Financing health systems to achieve the health Sustainable Development Goals

Fryatt, Robert; Bhuwanee, Karishmah

doi:10.1016/s2214-109x(17)30294-2

Cited by 13 publications

(10 citation statements)

References 4 publications

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“…Achieving UHC—access to quality essential health services, medicines, and vaccines, and the provision of financial risk protection—is increasingly viewed as imperative to attaining the health-related SDGs. 13 , 14 , 15 , 16 , 17 , 18 Previously, monitoring of progress on the first component of UHC, access to quality essential health services, has been mainly limited to tracking the coverage but not quality of interventions for maternal, reproductive, and child health outcomes and selected communicable diseases. Amid gains in development, many countries' health systems remain unable to fully respond to the rise in NCDs and the demand for more specialised types of medical care.…”

Section: Discussionmentioning

confidence: 99%

“…A key component of the health-related SDGs is universal health coverage (UHC). 13 , 14 , 15 , 16 , 17 , 18 SDG target 3.8 explicitly highlights the importance of UHC, aiming to “achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality, and affordable essential medicines and vaccines for all”. 5 SDG indicator 3.8.1 focuses on coverage of essential health services, capturing the role of health systems in delivering effective interventions to improve a wide range of health outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Measuring progress and projecting attainment on the basis of past trends of the health-related Sustainable Development Goals in 188 countries: an analysis from the Global Burden of Disease Study 2016

Fullman¹,

Barber²,

Abajobir³

et al. 2017

The Lancet

299

198

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Summary Background The UN’s Sustainable Development Goals (SDGs) are grounded in the global ambition of “leaving no one behind”. Understanding today’s gains and gaps for the health-related SDGs is essential for decision makers as they aim to improve the health of populations. As part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016), we measured 37 of the 50 health-related SDG indicators over the period 1990–2016 for 188 countries, and then on the basis of these past trends, we projected indicators to 2030. Methods We used standardised GBD 2016 methods to measure 37 health-related indicators from 1990 to 2016, an increase of four indicators since GBD 2015. We substantially revised the universal health coverage (UHC) measure, which focuses on coverage of essential health services, to also represent personal health-care access and quality for several non-communicable diseases. We transformed each indicator on a scale of 0–100, with 0 as the 2·5th percentile estimated between 1990 and 2030, and 100 as the 97·5th percentile during that time. An index representing all 37 health-related SDG indicators was constructed by taking the geometric mean of scaled indicators by target. On the basis of past trends, we produced projections of indicator values, using a weighted average of the indicator and country-specific annualised rates of change from 1990 to 2016 with weights for each annual rate of change based on out-of-sample validity. 24 of the currently measured health-related SDG indicators have defined SDG targets, against which we assessed attainment. Findings Globally, the median health-related SDG index was 56·7 (IQR 31·9–66·8) in 2016 and country-level performance markedly varied, with Singapore (86·8, 95% uncertainty interval 84·6–88·9), Iceland (86·0, 84·1–87·6), and Sweden (85·6, 81·8–87·8) having the highest levels in 2016 and Afghanistan (10·9, 9·6–11·9), the Central African Republic (11·0, 8·8–13·8), and Somalia (11·3, 9·5–13·1) recording the lowest. Between 2000 and 2016, notable improvements in the UHC index were achieved by several countries, including Cambodia, Rwanda, Equatorial Guinea, Laos, Turkey, and China; however, a number of countries, such as Lesotho and the Central African Republic, but also high-income countries, such as the USA, showed minimal gains. Based on projections of past trends, the median number of SDG targets attained in 2030 was five (IQR 2–8) of the 24 defined targets currently measured. Globally, projected target attainment considerably varied by SDG indicator, ranging from more than 60% of countries projected to reach targets for under-5 mortality, neonatal mortality, maternal mortality ratio, and malaria, to less than 5% of countries projected to achieve targets linked to 11 indicator targets, including those for childhood overweight, tuberculosis, and road injury mortality. For several of the health-related SDGs, meeting defined targets hinges upon substantially faster progress than what most countries have achieved in the past. Interpret...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Measuring progress and projecting attainment on the basis of past trends of the health-related Sustainable Development Goals in 188 countries: an analysis from the Global Burden of Disease Study 2016

