context, and fair contribution and distribution of resources by appropriate health financing modality as facilitators of the countrys health system would boost the speed of achieving UHC in Nepal [130]. How to Achieve Universal Health Coverage: A Case Study of - IJHPM Doshmangir L, Bazyar M, Rashidian A, Gordeev VS. Iran health insurance system in transition: equity concerns and steps to achieve universal health coverage. Moreover, factors such as lack of capacity service, socioeconomic disparities in the access to and utilization of hospital-level health services and costs, out-of-pocket spending, the low-income context in the country, harness the political commitment, and geographical barriers have been introduced factors for achieving UHC in Ethiopia [132]. 2019;1:1. Achieving universal health coverage is a critical goal that most African countries are striving to achieve. 2014;7(25856):1. 2012;4(6):105062. The UHC service coverage index (SDG indicator 3.8.1) increased from 45 in 2000 to 68 in 2019, with the fastest gains in the WHO African Region. PDF Healthy systems for universal health coverage - UHC2030 Wouldnt it be nice to have this facility everywhere for everyone to get quality healthcare when they need it? WHOs Thirteenth General Programme of Work aims to have 1 billion more people benefit from UHC by 2025, while also contributing to the targets of 1 billion more people better protected from health emergencies and 1 billion more people enjoying better health and well-being. 2020;13(sup2):1791414. Universal health coverage (UHC) means that all people have access to the full range of quality health services they need, when and where they need them, without financial hardship. 2018;32:39. Determining and prioritizing indicators of public health coverage in Iran: a qualitative study. Int J Equity Health. Health Policy Plan. 2020;98(2):132. Norway just opened Europe's longest cycle tunnel, How Kosovo made high-speed internet access a reality for everyone, Dodoma becomes Tanzania's new capital cityafter a 50-year wait, 3 ways countries can invest to buildnext-generation mobility, Scaling Low-Carbon Design and Construction with Concrete: Enabling the Path to Net-Zero for Buildings and Infrastructure, Davos AM23 - Securing Critical Infrastructure - English, is affecting economies, industries and global issues, with our crowdsourced digital platform to deliver impact at scale. Organization WH. AHA Statement "Exploring Pathways to Affordable, Universal Health PLoS One. Aguilera X, Castillo-Laborde C, Najera-De Ferrari M, Delgado I, Ibaez C. Monitoring and evaluating progress towards universal health coverage in Chile. The influential factors for achieving universal health coverage in Iran: a multimethod study. 2013;13(1):18. Health Res Policy Syst. Organization WH. 2019;11:651. Mohammadreza Maleki. Health Policy Plan. 2019;394(10195):34556. Challenges and opportunities towards the road of universal health coverage (UHC) in Nepal: a systematic review. The maximum score of articles was 24 and the minimum score was 8. And though the shortage will be felt worldwide, Asia and sub-Saharan Africa are predicted to be the hardest hit. Pope C, Ziebland S, Mays N. Qualitative research in health care. 2016;18(4):32935. Comparing the health care system of Iran with various countries. Am J Trop Med Hygiene. On Jul 28, 2023. Lancet. BMC Int Health Hum Rights. Yes. At first, as a pilot for the data extraction form, the data of 5 papers were extracted and the deficiencies of the original form were eliminated. Despite having fewer factors categorized within this dimension, the payment system plays a distinct role regarding UHC. PLoS Med. Finally, after elimination and merge similar factors, factors were reduced to 64 factors (Additionalfile4). Achieving UHC is one of the targets the nations of the world set when they adopted the 2030 Sustainable Development Goals (SDGs) in 2015. Categorizing the influencing factors in achieving UHC in the form of an approved framework such as control knobs can give countries the advantage of having a comprehensive analysis of their health system. 2013;91(11):85363. 