Upload
akshay-minhas
View
38
Download
0
Tags:
Embed Size (px)
Citation preview
PRESENTER Dr Akshay Minhas
The goal of universal health coverage is to ensure that all people obtain the health services they need without suffering financial hardship when paying for them.
1. A strong, efficient, well-run health system that meets priority health needs through people-centred integrated care (including services for HIV, tuberculosis, malaria, non communicable diseases, maternal and child health) by:
◦ informing and encouraging people to stay healthy and prevent illness;
◦ detecting health conditions early;◦ having the capacity to treat disease; and◦ helping patients with rehabilitation.
2 Affordability – a system for financing health services so people do not suffer financial hardship when using them.
3 Access to essential medicines and technologies to diagnose and treat medical problems.
4 A sufficient capacity of well-trained, motivated health workers to provide the services to meet patients’ needs based on the best available evidence.
It also requires recognition of the critical role played by all sectors in assuring human health, including transport, education and urban planning etc.
Universal coverage is firmly based on the WHO constitution of 1948 declaring health a fundamental human right and on the Health for All agenda set by the Alma-Ata declaration in 1978.
2 million more doctors, nurses and midwives are required
100 million people pushed into poverty because of direct health payments
70countries devote less than 10% of general government expenditure to health
According to the International Labor Organization, nearly 50 countries have attained universal or near- universal coverage.Conspicuous gaps still exist, however, particularly in Asia, Africa and the Middle East.
High Level Expert Group on Universal health was constituted in 2010 by planning commission .
Ten principles for UHC in India: (i) universality; (ii) equity; (iii) non-exclusion and non-discrimination; (iv) Comprehensive care that is rational and of good quality; (v) financial protection; (vi) protection of patients’ rights that guarantee appropriateness of care, patient choice, portability and continuity of care; (vii) consolidated and strengthened public health provisioning; (viii) accountability and transparency; (ix) community participation; and (x) putting health in people’s hands.
All Determinants
Biological Determinants
Biological Determinants
Behavioural DeterminantsBehavioural
DeterminantsSocial
DeterminantsSocial
Determinants
Refer to the cells, tissues and systems of
the body, their structure and how adequately they
function
Refer to the cells, tissues and systems of
the body, their structure and how adequately they
function
Refer to the choices people
make in their lives that impact on
health
Refer to the choices people
make in their lives that impact on
health
Refer to the determinants within
the social environment that impact on health
status
Refer to the determinants within
the social environment that impact on health
status
Social-Physical-Economic-Services Determinants
◦ Income & income inequality◦ Education◦ Race/ethnicity/gender & related discrimination◦ Built Environment◦ Stress◦ Social support◦ Early child experiences◦ Employment◦ Housing◦ Transportation◦ Food Environment◦ Social standing
Thank you