Fullman¹,

Barber²,

Abajobir³

et al. 2017

The Lancet

299

198

View full text Add to dashboard Cite

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“…While the resulting conceptual framework characterising health system preparedness for EIDs in LMICs (Tables 1 and 2) represents a literature-informed group of elements, this list is by no means exhaustive. Despite the widespread attention now given to the need for sustainable financial investments to strengthen national and regional preparedness capacities for health emergencies (Fryatt & Bhuwanee, 2017;World Bank, 2017), just two articles discussed aspects of health security financing in relation to past outbreaks, limited to the presence of a global health emergency fund (Cancedda et al, 2016;Siedner et al, 2015). No study drew lessons from the relationship between national health security financing and EID preparedness, rendering synthesis of aspects of health system financing unfeasible.…”

Section: Discussionmentioning

confidence: 99%

Health system preparedness for emerging infectious diseases: A synthesis of the literature

Palagyi

Marais

Abimbola

et al. 2019

Global Public Health

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This review reflects on what the literature to date has taught us about how health systems of low-and middle-income countries (LMICs) respond to emerging infectious disease (EID) outbreaks. These findings are then applied to propose a conceptual framework characterising an EID prepared health system. A narrative synthesis approach was adopted to explore the key elements of LMIC health systems during an EID outbreak. Overarching themes ('core health system constructs') and sub-themes ('elements') relevant to EID preparedness were extracted from 49 peerreviewed articles. The resulting conceptual framework recognised six core constructs: four focused on material resources and structures (i.e. system 'hardware'), including (i) Surveillance, (ii) Infrastructure and medical supplies, (iii) Workforce, and (iv) Communication mechanisms; and two focused on human and institutional relationships, values and norms (i.e. system 'software'), including (i) Governance, and (ii) Trust. The article reinforces the interconnectedness of the traditional health system building blocks to EID detection, prevention and response, and highlights the critical role of system 'software' (i.e. governance and trust) in enabling LMIC health systems to achieve and maintain EID preparedness. The review provides recommendations for refining a set of indicators for an 'optimised' health system EID preparedness tool to aid health system strengthening efforts. ARTICLE HISTORY

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“…Another paper in Lancer by Fryatt, and Bhuwanee, mentions that it is now known how much investment is required to reach the health SDGs, and where these investments should be made. The health SDGs are ambitious, but it is starting to become clear that, where consistent, sustained political commitment exists, they are within reach [18]. Until recently, there have been limited metrics to gauge the scale of the issues, but emerging data confirm the significance of the health sector's environmental and social impacts.…”

Section: Estimate Sustainable Environmental Social and Governance Comentioning

confidence: 99%

Sustainable Finance in Sustainable Health Care System

Sepetis¹

2020

OJBM

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Nowadays the WHO and the EU health care system is influenced by Sustainable Development Goals. The implementation of public or voluntarily environmental, social and corporate governance (ESG) policies in hospitals causes extra costs and revenue to the health care system. The financial risk of sustainable hospitals and of the sustainable health care system, as well as the capabilities and the suggestions for the best possible financial analysis assessment, consist a new research field. This paper will investigate this new research field of sustainable health care and sustainable finance and will add scientific knowledge and methodological implementation to financial assessment analysis tools to those entities responsible for the implementation of sustainable health care system policies and the capital market investors, in order to take the best possible decisions.

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Financing health systems to achieve the health Sustainable Development Goals

Cited by 13 publications

References 4 publications

Measuring progress and projecting attainment on the basis of past trends of the health-related Sustainable Development Goals in 188 countries: an analysis from the Global Burden of Disease Study 2016

Measuring progress and projecting attainment on the basis of past trends of the health-related Sustainable Development Goals in 188 countries: an analysis from the Global Burden of Disease Study 2016

Health system preparedness for emerging infectious diseases: A synthesis of the literature

Sustainable Finance in Sustainable Health Care System

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