2020;396(10258):125084. Doshmangir L, Sajadi HS, Ghiasipour M, Aboutorabi A, Gordeev VS. Dalmacion GV, Juban NR, Zordilla Z. Optimizing PhilHealths case-based payment scheme to achieve greater financial protection; 2016. Iran J Epidemiol. Int J Health Plann Manag. A review of the health financing policies towards universal health coverage in Iran. BMC Health Serv Res. For recognizing the unmentioned factors, a qualitative study consisting of one session of Focus Group Discussion (FGD) and five semi-structured interviews with experts was designed. The conference promised to consolidate sustainable and resilient healthcare systems to achieve Sustainable Development Goals and universal health coverage. Afr J Midwifery Womens Health. Universal Health Coverage - What does it mean? Olyaeemanesh A, Behzadifar M, Mousavinejhad N, Behzadifar M, Heydarvand S, Azari S, et al. One of these models presented by the WHO in 2017 was the framework of strengthening health systems to achieve UHC. East Mediterr Health J. Additionally, comments were obtained by the international expert were considered through the research team. Health Care for All: A Framework for Moving to a Primary Care - AAFP Meng Q, Xu L. Monitoring and evaluating progress towards universal health coverage in China. Introduction. Scientific J Iran Blood Transfus Organ. But establishing UHC cant just focus on building infrastructure and training professionals, and the burden cant fall solely on governments or the private sector. Glob Health Action. PubMed 3 ways to achieve universal health coverage - World Bank | World Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. Health Policy. Universal health coverage (UHC) means that all people have access to the full range of quality health services they need, when and where they need them, without financial hardship. Guinto RLLR, Curran UZ, Suphanchaimat R, Pocock NS. 2013;28(5):53648. The partnership will build on Ghanas primary health care system the Community-Based Health Planning and Services and health centres to strengthen the quality of health services, it explained. 2021;24(1):6883. World Health Organization (WHO) and World Bank (WB) databases that host reports related to UHC were also searched. How to achieve universal health coverage? Focus on primary care 2012;10:200110. In fact, in countries working to achieve universal health coverage (UHC), the dream of health care for all is already within sight. Also, to increase the generalizability of the results, in this study, the framework of the control knobs of the WHO has been used to classify the factors. 2011;26(6):48595. How to achieve universal health coverage? The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. National action plan for non-communicable diseases prevention and control in Iran; a response to emerging epidemic. It covers the full continuum of essential health services, from health promotion to prevention, treatment, rehabilitation and palliative care. About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of . Factors influencing the sustainability of universal health coverage in vulnerable livelihoods in Kenya: a case of Wajir County. Arch Iran Med. And Third, the management. The most beneficial measures could be the proper use of health resources, promoting health behaviors, improving health literacy, promoting the culture of self-care, and empowering people to participate in strengthening and supporting the health system. The agreement comes at a pivotal time when public health experts are focusing on building capacity for the next epidemic or pandemic, yet health indicators including global life expectancy and childhood vaccinations are slipping. The four phases (systematic review, FGD, and semi-structured interview, merging Factors, and Expert Panel) of study and their results. This knob is associated with all stakeholders in the health system and is effective in regulating the behavior of the provider, recipient, and buyer of the service. After removing duplicate studies, titles of all articles were reviewed and articles that were incompatible with the aims of the study were excluded. Tabrizi JS, Pourasghar F, Gholamzadeh Nikjoo R. Status of Iran's primary health care system in terms of health systems control knobs: a review article. 2019;34(4):e183345. Family physician model in the health system of selected countries: a comparative study summary. All UN Member States have agreed to try to achieve universal health coverage (UHC) by 2030, as part of the Sustainable Development Goals. Monitoring process barriers and enablers towards universal health coverage within the sustainable development goals: a systematic review and content analysis. Overview Universal Health Coverage (UHC) means that all individuals and communities receive the health services they need without suffering financial hardship. 