Listed under Goal 3.8 of the Sustainable Development Goals of the United Nations is the following target:
“Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all”
Universal Health Coverage (UHC) is thus an essential goal to improving “(Good) Health and Well-Being”. As Boerma et al. have worked out, monitoring UHC is a task that incorporates the following major indicators: Firstly, having complete health service coverage, which includes both treatment and prevention. Secondly, offering financial protection against catastrophic expenditure (high out-of-pocket-payments, compared to household resources) as well as impoverishing expenditure. Data can disaggregated to compare household differences by wealth, place of residence, or sex. These recommendations allow for uniform monitoring of country progress, in the hopes of achieving at least 80% health coverage and 100% financial protection by 2030.
Next week, we will cover a less pragmatic and a more ethics-oriented perspective on health systems. By applying different philosophical schools of thought, we will discuss an ethical framework for assessing health action and system. To tie up our session from last time, we are going start with country case studies on China, Bangladesh, Tunesia, India, and Thailand. If you are interested, come join us on our fourth session on Tuesday, 14th June at 7pm at Charité Campus Mitte, Sauerbruchweg 3, Innere Medizin, Seminarraum 4 to discuss
Ethics in Public Health and Health Systems
Side note: During the World Health Summit in May 2016, only the recommended tracer indicators regarding health service coverage by Boerma et al. were incorporated as actual indicators in measuring UHC. Due to constraints in data gathering, financial protection is now measured by the number of people covered by insurance.