Universal Health Coverage in Time of Crises: Don’t Abandon the Ship to Avoid the Storm

• 발행기관: 국제개발협력학회
• 저자명: Jubilee Ahazie Sonia Riaz Victoria Fan
• 간행물 정보: 『국제개발협력연구』제16권 제4호, 1~5쪽, 전체 5쪽
• 주제분류: 사회과학 > 정책학
• 파일형태: PDF
• 발행일자: 2024.12.31

국문 초록

Purpose: This paper examines how mounting debt and political instability threaten progress toward universal health coverage (UHC), drawing insights from recent experiences in Pakistan, Mexico, and the United States. Originality: The examination of Pakistan's Sehat Sahulat Program, which reached 27 million families before facing recent cutbacks, demonstrates how economic pressures and political upheaval can rapidly undermine health system gains. Methodology: Analysis of case studies and policy frameworks were used to explore how countries can sustain health programs during economic downturns while navigating difficult trade-offs between coverage, quality, and affordability. Result: The findings reveal that while politics often drives health reform outcomes, technocratic approaches including transparent evaluation, strategic benefit package design, and politically-informed implementation can help protect essential health programs. Conclusions and Implication: Preserving UHC during economic crises requires public health practitioners to move beyond traditional technical approaches to embrace politically nuanced strategies that build public trust and institutional support. These lessons have particular relevance as countries worldwide grapple with debt, inflation, and competing demands for limited public resources while striving to maintain progress toward universal health coverage.

목차

Ⅰ. Introduction

Ⅱ. Clouds on the horizon: Assessing the threats to UHC

Ⅲ. Key Lessons in Priority S etting, Economics, Evaluation, and Politics

References

키워드

Universal Health Coverage Health Equity Health Systems

참고문헌

• Science
• Finance and development
• International Journal of Environmental Research and Public Health
• Health Systems & Reform