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Universal Health Coverage (UHC) in Africa : a framework for action : Main report (Inglês)

Strong economic growth in recent years has helped reduce poverty to 43 percent of the population. Yet, as Africa’s population expands, it is estimated to reach 2.5 billion by 2050, the region faces a critical challenge of creating the foundations for long-term inclusive growth. Many countries still contend with high levels of child and maternal mortality, malnutrition is far too common, and most health systems are not able to deal effectively with epidemics and the growing burden of chronic diseases, such as diabetes. These challenges call for renewed commitments and accelerated progress toward Universal Health Coverage (UHC), the principle that everyone receives needed health services without financial hardship. The primary reason for investing in UHC is a moral one: it is not acceptable that some members of society should face death, disability, ill health or impoverishment for reasons that could be addressed at limited cost. However, UHC is also a good investment. Prevention of malnutrition and ill health is likely to have enormous benefits in terms of longer and more productive lives, higher earnings, and averted care costs. Effectively meeting demand for family planning will accelerate the fertility transition, which in turn will result in higher rates of economic growth and more rapid poverty reduction. And strong health and disease surveillance systems halt epidemics that take lives and disrupt economies. In 2015, the forgone economic growth due to Ebola amounts to more than a billion US dollars in the three countries hit by the epidemic.


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    Main report

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    maternal and child health services;development assistance for health;primary health care services;insecticide treated bed net;quality of health services;demand for family planning;quality health care;mother to child transmission;demand for health services;access to health service;delivery of health services;shortage of health worker;Human Resources for Health;estimates of government spending;Reproductive and Child Health;elimination of user fee;quality of health care;Public Health Emergency;domestic resource mobilization;quality of care;social health insurance;total government spending;national health strategies;essential health services;skilled birth attendance;health systems;Health Workers;Health System Strengthening;health care cost;degree of inequality;improved water source;financing development;Voluntary Health Insurance;fund for health;community-based health workers;Health Service Delivery;country case study;primary care services;areas of expertise;general tax revenues;health insurance fund;financing health care;formal sector worker;health care system;vulnerable population group;improvements in health;care for women;access to care;maternal health care;challenge for governments;provision of care;health service provider;patients per day;domestic revenue generation;reproductive health service;disease surveillance system;maternal health indicator;skilled birth attendants;nurses and midwives;access to information;national regulatory authority;future need;prevalence hiv;maternal mortality ratio;national preparedness plan;international poverty line;gross domestic product;implementation of reform;category of health;vulnerability of countries;cost of failure;animal health system;social and environmental;vitamin a supplementation;loss of life;forms of insurance;illicit financial flows;gap in access;human resource management;child protection services;pool of fund;conditional cash transfer;basic health care;contraceptive prevalence rate;total fertility rate;children per woman;drugs and supplies;quality and transparency;service delivery points;long-term economic growth;Effective Development Assistance;aids related death;medical waste disposal;health care payment;lack of respect;financial hardship;medical equipment;health payments;informal sector;health expenditure;marginalized group;Essential Drugs;financial protection;ill health;financial barrier;fair deal;governance system;life course;health facility;Learning and Innovation Credit;Child Mortality;medical product;community health;government revenue;community level;government budget;viable local;national strategy;health outcome;domestic financing;clinical guidelines;health needs;quality improvement;civil society;development cooperation;fiscal space;fertility transition;human security;core indicator;weighted average;private provider;Antenatal Care;extension worker;development partner;service coverage;health security;health extension;budget resource;local circumstance;health products;total consumption;Public Facilities;quality service;average share;opinion poll;social marketing;large corporation;health workforce;work force;health commodity;regional body;global health;african population;household income;Infectious Disease;Health Promotion;financial resource;equity targeting;pandemic preparedness;government health;government's budget;disease burden;district hospital;nutritional diseases;national policy;basic package;african leaders;financial risk;equity gap;logistic support;community leadership;primary focus;community initiative;urban health;geographical access;behavioral intervention;financial incentive;mobile payments;logistics support;Mobile Health;budget reform;distribution channel;supply chain;free health;pharmaceutical policy;strategic investment;pharmaceutical systems;accreditation system;enforcement capacity;clinical audit;health inputs;common definition;professional association;regulatory body;Regulatory Bodies;inclusive governance;accountability system;adequate incentives



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