Support for Universal Health Coverage and DFID's Involvement
The presentation discusses the journey towards Universal Health Coverage (UHC), focusing on the roadmap for India and DFID's role in supporting UHC. It covers key aspects such as the High-Level Expert Group's recommendations, the National Health Mission, and the DFID Health portfolio. Emphasis is placed on the challenges and progress made towards achieving UHC goals.
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Presentation Transcript
DFID support to UHC through the Strategic Health and Nutrition Partnership Development Partners Forum on UHC 23rdApril 2014
Structure of the presentation Quick recap on road to UHC How DFID I is engaged Questions /issues for discussion on UHC
Road to UHC The planning commission constituted a High Level Expert Group (HLEG) on UHC for India. HLEG provided a blueprint for introducing a National Health Package that would entitle all citizens to primary, secondary and tertiary care that is paid for by the state The 12th Plan commits to UHC: But the moves towards UHC have been cautious: no clear operational framework from the centre or an engaged embrace by the states. Economic slowdown dampened the zeal of policymakers for ushering in programmes to implement UHC with the required scope and scale
Rolling out UHC: National Health Mission: Universal access to equitable, affordable and quality health care, which is accountable and responsive to the people . Measuring UHC: at least 80% of all people (including 80% of the poorest 40%) are able to access without any financial hardship at least the 20 services that they most frequently need: approx 70% of resources for primary care and public heath (HLEG) UHC pilots to be rolled out: up to 3 districts per state (representative sample of the state with robust existing system to allow testing and measurement of the service package and other institutions) MOHFW tasked NHSRC to coordinate technical inputs, guidelines issued (end 2013) and NHM to provide the budgets; PHFI knowledge partner and WHO technical partner
DFIDHealth portfolio: in transition Policy strategy and technical dialogue with national level organisations, partnerships with UK institutions Incubation of promising Indian experience Global portfolio: Access to meds Health technology Health financing Health research Strategic partnership on health and nutrition Private sector Innovations Health Markets Normative framework Capacity development Evidence of promising approaches State level programmes to strengthen health, nutrition and WASH Madhya Pradesh Odisha Bihar
UK India Health partnership UK India workshop in early 2013 to identify areas for partnership First G2G MOU, signed June 2013 Joint Working Group, led by Dept Health UK and MoHFW, India Health system strengthening for UHC rollout (health financing, primary care and public health), human resources and anti-microbial resistance Strategic Health and Nutrition Partnership DFIDI s contribution
Strategic Health and Nutrition Partnership A new kind of partnership with India flexible, demand led, two way Complement and add value to DFID s health portfolio across state, national and global levels Offer opportunities for stronger cross-HMG working Focus on critical pathways in health systems we can t do everything. Build up Indian institutions including partnerships with UK and other institutions Aligned to reform priorities but not substitute for government
SHNP components (2013 2017) Primary care, nutrition Direct TA to GoI lead ministries 5 m Health financing for UHC Health financing learning and dissemination 3m (Access Health International) Public health and regulatory capacity building for UHC rollout 2m (PHFI) UK-India Nursing Partnership 4m (JHPIEGO) Support to UHC rollout, primary care and public health, governance, human resources Human resources focus on nursing and midwifery training and leadership Includes NICE I and UK professional and regulatory bodies, NHS technical agencies UK partnership fund 1m
DFID India support to UHC vision and rollout Supports GoI s agenda for Universal Health & Nutrition coverage TA to MoHFW and MWCD Financial and technical support to the HLEG Supported evaluation of DSF schemes, Arogyasri in AP; and primary care pilots in TN and Kerala PHFI evidence generation (impact of RSBY); strengthening governance, regulation, HR for UHC Access Health International financing for UHC NICE International HTA and evidence based health care (MoL RSBY and MoHFW, World Bank Trust Fund) TA (and budget support until 2015) for integrated health, nutrition and WASH in three states (MP, Bihar and Odisha); support to UHC pilot planning
Issues/Questions for discussion Common understanding of what UHC means and entails? (role of private sector; integration, organisation and financing of levels of care and role of insurance schemes; ensuring emphasis on primary care and public health) Capacity (experience and expertise) at scale required? Role of different stakeholders in the march towards affordable UHC? How will the numerous UHC initiatives coordinate and synergize with each other - who will do that?
