The Use of Economic Evaluation Tools in Essential Health Benefits Package Selection for Universal Health Coverage

Mangoya, Derek; Barham, Leela; Moyo, Enos; Moyo, Perseverance; Dzinamarira, Tafadzwa

doi:10.1016/j.vhri.2023.01.010

Cited by 1 publication

(1 citation statement)

References 18 publications

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“…However, it is important to note that UHC is beyond the UHC effective service coverage index, providing a comprehensive set of services (36,46,47). The UHC effective service coverage encompasses essential services or Health Benefit Packages (HBPs) prioritized for evaluation and inclusion within the UHC scheme (48) that have been developed based on certain criteria (49)(50)(51)(52).…”

Section: What Is Universal Health Coverage?mentioning

confidence: 99%

Universal Health Coverage – Exploring the What, How, and Why Using Realistic Review

Endalamaw,

Mengistu,

Khatri

et al. 2024

Preprint

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Background: Universal health coverage (UHC) is a critical target in many health system strategies to achieve the ‘good health and wellbeing’. Evidence on the meaning and scope of UHC and the strategies required to achieve it are needed, as variations in its understanding and implementation have risen. We synthesised evidence on the meaning, components, significance, and strategies of UHC. Methods: A review of evidence was conducted based on realist synthesis. We searched PubMed, EMBASE, Scopus, and Web of Science for published materials and websites for grey literature. We have followed some steps: define the scope of the review and develop initial programme theory, search for evidence, data extraction, and synthesis of evidence. Results: Universal coverage, universal health, universal healthcare, universal access, and insurance coverage are used interchangeably with UHC. It is a legal notion that embodies a human rights-based and collaborative approach to ensure fair and comprehensive health care services. Universal health coverage is relevant for three macro reasons: first, it prevents and reduces the impact of diseases; second, it addresses inequality and promotes equity; and third, it is key for global health security. Various mechanisms involved to implement UHC, such as health insurance, social health protection, digital financing systems, value-based care, private sectors, civil societies, partnership, primary health care, and reciprocal health care systems. Conclusions: Universal health coverage is a multifaceted concept that can be expressed by various terms in different contexts. Universal health coverage is a political and ethical imperative that aims to promote health equity and protect human dignity across different levels of society. It is essential in preventing diseases and serving a crucial role in global health security. Practically, UHC is not truly universal, as it does not include all services under its scheme and varies across countries. This requires consistent advocacy, strategic and operational research as well as political will to ensure UHC.

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