What matters in health (care) universes: delusions, dilutions, and ways towards universal health justice

Birn, Anne‐Emanuelle; Nervi, Laura

doi:10.1186/s12992-019-0521-7

Cited by 21 publications

(21 citation statements)

References 34 publications

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“…Universal health coverage can be operationalised in actionable measures, where its universality meets with social justice. 44 Disclosure statement No conflict of interest was reported by the author(s).…”

Section: Conclusion and Implications For Policy And Programmesmentioning

confidence: 99%

The intersectional jeopardy of disability, gender and sexual and reproductive health: experiences and recommendations of women and men with disabilities in Northern Uganda

Mac-Seing

Zinszer

Eryong³

et al. 2020

Sexual and Reproductive Health Matters

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The 2030 Sustainable Development Goals committed to "Leave No One Behind" regardless of social identity. While access to sexual and reproductive health (SRH) services has improved globally, people with disabilities continue to face enormous barriers to SRH, infringing on their SRH rights (SRHR). Uganda adopted pro-disability legislation to promote the rights of people with disabilities. Despite these legal instruments, SRHR of people with disabilities continue to be violated and denied. To address this, we sought to understand and document how people with disabilities perceive the relationships between their use of SRH services, legislation, and health policy in three districts of the post-conflict Northern region of Uganda. Through an intersectionality-informed analysis, we interviewed 32 women and men with different types of impairments (physical, sensory and mental) and conducted two focus groups with 12 hearing and non-hearing disabled people as well as non-participant observations at seven health facilities. We found that disabled people's access to SHR services is shaped by the intersections of gender, disability, and violence, and that individuals with disabilities experienced discrimination across both private-not-for-profit and public health facilities. They also encountered numerous physical, attitudinal, and communication accessibility barriers. Despite policy implementation challenges, people with disabilities expected to exercise their rights and made concrete multi-level recommendations to redress situations of inequity and disadvantages in SRH service utilisation. Intersectionality revealed blind spots in policy implementation and service utilisation gaps. Universal health coverage can be operationalised in actionable measures where its universality meets with social justice.

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Section: Conclusion and Implications For Policy And Programmesmentioning

confidence: 99%

The intersectional jeopardy of disability, gender and sexual and reproductive health: experiences and recommendations of women and men with disabilities in Northern Uganda

Mac-Seing

Zinszer

Eryong³

et al. 2020

Sexual and Reproductive Health Matters

View full text Add to dashboard Cite

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“…UHC proposal is not a breakthrough innovation, nor a magical solution stemmed from thin air to resolve health pressing issues all over the world. As Birn and Nervi (2019) warn, UHC has a concrete genesis. And, when analysed, it reveals that it is, actually, 'the logical out-growth of four decades of neoliberal capitalist (health) ideology and associated policy-making'.…”

Section: Structural Reforms In Health System and Universal Coveragementioning

confidence: 99%

“…It may acquire different connotations in diverse contexts, according to the given social, political and financial interests involved (Heredia et al, 2015). In weighing its suitability, there is a pressing need to unveil the policy agendas behind UHC, its concrete implementation consequences and the implications embedded in this trend (Birn & Nervi, 2019).…”

Section: Introductionmentioning

confidence: 99%

Pandemic momentum for health systems financialisation: Under the cloaks of Universal Health Coverage

Cabello¹

2021

Global Public Health

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Although a highly ambiguous and contested idea, Universal Health Coverage (UHC) is the hegemonic concept in international debates on health system reforms. States' difficulties to provide adequate and comprehensive response to people's health needs arising from the COVID-19 pandemic strengthened the impetus for UHC implementation. But while featured as the way to achieve justice in health, analyses of UHC-kind reform experiences since the 1990s show that it may be comprehended rather as a new facet of neoliberalism in the health policies' arena. Its insurance arrangements are aimed to finance packages of health goods and services for the poor, while states play mainly a role of public funds administrators, buying from public and private providers competing in the market. UHC contributes to health system fragmentation and segmentation, weakens public structures and opens new markets for corporations to capture public funds. COVID-19 pandemic subjected health systems to unforeseen stress, underscoring the crucial role that a well-funded public health system plays in people's lives. Assessing pandemic's challenges may be an opportunity to build more egalitarian health systems, based on dignity and not people's money. However, the unreflecting adoption of technocratic health paradigms and solutions may, instead, ultimately pave the way for further health financialisation and injustice.

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“…Full list of author information is available at the end of the article. суспільство від деяких колись значно поширених смертельних хвороб [3]. У 2013 році Всесвітньою асамблеєю охорони здоров'я був прийнятий Глобальний план дій ВООЗ із профілактики неінфекційних захворювань і боротьби з ними на 2013-2020 рр.…”

Section: вступunclassified

Соціально-Гігієнічна Характеристика Дітей Ізйододефіцитного Регіону

Sorokman¹,

Bachu²

2021

Mìžnarodnij endokrinologìčnij žurnal

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Background. Determining the social and hygienic patterns of children’s health is an important scientific and methodological task of pediatrics, the solution of which makes it possible to manage health processes. Natural factors that affect health include iodine deficiency in environmental components. Nowadays in 19 countries, including Ukraine, the issue of iodine deficiency remains relevant. The purpose was to analyze social and hygienic factors in schoolchildren from the iodine deficiency region. Materials and methods. A survey of schoolchildren (n = 1,973) and their parents (n = 655) was conducted, we have examined 397 children aged 10–12 years from 7 districts of the Chernivtsi region. The concentration of inorganic iodine in a single urine portion was determined in 197 children, salt samples were tested using a rapid test. Results. In 2017, 56.1 % of parents-respondents did not know about the problem of iodine deficiency, and in 2019 — 28.2 %. Out of 397 salt samples taken from households, the presence of iodine was found in 133 (33.5 %) and 45 (41.3 %) of 109 samples taken from trade establishments. Of 509 samples labeled as iodized salt, only 35 % contained iodine and 65 % did not meet the requirements. The hygienic assessment of the balance of children’s diet revealed significant violations that may contribute to the development of iodine deficiency. Of 1,973 respondents, 15.7 % eat natural products. A disharmonious style of family upbringing dominated, which changes the emotional and mental state of a child. The median ioduria in the examined population is in general 58.1 ± 3.2 μg/l, the frequency of goiter among prepubertal children of Bukovinian region is 17.2 %. Two or more concomitant diseases, asthenic, neurotic and affective disorders were detected in 75.5 % of schoolchildren. Conclusions. Low public awareness, sale of iodized salt on the consumer market, which does not meet hygienic standards for iodine content, low motivation to use iodized salt on the background of iodine deficiency, even mild, are additional risk factors for iodine deficiency in schoolchildren of Chernivtsi region.

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What matters in health (care) universes: delusions, dilutions, and ways towards universal health justice

Cited by 21 publications

References 34 publications

The intersectional jeopardy of disability, gender and sexual and reproductive health: experiences and recommendations of women and men with disabilities in Northern Uganda

The intersectional jeopardy of disability, gender and sexual and reproductive health: experiences and recommendations of women and men with disabilities in Northern Uganda

Pandemic momentum for health systems financialisation: Under the cloaks of Universal Health Coverage

Соціально-Гігієнічна Характеристика Дітей Ізйододефіцитного Регіону

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