Strengthening Health Systems of Developing Countries: Inclusion of Surgery in Universal Health Coverage

Okoroh, Juliet S.; Chia, Victoria; Oliver, Emily A.; Dharmawardene, Marisa; Riviello, Robert

doi:10.1007/s00268-015-3031-7

Cited by 23 publications

(16 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similarly, a study by Elio Borgonovi and Emilia Compagni (2013) indicates that social, economic, and political sustainability are key drivers of health interventions and reforms in achieving UHC [122]. Also in many studies, social health insurance [123], premium [44,45,124], cost containment [125], national health insurance system [126,127], tax revenue [128,129], risk-pooling mechanisms [4,128], strategic purchasing [130] and such as are crucial factors in the nancial protection function of achieving UHC, that positive reform interventions in these areas can draw countries one step closer to achieving their original goal. That is why nancing function or the nancial protection dimension and interventions in them can be considered as an essential component of achieving UHC.…”

Section: Discussionmentioning

confidence: 99%

Best Practices in Achieving Universal Health Coverage: A Scoping Review

Koohpayehzadeh

Azami-Aghdash

Derakhshani

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Universal health coverage (UHC) is a very important and effective policy in the health system of countries worldwide. Using the experiences and learning from the best practices of successful countries in the UHC can be very helpful. Therefore, the aim of the present study is to provide a scoping review of successful global interventions and practices in achieving UHC. Methods:The present study is a scoping review study has conducted using the Arkesy and O'Malley framework. To gather information the databases of Embase, PubMed, The Cochrane Library, Scopus, SID and MagIran have searched using the keywords of Universal health coverage, Universal healthcare coverage, Universal health care coverage, Strength*, Transfer*, interventions, improve*, program*, innovations, initiative, Financing, "Service delivery", Stewardship, "Resource generation", from 2000 to 2019. Content-Analysis was also used to analyze the data.Results: Out of 4257 articles, 57 evidence finally included in the study. The results showed that of the 40 countries that had successful interventions, most were Asian. The interventions were financial protection (40 interventions that categorized to 14 items), service coverage (31 interventions that categorized to 7 items), population coverage (36 interventions that categorized to 9 items) and quality (18 interventions that categorized to 7 items) respectively. Also, the successful result were conducted financial protection (14 items), service coverage (7 items), population coverage (9 items) and quality (7 items)) respectively. Conclusion:This study provides a comprehensive and clear view of successful interventions in achieving to UHC. Therefore, with consideration to lessons learned from successful interventions, policymakers can be designing appropriate interventions to their country. a significant impact on health promotion, easier access to health care for those in need, and improved public health, especially for the poor [12].Given the importance of achieving UHC for high-and middle-income countries, the number of countries trying to achieve this has increased in the last two decades [13, 14]. In addition, nowadays countries by increasing their knowledge and awareness of strategies and applying the experiences of successful countries, as well as acquiring the necessary capabilities to meet their urgent needs, are trying to take the path of achieving UHC [15][16][17]. Like other high-income countries that have achieved UHC, low and middle-income countries, with taking into account the structure and resources that they have, on the path to UHC, undertake measures such as mobilizing resources, fulfilling the political commitments necessary to implement health-related policies, and implementing effective reforms and interventions in macro-national policies [1, 18, 19]. The UHC can be one of the most challenging political processes that require the support of various stakeholders, including health system policymakers [4]. Although all countries pursue the same goal of achieving UHC, the path...

show abstract

Section: Discussionmentioning

confidence: 99%

Best Practices in Achieving Universal Health Coverage: A Scoping Review

Koohpayehzadeh

Azami-Aghdash

Derakhshani

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…According to this dimension, adequate financial risk protection of the citizens that become ill is a major step in achieving UHC [92,98,113]. For this purpose, the fair financial contribution [117] and contributions in the form of prepayment mechanisms [110,118] can be helpful. The insurance coverage of the country' population is highly important in achieving UHC.…”

Section: Discussionmentioning

confidence: 99%

Monitoring process barriers and enables towards universal health coverage within the Sustainable Development Goals

Derakhshani

Doshmangir

Ahmadi

et al. 2020

Preprint

View full text Add to dashboard Cite

Background This study builds on previous successes of using tracer indicators in tracking progress towards UHC and complements them by offering a more detailed framework that would allow to identify potential factors that impede or advance such progress. This tool was designed accounting for possibly available data in low and middle income counties.Methods A systematic review of relevant studies was carried out using PubMed, ISI Web of Science, Embase, Scopus and ProQuest databases with no time period restriction. The search was complemented by a scoping review of grey literature, using the World Bank and WHO official reports depositories. Next, an inductive content analysis identified determinants influencing the progress towards UHC and its relevant indicators. The conceptual proximity between indicators and categorized themes were explored through three focus group discussion with 18 experts in UHC. Finally, a comprehensive list of indicators was converted into an assessment tool and refined following three consecutive expert panel discussions and two rounds of email surveys.Results 416 themes (including indicators and determinants factors) were extracted from 170 eligible articles and documents. Based on conceptual proximity, the number of factors was reduced to 119. These were grouped into seven domains: social infrastructure and social sustainability, financial and economic infrastructures, population health status, service delivery, coverage, stewardship/governance and global movements. The final assessment tool included 20 identified subcategories and 88 relevant indicators.Conclusion All identified factors in progress towards UHC are interrelated. The developed tool can be adapted and used in whole or in part in any country. Periodical use of the tool to understand progress towards UHC is recommended.

show abstract

“… 4 Improved surgery is a key component in strengthening a system to deliver universal health coverage. 5 6 …”

Section: Introductionmentioning

confidence: 99%

Factors influencing use of essential surgical services in North-East India: a cross-sectional study of obstetric and gynaecological surgery

2020

View full text Add to dashboard Cite

IntroductionThere continues to be a large gap between need and actual use of surgery in low-resource settings. While policy frequently focuses on expanding the supply of services, demand-side factors are at least as important in determining under utilisation and over utilisation. The aim of this study is to understand how these factors influence the use of selected essential obstetric and gynaecological surgical procedures in the underserved and remote setting of North-East India.MethodsThe study combines and makes use of data from a variety of surveys and routine systems. Descriptive analysis of variations in caesarean section, hysterectomy and sterilisation and then multivariate logit analysis of demand-side and supply-side factors on access to these services is undertaken.ResultsSurgical rates vary substantially both across and within North-East India, correlated with service capacity and socioeconomic status. Travel times to surgical facilities are associated with rates of caesarean section and hysterectomy but not sterilisation where services are much more deconcentrated. Travel is less important for surgery in private facilities where capacity is much more dispersed but dominated by the non-poor. The presence of non-doctor medical staff is associated with lower levels of surgical activity.ConclusionIn low resource, remote settings policy interventions to improve access to services must recognise that surgical rates in low-resource settings are heavily influenced by demand-side factors. As well as boosting services, mechanisms need to mitigate demand-side barriers particularly distance and influence practice to encourage surgical intervention only where clinically indicated.

show abstract

Strengthening Health Systems of Developing Countries: Inclusion of Surgery in Universal Health Coverage

Cited by 23 publications

References 41 publications

Best Practices in Achieving Universal Health Coverage: A Scoping Review

Best Practices in Achieving Universal Health Coverage: A Scoping Review

Monitoring process barriers and enables towards universal health coverage within the Sustainable Development Goals

Factors influencing use of essential surgical services in North-East India: a cross-sectional study of obstetric and gynaecological surgery

Contact Info

Product

Resources

About