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Estimating Universal Health coverage

Estimating Universal Health coverage

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Estimating Universal Health coverage

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  1. Estimating Universal Health coverage Dr. N. Devadasan, Institute of Public Health, Bangalore, India

  2. UHC • Universal health coverage ? • Universal health care ? Ensuring that ALL people can use the health services they need of sufficient quality to be effective, while also ensuring that the use of services do not expose the use to financial hardship Presentation at NHSRC

  3. Coverage Presentation at NHSRC

  4. Why estimate? • UHC is about moving from point A to point B • We need to know where we are currently • Point B is usually 100% coverage • We need to develop the strategy to reach Point B Presentation at NHSRC

  5. WHR 2010 Presentation at NHSRC

  6. What to estimate • Financial • Population • Services • Quantitative • Qualitative Presentation at NHSRC

  7. Indicators for financial coverage Presentation at NHSRC

  8. Examples … Presentation at NHSRC

  9. Examples … Presentation at NHSRC

  10. Population coverage Presentation at NHSRC

  11. Examples Presentation at NHSRC

  12. Indicators for service coverage Ideally one needs to define the essential health package Presentation at NHSRC

  13. Indicators for service coverage … • ILO’s access deficit method • MDG countdown method • SARA method • Composite coverage index Presentation at NHSRC

  14. Indicators for service coverage - Quantitative Presentation at NHSRC

  15. Indicators for service coverage - Quantitative Presentation at NHSRC

  16. Indicators for service coverage – Quality of care Presentation at NHSRC

  17. Service coverage: Examples … Presentation at NHSRC Annual health survey 2012. X state

  18. Service coverage: Examples.. Presentation at NHSRC DLHS, NSSO 60th Round, RNTCP 2012. India

  19. What to do • All indicators? • A single composite indicator? • A mixture? Presentation at NHSRC

  20. Services + Population Presentation at NHSRC

  21. Services + OOP Presentation at NHSRC

  22. Financial coverage Presentation at NHSRC

  23. Financial coverage CURRENT STATUS Service coverage Population coverage Presentation at NHSRC

  24. Limitations • Agreement on package • Agreement on indicators • Availability of disaggregated data • Validation of this tool Presentation at NHSRC

  25. Disclaimer • Please note that this is a work in progress • Suggestions and criticisms are welcome Presentation at NHSRC

  26. Thank you Dr. N. Devadasan, MBBS, MPH, PhD Institute of Public Health, Bangalore