Implementation of Urban Health Equity Assessment and Response Tool: a Case of Matsapha, Swaziland

Makadzange, K; Radebe, Zamahlubi; Maseko, Nokuthula; Lukhele, Voyivoyi; Masuku, Sabelo; Fakudze, Gciniwe; Mengestu, Tigest Ketsela; Prasad, Amit

doi:10.1007/s11524-018-0241-y

Cited by 7 publications

(33 citation statements)

References 17 publications

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“…The service coverage and financial protection dimensions were most frequently studied, followed by inequity and quality of health care services. The current evidence found a greater number of articles than a scoping review of African implementation research of UHC [65]. This is because the former was conducted on a single continent and concentrated on UHC research approaches.…”

Section: Discussionmentioning

confidence: 89%

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Universality of universal health coverage: A scoping review

et al. 2022

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Background The progress of Universal health coverage (UHC) is measured using tracer indicators of key interventions, which have been implemented in healthcare system. UHC is about population, comprehensive health services and financial coverage for equitable quality services and health outcome. There is dearth of evidence about the extent of the universality of UHC in terms of types of health services, its integrated definition (dimensions) and tracer indicators utilized in the measurement of UHC. Therefore, we mapped the existing literature to assess universality of UHC and summarize the challenges towards UHC. Methods The checklist Preferred Reporting Items for Systematic reviews and Meta-analysis extension for Scoping Reviews was used. A systematic search was carried out in the Web of Science and PubMed databases. Hand searches were also conducted to find articles from Google Scholar, the World Bank Library, the World Health Organization Library, the United Nations Digital Library Collections, and Google. Article search date was between 20 October 2021 and 12 November 2021 and the most recent update was done on 03 March 2022. Articles on UHC coverage, financial risk protection, quality of care, and inequity were included. The Population, Concept, and Context framework was used to determine the eligibility of research questions. A stepwise approach was used to identify and select relevant studies, conduct data charting, collation and summarization, as well as report results. Simple descriptive statistics and narrative synthesis were used to present the findings. Results Forty-seven papers were included in the final review. One-fourth of the articles (25.5%) were from the African region and 29.8% were from lower-middle-income countries. More than half of the articles (54.1%) followed a quantitative research approach. Of included articles, coverage was assessed by 53.2% of articles; financial risk protection by 27.7%, inequity by 25.5% and quality by 6.4% of the articles as the main research objectives or mentioned in result section. Most (42.5%) of articles investigated health promotion and 2.1% palliation and rehabilitation services. Policy and healthcare level and cross-cutting barriers of UHC were identified. Financing, leadership/governance, inequity, weak regulation and supervision mechanism, and poverty were most repeated policy level barriers. Poor quality health services and inadequate health workforce were the common barriers from health sector challenges. Lack of common understanding on UHC was frequently mentioned as a cross-cutting barrier. Conclusions The review showed that majority of the articles were from the African region. Methodologically, quantitative research design was more frequently used to investigate UHC. Palliation and rehabilitation health care services need attention in the monitoring and evaluation of UHC progress. It is also noteworthy to focus on quality and inequity of health services. The study implies that urgent action on the identified policy, health system and cross-cutting barriers is required to achieve UHC.

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Section: Discussionmentioning

confidence: 89%

“…The current evidence found a greater number of articles than a scoping review of African implementation research of UHC [ 65 ]. This is because the former was conducted on a single continent and concentrated on UHC research approaches.…”

Section: Discussionmentioning

confidence: 99%

Universality of universal health coverage: A scoping review

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The current evidence found a greater number of articles than a scoping review of African implementation research of UHC (69). This is because the former was conducted on a single continent and concentrated on UHC research approaches.…”

Section: Discussionmentioning

confidence: 89%

Universality of Universal Health Coverage: a Scoping Review

Endalamaw

Gilks

Ambaw

et al. 2022

Preprint

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Background: Universal health coverage (UHC) is achieved in the primary healthcare pathways. UHC is about population coverage, services coverage and financial protection. Tracer indicators are used to measure the progress towards UHC. There is inadequate evidence that assesses the extent of the universality of UHC. Evidence is, therefore, needed to map the existing literature and summarize the issues covered in the dimensions of UHC. Methods: A systematic search was carried out in the Web of Science and PubMed databases. Hand searches were also conducted to find articles from Google Scholar, the World Bank Library, the World Health Organization Library, the United Nations Digital Library Collections, and Google. Articles on UHC coverage, financial risk protection, quality of care, and inequity were included. A stepwise approach was used to identify and select relevant studies, conduct data charting, collation and summarization, as well as report results. Simple descriptive statistics and narrative synthesis were used to present the findings. Results: Forty-seven papers were included in the final review. One-fourth of the articles (25.5%) were from the African region and 29.8% were from lower-middle-income countries. More than half of the articles (54.1%) used a quantitative research approach. Of included articles, coverage was assessed by 53.2% of articles; financial risk protection by 27.7%, inequity by 25.5% and quality by 6.4% of the articles as their main research objectives or mentioned in the result section. Most (42.5%) of the articles investigated health promotion and 2.1% palliation and rehabilitation services. Policy and health care level and cross-cutting barriers were identified in the progress of UHC. Conclusions: The results of the study showed that majorities of evidence were from the African region. Methodologically, the quantitative approach was a more frequently used research design to investigate UHC. Palliation and rehabilitation health care services need attention in the analysis of the progress towards UHC. The finding of the current evidence is noteworthy to focus on the quality and inequity of health services in future UHC research. Comprehensive evidence is needed to fully understand and progressively realize UHC.

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“… 6 ‘Urban health equity’ implies that all urban residents stand the chance to attain their full health potential and that class, ethnicity, gender, or other sociostructural determinants do not limit the attainment of this potential. 7 While the context may vary from one country to the other, the main challenges facing health in urban areas remains similar. They include the rising burden of non-communicable diseases linked to poor access to affordable healthy options; pollution and waste management; inadequate housing, infectious diseases and the consequences of global warming.…”

Section: Urban Health As a Framework For Health Systems Researchmentioning

confidence: 99%

“…16 Urban HEART is a participatory tool for assessing and addressing intracity and intercity inequalities with a focus on environmental as well as socioeconomic determinants of health in urban areas. While the tool has an assessment and response component which is multisectoral, only evidence from Swaziland suggests a robust response, 7 compared with Egypt 17 and Kenya 18 where the tools have also been used. There is scant evidence that the impact of the 2018 assessment in Swaziland, which was heavily supported by international aid organisations, has been sustained today and that systemic or policy actions resulted from the analysis.…”

Section: Urban Health Systems In Africamentioning

confidence: 99%