Measuring Progress towards Universal Health Coverage: With an Application to 24 Developing Countries
The last few years have seen a growing commitment worldwide to universal health coverage (UHC). Yet there is a lack of clarity on how to measure progress towards UHC. This paper proposes a 'mashup' index that captures both aspects of UHC: that everyone-irrespective of their ability-to-pay-...
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| Format: | Elektronisch E-Book |
| Sprache: | English |
| Veröffentlicht: |
Washington, D.C
The World Bank
2015
|
| Schriftenreihe: | World Bank E-Library Archive
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| Online-Zugang: | Volltext |
| Zusammenfassung: | The last few years have seen a growing commitment worldwide to universal health coverage (UHC). Yet there is a lack of clarity on how to measure progress towards UHC. This paper proposes a 'mashup' index that captures both aspects of UHC: that everyone-irrespective of their ability-to-pay-gets the health services they need; and that nobody suffers undue financial hardship as a result of receiving care. Service coverage is broken down into prevention and treatment, and financial protection into impoverishment and catastrophic spending; nationally representative household survey data are used to adjust population averages to capture inequalities between the poor and better off; nonlinear tradeoffs are allowed between and within the two dimensions of the UHC index; and all indicators are expressed such that scores run from 0 to 100, and higher scores are better. In a sample of 24 countries for which there are detailed information on UHC-inspired reforms, a cluster of high-performing countries emerges with UHC scores of between 79 and 84 (Brazil, Colombia, Costa Rica, Mexico and South Africa) and a cluster of low-performing countries emerges with UHC scores in the range 35-57 (Ethiopia, Guatemala, India, Indonesia and Vietnam). Countries have mostly improved their UHC scores between the earliest and latest years for which there are data-by about 5 points on average; however, the improvement has come from increases in receipt of key health interventions, not from reductions in the incidence of out-of-pocket payments on welfare |
| Beschreibung: | 1 Online-Ressource (67 p) |
| DOI: | 10.1596/1813-9450-7470 |
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| spellingShingle | Wagstaff, Adam Measuring Progress towards Universal Health Coverage With an Application to 24 Developing Countries |
| title | Measuring Progress towards Universal Health Coverage With an Application to 24 Developing Countries |
| title_auth | Measuring Progress towards Universal Health Coverage With an Application to 24 Developing Countries |
| title_exact_search | Measuring Progress towards Universal Health Coverage With an Application to 24 Developing Countries |
| title_exact_search_txtP | Measuring Progress towards Universal Health Coverage With an Application to 24 Developing Countries |
| title_full | Measuring Progress towards Universal Health Coverage With an Application to 24 Developing Countries Wagstaff, Adam |
| title_fullStr | Measuring Progress towards Universal Health Coverage With an Application to 24 Developing Countries Wagstaff, Adam |
| title_full_unstemmed | Measuring Progress towards Universal Health Coverage With an Application to 24 Developing Countries Wagstaff, Adam |
| title_short | Measuring Progress towards Universal Health Coverage |
| title_sort | measuring progress towards universal health coverage with an application to 24 developing countries |
| title_sub | With an Application to 24 Developing Countries |
| url | https://doi.org/10.1596/1813-9450-7470 |
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