PHA-Exchange> Strategies to achieve universal coverage: are there lessons from middle income countries?

[Claudio Schuftan]

From: Ruggiero, Mrs. Ana Lucia (WDC) ruglucia at paho.org
 EQUIDAD at listserv.paho.org

 *Strategies to achieve universal coverage: are there lessons from middle
income countries?*

* *

*Anne Mills, Health Economics and Financing Programme, London School of
Hygiene and Tropical Medicine
March 2007*
Literature review commissioned by the Health Systems Knowledge Network World
Health Organisation's Commission on Social Determinants of Health

* *

Available online as PDF file [42p.] at:
http://www.wits.ac.za/chp/kn/Mills%202007%20Universal%20coverage.pdf



"…..The desirability of providing universal coverage of health services is
not in question. Few people, and no countries, would explicitly accept that
universal coverage is not a desirable goal for a health system. However the
mix of financing sources and provision arrangements within a universal
coverage system, and the degree of equity sought and achieved, vary widely
amongst countries.

Countries that have yet to achieve universal coverage face many options with
respect to strategies which will move them closer to universal coverage.
Moreover, given that universal coverage requires cross-subsidies of various
types, especially from richer groups to poorer groups, political dynamics
and broader social influences are very important in affecting both the
choice of strategies and the speed of progress….."
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