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Tracking Universal Health Coverage : 2021 Global Monitoring Report - Conference Edition (English)

Health is a fundamental human right, and universal health coverage (UHC) is critical for achieving that right. UHC represents the aspiration that good quality health services should be received by everyone, when and where needed, without incurring financial hardship. This ambition was clearly stated as a target in the United Nations Agenda 2030 for Sustainable Development and reaffirmed when world leaders endorsed the Political Declaration of the United Nations High-level Meeting on Universal Health Coverage in September 2019, the most comprehensive international health agreement in history. Beyond health and wellbeing, UHC also contributes to social inclusion, gender equality, poverty eradication, economic growth and human dignity. This report reveals that pre-pandemic, gains in service coverage were substantial and driven by a massive scaling up of interventions to tackle communicable diseases, such as HIV, tuberculosis and malaria. And while impoverishing health spending has decreased in recent years, the number of people impoverished or further impoverished by out of pocket health spending has remained unacceptably high. These trends are exacerbated by substantial and persistent inequalities between and within countries. The COVID-19 pandemic has subsequently led to significant disruptions in the delivery of essential health services. Rising poverty and shrinking incomes resulting from the global economic recession are likely to increase financial barriers to accessing care and financial hardship owing to out of pocket health spending for those seeking care, particularly among disadvantaged populations. The pre-COVID challenges, combined with additional difficulties arising from the pandemic, brings an even greater urgency to the quest for UHC. Strengthening health systems based on strong primary health care (PHC) is crucial to building back better and accelerating progress towards UHC and health security. Effective implementation of PHC-oriented health systems enables greater equity and resilience, with greater potential to deliver high-quality, safe, comprehensive, integrated, accessible, available and affordable health care to everyone, everywhere, but most especially the most vulnerable. Substantial financial investments in PHC-oriented building blocks of health systems, particularly in the areas of greatest expenditure (health and care workforces, health infrastructure, medicines and other health products) should be supported, carefully planned and informed by health system performance data to address critical gaps, particularly in low-income and lower-middle income countries. There is also an urgent need to remove remaining barriers in order to enable access to health care for all. Key barriers to UHC progress include poor infrastructure, with limited availability of basic amenities, weaknesses in the design of coverage policies to limit the harmful effects of out of pocket payments particularly for the poor and those with chronic health service needs, shortages and inefficient distribution of qualified health workers, prohibitively expensive good quality medicines and medical products, and lack of access to digital health and innovative technologies. Maintaining progress towards UHC is likely to be challenging. UHC is first and foremost a political choice. It is also a moral imperative to guarantee the right to health for all. More than ever before, strong political commitment from world leaders and partners organizations is the essential ingredient for overcoming barriers.

Details

  • Author

    World Bank WHO

  • Document Date

    2021/12/13

  • Document Type

    Report

  • Report Number

    166881

  • Volume No

    1

  • Total Volume(s)

    1

  • Country

    World,

  • Region

    The World Region,

  • Disclosure Date

    2021/12/13

  • Disclosure Status

    Disclosed

  • Doc Name

    Tracking Universal Health Coverage : 2021 Global Monitoring Report - Conference Edition

  • Keywords

    service coverage; Fragile and Conflict-Affected Situations; Gross National Income Per Capita; Demographic and Health Survey; average life expectancy at birth; essential health services; catastrophic health spending; out of pocket payments; demand for family planning; united nations general assembly; financial protection in health; access to health care; inequality in life expectancy; Out of Pocket Spending; small island developing states; national health sector policy; financial hardship; country income group; primary health care; health care needs; relative poverty line; primary data; accessing health care; million people; antenatal care coverage; health system performance; prevalence of hypertension; affordable health care; health information system; traditional household survey; extreme poverty line; per capita consumption; fundamental human right; essential health care; combination of factor; Oral rehydration therapies; theory of change; demand for service; civil society group; rate of growth; healthy life expectancy; dimension of inequality; purchasing power parity; health care system; Health System Strengthening; health for all; continuum of care; health system efforts; child health service; Human Immunodeficiency Virus; place of residence; Learning and Innovation Credit; health systems; Infectious Disease; index value; noncommunicable diseases; service capacity; global health; delivery channels; household budget; average score; persistent inequality; primary care; trend line; health gain; financial barrier; global population; cluster survey; recent years; income quintile; health security; disadvantaged population; multiple dimension; Public Spending; health expenditure; advantaged groups; political commitment; long-term care; weighted average; care workforce; disease indicators; national statistical; chronic health; health outcome; high-income group; political choice; composite index; population subgroup; low-income group; global index; consultation process; external partner; world leaders; age structure; health products

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Citation

World Bank WHO

Tracking Universal Health Coverage : 2021 Global Monitoring Report - Conference Edition (English). Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/686481639409702006/Tracking-Universal-Health-Coverage-2021-Global-Monitoring-Report-Conference-Edition