Achieving Universal Health Coverage and Sustaining It
This session discusses the importance of achieving universal health coverage (UHC) to ensure all individuals have access to necessary health services without financial hardship. It addresses challenges such as service affordability and reducing inequalities within states, emphasizing the need to improve healthcare quality in both public and private sectors.
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Presentation Transcript
Arogya Manthan: Session 2 Arogya Manthan: Session 2 Achieving Universal Health Coverage Achieving Universal Health Coverage and Sustaining it and Sustaining it September 26, 2023 September 26, 2023
What is UHC? Defining UHC: UHC is about ensuring that all people can use the promotive, preventive, curative, rehabilitative, and palliative health services they need, of sufficient quality to be effective, while also ensuring the use of these services does not expose the user to financial hardship.
India has done well in providing UHC Service coverage, relative to its income
Four Issues for the Consideration of the Panel Four Issues for the Consideration of the Panel
1. How should we reduce reliance on out-of-pocket expenditure?
2. there are large inequalities across and within states, how do we reduce them?
3. Our service delivery must address the ongoing epidemiological transition. How should we ensure that? 10% Injuries 11% 9% 11% 29 % Non-communicable diseases 37 % 46 % RMNCH+A/Communicable 31 % 58 % 43 % 53% 62% 2019 2010 2000 1990
4. How do we improve quality of health care, in both public and private sectors? HAQ* Index (2015) 75.5 72.8 52.1 51.7 50.8 44.8 43.1 32.5 2015 Ranking 1 2 3 4 5 6 7 8 Quality of care has emerged as a key issue in India s health system Maldives Sri Lanka Bhutan Bangladesh Nepal India Pakistan Afghanistan Poor quality of care Some progress in terms of structural quality Process quality remains particularly poor Huge variability in quality of care Across states Across levels of care Across types of providers Even by the same doctor whether practicing in the public or private sector *HAQ=Healthcare Access & Quality index In LMICs, 5 million deaths are due to poor quality among people using care; 3.6 million from lack of access** Non-utilization 3.6 m Poor quality 5.0 m Quality of care is a global challenge, with more deaths in LMICs estimated to be due to poor quality rather than lack of access
Thank You! Thank You!
