Research Project by: Lisa Deutsch, Denise Hüttenbrenner, Fabian Schrogl, Gerhard Wagner
UHC has increasingly become a key target on the global health agenda and is highly promoted by international organizations like the World Health Organization (WHO) and the World Bank. Despite the global commitment to UHC, mainly developed countries have achieved its implementation so far. Little is known about developing countries, above all Sub-Saharan Africa, due to a lack of approaches how to measure progress towards UHC in a manner that also allows for context-sensitivity. Therefore this paper introduces a UHC-Index (UHCI) that covers the three dimensions of coverage, services and financial risk protection. While the first two dimensions are covered by the UHC-tracer developed by Lim et al (2016), the latter dimension is approximated by the out-of-pocket expenditure as a percentage of private expenditure on health. In addition to providing a snapshot of the status quo of progress towards UHC in Africa, the UHCI is also used to identify determinants that facilitate the implementation of UHC. Based on these determinants, the authors recommend a UHC strategy that covers the full population from the very start with an essential package of services that will be extended over time, instead of targeting limited groups first.
Universal Health Coverage Index – Measuring the progress towards UHC in Sub-Saharan Africa – YouTube