2010;4(2):97100. By using this website, you agree to our The protocol for the research project has been approved by the ethics committee at IUMS which is in compliance with the Helsinki Declaration and all participants gave informed consent before inclusion in the study. World Hepatitis Day: Accelerate hepatitis testing and treatment However, about 2 billion people are facing catastrophic or impoverishing health spending (SDG indicator 3.8.2). Google Scholar. Culture building and attracting public participation are two crucial elements of this dimension [126,127,128] in achieving the goals of the health system. The majority of the identified factors were related to the regulation and supervision dimension, whilst the payment system entailed the fewest. Thailands universal coverage scheme: achievements and challenges. Independent Assess First. The pandemic of COVID-19 has highlighted the importance of worldwide solidarity in the face of health catastrophes and the urgent need to strengthen health systems. Mousavi SM, Sadeghifar J. They focus on one population group such as women or children, or a program such HIV/AIDS or Ebola or TB or cancer and neglect the other parts of the system that would support the services people need. Having at least 5 year an executive experience or scientific background in the health system, Having at least two scientific articles related to UHC. However, the public sector has the upper hand in this issue [16]. The initial purpose of healthcare systems around the world is to promote and maintain the health of the population. 2020. Saksena P, Hsu J, Evans DB. })(); Ghana Business News Copyright 2022, All Rights Reserved, US signs pact to support Ghana achieve Universal Health Coverage, Inside the News by Mpakoo All pieces appearing in this column are satire. 2009;14(5):58696. Iran J Public Health. Commun Dev J. The world has agreed on universal health coverage. The last control knob in the framework behavior. 2020:112. To promote physical and mental health and well-being, and to extend life expectancy for all, we must achieve universal health coverage and access to quality health care. The participants statements were recorded by using a digital audio recorder and the research also used note-taking during the interviews. Reich MR, Harris J, Ikegami N, Maeda A, Cashin C, Araujo EC, et al. Policymakers and managers can use this framework as a useful and practical tool in achieving UHC, depending on the goals of their countrys health system [24]. 2019;1:1. Universal health coverage and primary health care: Their place in people's health. Yasar GY, Ugurluoglu E. Can Turkey's general health insurance system achieve universal coverage? The vision outlines health system performance dimensions and policy entry This knob, by coordinating stakeholders and involving them, can act as a facilitator and accelerator bringing the country closer to the UHC in less time. Protecting people from the financial consequences of paying for health services out of their own pockets reduces the risk that people will be pushed into poverty because unexpected illness requires them to use up their life savings, sell assets, or borrow destroying their futures and often those of their children. PHC is the most inclusive, equitable, cost-effective and efficient approach to enhance people's physical and mental health, as well as social well-being. Ranabhat CL, Kim C-B, Singh A, Acharya D, Pathak K, Sharma B, et al. 2012;47(3):31634. Accordingly, after the identification and integration of the factors, the research team employed the framework of control knobs to classify and present the results. How is equity approached in universal health coverage? An analysis of Data collection was continued until data saturation. All articles after extraction from the databases using the keywords mentioned were evaluated by two authors using the Critical Appraisal Skills Program (CASP) checklist. Successful implementation and monitoring of the implementation of this control knob will be crucial for any country to reach UHC [101, 102]. USA, Global Development Small Business Consortium, Society for International Development, Washington DC Chapter, Small Business Association for International Companies (SBAIC). Chaleunvong K, Phoummalaysith B, Phonvixay B, Sychareun V, Durham J, Essink DR. Factors affecting knowledge of National Health Insurance Policy among out-patients in Lao PDR: an exit interview study. The present study was conducted in four consecutive stages to identify the factors in the progress towards UHC for Iran. In many countries, there simply arent enough young people pursuing careers in health to build the next generation of workers. Also, the main goals of health systems pursued by this framework (health status, customer satisfaction, and risk protection) are very similar to the dimensions of UHC. On financial hardship, people living in poorer households and in households with older family members (those aged 60 and older) are more likely to face financial hardship and pay out of pocket for health care. No. Thanks for signing up as a global citizen. Anything goes on the path to universal health coverage? 