Three Case Studies in Making Fair Choices on the Path to Universal Health Coverage.

Voorhoeve, A; Edejer, TT; Kapiriri, L; Norheim, OF; Snowden, J; Basenya, O; Bayarsaikhan, D; Chentaf, I; Eyal, N; Folsom, A; +10 more...Tun Hussein, RH; Morales, C; Ostmann, F; Ottersen, T; Prakongsai, P; Saenz, C; Saleh, K; Sommanustweechai, AORCID logo; Wikler, D; Zakariah, A and (2016) Three Case Studies in Making Fair Choices on the Path to Universal Health Coverage. HEALTH AND HUMAN RIGHTS, 18 (2). pp. 11-22. ISSN 1079-0969 https://researchonline.lshtm.ac.uk/id/eprint/4652263
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The goal of achieving Universal Health Coverage (UHC) can generally be realized only in stages. Moreover, resource, capacity, and political constraints mean governments often face difficult trade-offs on the path to UHC. In a 2014 report, Making fair choices on the path to UHC, the WHO Consultative Group on Equity and Universal Health Coverage articulated principles for making such trade-offs in an equitable manner. We present three case studies which illustrate how these principles can guide practical decision-making. These case studies show how progressive realization of the right to health can be effectively guided by priority-setting principles, including generating the greatest total health gain, priority for those who are worse off in a number of dimensions (including health, access to health services, and social and economic status), and financial risk protection. They also demonstrate the value of a fair and accountable process of priority setting.


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