Universal health coverage (UHC) has been defined as the desired outcome of health system performance whereby all people who need health services (promotion, prevention, treatment, rehabilitation, and palliation) receive them, without undue financial hardship. UHC has two interrelated components: the full spectrum of good-quality, essential health services according to need, and protection from financial hardship, including possible impoverishment, due to out-of-pocket payments for health services. Both components should benefit the entire population.

This paper summarizes the findings from 13 country case studies and five technical reviews, which were conducted as part of the development of a global framework for monitoring progress towards UHC.

The case studies show the relevance and feasibility of focusing UHC monitoring on two discrete components of health system performance: levels of coverage with health services and financial protection, with a focus on equity. These components link directly to the definition of UHC and measure the direct results of strategies and policies for UHC. The studies also show how UHC monitoring can be fully embedded in often existing, regular overall monitoring of health sector progress and performance. Several methodological and practical issues related to the monitoring of coverage of essential health services, financial protection, and equity, are highlighted. Addressing the gaps in the availability and quality of data required for monitoring progress towards UHC is critical in most countries.

/pdf/monitoring-progress-towards-universal-health-coverage-at-125ohfitnl.pdf

Monitoring progress towards universal health coverage at country and global levels.

The magnitude of and health system responses to the mental health treatment gap in adults in India and China

The Lancet Nigeria Commission: investing in health and the future of the nation

Counselling for Alcohol Problems (CAP), a lay counsellor-delivered brief psychological treatment for harmful drinking in men, in primary care in India: a randomised controlled trial

Non-communicable diseases are important causes of mortality and morbidity in India. Data from the Registrar General of India, World Health Organization and Global Burden of Disease (GBD) Study have reported that cardiovascular diseases (CVD) are the most important causes of death and disability. Age-adjusted mortality from these conditions has increased by 31% in last 25 years. Case-control studies have reported that hypertension is most important risk factor for CVD in India. GBD Study has estimated that hypertension led to 1.6 million deaths and 33.9 million disability-adjusted life years in 2015 and is most important cause of disease burden in India. Intensive public health effort is required to increase its awareness, treatment and control. UN Sustainable Development Goals highlight the importance of high rates of hypertension control for achieving target of 1/3 reduction in non-communicable disease mortality by 2030. It is estimated that better hypertension control can prevent 400-500,000 premature deaths in India.

Hypertension: The most important non communicable disease risk factor in India.

https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(15)00955-1.pdf

Assuring health coverage for all in India

The decadal household survey of the health seeking behavior of Indian households reveals a treasure trove of information for health policy makers, activists and interested citizens.This article is an attempt at parsing data of the most recent of such survey ( 71st round conducted by National Sample Survey Organization) , taking stock of the situation in the Indian health sector as it obtains on the ground on date and its implication for the direction which our health policy needs to head towards.

NSSO 71st Round Same Data, Multiple Interpretations

Patients’ rights in India: betraying the public trust

This paper is a country case study for the Universal Health Coverage Collection, organized by WHO. N. Devadasan and colleagues illustrate progress towards UHC and its monitoring and evaluation in India. Please see later in the article for the Editors' Summary

Monitoring and evaluating progress towards Universal Health Coverage in India.

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Assuring health coverage for all in India

NSSO 71st Round Same Data, Multiple Interpretations

Patients’ rights in India: betraying the public trust

Monitoring and evaluating progress towards Universal Health Coverage in India.