2015;351. This feature of the study can also allow other countries to benefit from the results of the study. Onoka CA, Onwujekwe OE, Uzochukwu BS, Ezumah NN: Promoting universal financial protection: constraints and enabling factors in scaling-up coverage with social health insurance in Nigeria. Med J Islam Repub Iran. Introduction. Arch Iran Med. Soltani S, Takian A, Akbari Sari A, Majdzadeh R, Kamali M. Financial barriers to access to health Services for Adult People with disability in Iran: the challenges for universal health coverage. Garchitorena A, Miller AC, Cordier LF, Ramananjato R, Rabeza VR, Murray M, et al. Correspondence to Significant cost efficiencies can be achieved and most (90%) essential UHC interventions can be delivered through a PHC approach. J Epidemiol Community Health. The health transformation Planin Iran: a policy to achieve universal health coverage in slums and informal settlement areas. Responded validity was used to ensure the rigor and accuracy of the results. Universal Health Coverage for Inclusive and Sustainable Development: A Synthesis of 11 Country Case Studies (Spanish) This book synthesizes experiences from 11 countriesBangladesh, Brazil, Ethiopia, France, Ghana, Indonesia, Japan, Peru, Thailand, Turkey, and Vietnamin implementing policies and strategies to achieve and sustain UHC. Since then, I have seen how few clients have an understanding of what a good plan is, and how to implement it to get things done. Universal health coverage is within our reach Therefore, this study aimed to identify the influential factors to achieve UHC in Iran. Finally, the pre-categorized factors were refined and re-categorized under the health systems control knobs framework during three expert panel sessions. FGD and semi-structured interviews were done with the participation of the 16 eligible experts. Alinia C, Lahijan JD. Alebachew A, Hatt L, Kukla M. Monitoring and evaluating progress towards universal health coverage in Ethiopia. PubMed Cookies policy. 2004. Koohpayehzadeh J, Kassaeian SS. UHC has been defined as a way to provide quality health services to the destined population based on their health needs without suffering financial hardship [1, 3,4,5]. Google Scholar. Milton B, Attree P, French B, Povall S, Whitehead M, Popay J. Yip W, Fu H, Chen AT, Zhai T, Jian W, Xu R, et al. One foreign country expert for research team consultation and poll on the categorization of factors in the framework through email and 5 local Iranian experts in UHC reviewed and discussed the content (as well as the face validity) of the health system control knob framework. Universal Health Coverage - IFPMA The funding body played no role in the design of the study, analysis and interpretation of data, or in writing the manuscript. Lozano R, Fullman N, Mumford JE, Knight M, Barthelemy CM, Abbafati C, et al. Finally, 33 studies were included. As mentioned, community participation has a distinct role regarding societies health behaviors, therefore, the concentration of the health system should be the promotion of social culture and public health. All for universal health coverage. Policy analysis of the Iranian health transformation plan in primary healthcare. But for more certainty, another interview was conducted. Paying attention to the characteristics of this knob, enables policy-makers and managers to establish internal and external strong relationships, manage the resources effectively, and provide a proper distribution of resources based on the capacity and infrastructure of each society that can bring the country one step closer to UHC [51, 59, 105,106,107,108]. UHC provides access to quality essential health services; safe, effective, and affordable essential medicines and vaccines; and protection from financial risk. Your privacy choices/Manage cookies we use in the preference centre. This type of analysis is used when the theories on the subject are limited [42, 43]. A qualitative study was conducted to deeply explore and analyze the factors affecting the achievement of UHC in Iran. While governments can, and should, play a leading role in the global UHC movement, to make the dream of UHC for all a reality, governments, nonprofits, and businesses must work together to create and invest in robust health systems. Community participation in health services development, implementation, and evaluation: a systematic review of empowerment, health, community, and process outcomes. Disagreements were resolved via discussion until the mutual agreement was achieved. A list of relevant affecting factors was arrayed as the output of this phase. It enables universal, integrated access to health services as close as possible to people's everyday environments. Organization WH. Pan Afr Med J. It empowers the NHIA to be a more effective regulator and integrator. Thus far, five influential factors were introduced which mostly covered the issues and aspects of financing in health systems. Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. PLoS Med. Governments, global health donors, non-profit organizations, and development banks struggle with finding a way to ensure countries really achieve universal health coverage by 2030. "Exploring Pathways to Affordable, Universal Health Coverage Care" . Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. 2019;33:106. It is expected that the three countries' shared . Tropical Med Int Health. Cost Eff Resour Alloc. 2019;6(3):5462. Fried ST, Khurshid A, Tarlton D, Webb D, Gloss S, Paz C, et al. Address But a world in which adequate and affordable health services are available to all is not impossible. volume21, Articlenumber:724 (2021) 2015;8(1):25749. Terms and Conditions, Ciencia Saude Coletiva. Inequalities continue to be a fundamental challenge for UHC. This was contained in a statement issued by the US State Department, copied to the Ghana News Agency (GNA), Accra. Doshmangir L, Bazyar M, Rashidian A, Gordeev VS. Iran health insurance system in transition: equity concerns and steps to achieve universal health coverage. 2014;11(9):e1001696. Reprod Health Matters. Savedoff WD, de Ferranti D, Smith AL, Fan V. Political and economic aspects of the transition to universal health coverage. Finally, factors categorized in the framework axes were reviewed by expert panels and international experts and were reduced to 105 factors (Table1). 2018;15(4):2358. Universal Health Coverage (UHC) has been introduced as a viable solution to promote, restore, and/or maintain the health of the population in countries [1, 2]. 2014. Koohpayehzadeh J, Azami-Aghdash S, Derakhshani N, Rezapour A, Kalajahi RA, Khasraghi JS, et al. Lancet. The Precarious Path to Universal Health Coverage - American Bar Association Also, semi-structured interviews were conducted with five experts in the field of UHC until information saturation was reached. In countries with fragile health systems, WHO focuses on technical assistance to build national institutions and service delivery to fill critical gaps in emergencies. 2016;5(7):417. J Educ Health Promot. The influence of a market-oriented primary care reform on family physicians working conditions: a qualitative study in Turkey. On the other hand, the intermediate goals of this framework (access, quality, and efficiency) somehow represent the goals of UHC. Getting to universal health coverage in China and Vietnam Due to the limitations in financing policies in different countries, these factors can act as leverage to improve financing policy-making and solve economic problems affecting this area. Eur J Gen Pract. We are proud to join Japan and the Republic of Korea in this partnership to achieve Universal Coverage in Ghana, the U.S. 2020;98(2):109. Global Citizen and Johnson & Johnson support the UN Sustainable Development Goal of ensuring healthy lives and the well-being of all people. Universal Health Coverage (UHC) is a new approach by which a healthcare system can reach its goals. 2011;11(1):13. Bull World Health Organ. Castro MC, Massuda A, Almeida G, Menezes-Filho NA, Andrade MV, de Souza Noronha KVM, et al. Data Extraction in this study was done in several steps. Fantaye AW, Yaya S. Universal health coverage and facilitation of equitable access to Care in Africa. An emerging consensus among global health leaders is that efforts to achieve universal health coverage will require harnessing multidisciplinary teams in community-based care delivery settings. As a foundation for and way to move towards UHC, WHO recommends reorienting health systems using a primary health care (PHC) approach. Towards universal health coverage: achievements and challenges of 10 Lancet. Google Scholar. Ehsani-Chimeh E, Sajadi HS, Majdzadeh R. Iran towards universal health coverage: the role of human resources for health. The study indicated that the most number of identified factors were within the Regulation and Supervision control knob (33 factors). 2016;387(10020):8116. The Payment System is another health systems control knob. Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 19902019: a systematic analysis for the global burden of disease study 2019. At the height of the COVID-19 pandemic in 2021, essential services were disrupted in 92% of countries.

Kolter Elementary Teachers, Cheap Houses In West Memphis For Rent, Does Harmon Golf Club Have A Driving Range, Binary Search Tree Operations In Data Structure, Covenant Community Church San Antonio Texas Live, Articles H