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People-centred health systems


 for universal health coverage                                                               Reduce cost

                                                                                             sharing and
                                                                                             fees           Include   Direct costs:
                                                                                                                   proportion
                                                                                                            other   of the costs
                                                                                                            services  covered?
 Health is a human right. And, it is not just an absence of disease. By virtue
 of  these two  considerations  health services are  required  at  individual  and
 population levels and actions are needed to address determinants of health.   Governance  Extend to
                                                                                  non-covered
 Health systems are a sum total of all these efforts by governments, private sector,                        Services:
 development partners and, equally importantly, by communities, families and  Medicines and                 which services
                                                                                                            are coverd?
 people themselves.  Technologies  Information                                   Population: who is
                                                                                 covered?
 Without an underlying robust and resilient health system, health care services   People  Three dimensions to consider when moving
 and essential public health functions can neither be effective nor sustainable,        towards universal health coverage
 including emergency response.  Weak health systems also endanger global   Human   Financing
 health as was evident from the recent Ebola crises in West Africa. Prevention   Resources
 and control of communicable and noncommunicable diseases, mental health,   Service   Universal health coverage is a means to ensure
 maternal and child health care, care of the elderly and people with physical   Delivery  healthy lives and promote well-being for all at all
 disabilities and varied other health programmes – all require well-functioning   ages with explicit affirmative action for vulnerable
 health systems. Governments have the primary responsibility to organize,       populations. Universal health coverage means
 finance and lead health systems.                                               provision of quality services to everybody without
                                                                                discrimination of any kind and without exposing
                                                                                people  to financial  hardship. One of  the targets
                                                                                of Sustainable Development Goal 3 (SDG3) is to
 Economic
 Public health   Equitable health   growth &                                    achieve global universal health coverage by 2030.
 security  outcomes  employment                                                 Universal health coverage, like the SDGs, cannot be
                                                                                achieved without public–private partnerships. The
                                                                                classical building blocks of health systems have a
 Universal health coverage                                                      dynamic relationship with each other. Progress

 All communities and people receive the quality health services                 or deterioration in one area affects the others. In
 they need, without financial hardship                                          concert, they constitute a system which acts as a
                                                                                platform for safe and quality health services and
                                                                                public health interventions to produce desirable
                                                                                health outcomes. Reliable indicators of health
 Health system strengthening                                                    system performance tell a story about the health
                                                                                situation of the people and the country over time.

                                                                                Fit-for-purpose health systems have good
                                                                                foundations, robust institutions and the agility to
                                                                                transform with changing times.


                                                                                For further information:
 A world with equitable and universal access to …
 health care and social protection, where physical,                             International Health Partnership for UHC 2030
 mental and social well-being are assured                                       https://www.internationalhealthpartnership.net/en/
                                                                                Strategizing national health in the 21st century: a handbook
 “Our Vision”, the 2030 Agenda for Sustainable Development
                                                                                http://www.who.int/healthsystems/publications/nhpsp-handbook/en/
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