Practice Brief: Implementing Pro-Poor Universal Health Coverage – Lessons from Country Experience

Resource Type: Brief
Authors: Gavin Yamey and David Evans
Published: November 2015

Cover page: Practice Brief: Implementing Pro-Poor Universal Health Coverage - Lessons from country experienceResource Description: Universal health coverage (UHC)—ensuring that everyone has access to quality, affordable health services when needed—can be a vehicle for improved equity, health, financial well-being, and economic development. In its 2013 report, Global Health 2035, the Commission on Investing in Health made the case that pro-poor pathways towards UHC, which target the poor from the outset, are the most efficient way to achieve both improved health outcomes and increased financial protection (FP). Countries worldwide are now embarking on health system changes to move closer to achieving UHC, often with a clear pro-poor intent. While they can draw on guidance related to the technical aspects of UHC (the “what” of UHC), such as on designing service packages, there is less information on the “how” of UHC—how to maximize the chances of successful implementation.

Motivated by a shared interest in helping to close this information gap, a diverse international group of 21 practitioners and academics, including ministry of health officials and representatives of global health agencies and foundations, convened at The Rockefeller Foundation’s Bellagio Center for a three day workshop from July 7–9, 2015. The participants shared their experiences in, and discussed the limited evidence on, how to implement UHC, focusing on a set of seven key questions from across five domains of UHC.

This Practice Brief, which is aimed at health reformers, policymakers, program managers, and advocates of UHC, summarizes key lessons from the Bellagio workshop on implementing pro-poor UHC.




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