How they did it? Pro-poor UHC efforts in low and low-middle income contexts
International Hospital Federation - IHF
| 2 years ago
Authors: Somil Nagpal and Nicolas Rosemberg, World Bank
ABSTRACT: This paper synthesizes findings from six countries in the UNICO series which have made considerable progress towards pro-poor universal health coverage (UHC), despite limited financial resources. These countries include Kenya and Ethiopia from the first round of the UNICO studies published in 2013, and Cambodia, Lao PDR, Malawi and Tanzania from the second round of case studies being published in 2018.
These programs started amidst a very challenging health system context and aimed to simultaneously address multiple constraints. Amidst these challenges, pro-poor programs were able to make significant contributions to overall health system performance. There is an emerging impact on health outcomes and on access and financial protection for the poor- but there is also a large pending agenda, including quality of services, continued equity challenges, inadequate financing and poor capacity. However, they have successfully shown innovations on purchasing, information systems and their strong pro-poor focus, a lesson for other LIC and LMIC peers. How they did it? Pro-poor UHC efforts in low and low-middle income contexts (pdf 456.85kB)