Building from the HIV Response toward Universal Health Coverage
PLOS Medicine Gaining Universal Health Coverage (UHC) is a major global health goal. Contemporary concepts are mainly inspired by the idea that enrolling a large proportion of the population to financing programs can achive UHC.
They overlook that increasing acess to services needs broader reforms. The article recommends to draw lessons from the global HIV response. (Photo: H6 Partners/flickr)
Time for a quality revolution in global health
The Lancet "The beginning of 2016 marked a major transition in global health: from the Millennium Development Goals (MDGs) to the Sustainable Development Goals (SDGs). The core strategy used to reduce mortality from MDG health conditions was expansion of coverage of a short list of effective but relatively simple health interventions.
Indeed, success on many of the MDGs was measured through coverage (eg, proportion of births with skilled attendants). There are two reasons to think that the utilisation strategy will not deliver the Sustainable Development Goals (SDGs).
(...) Improving future health outcomes across the globe will thus mean paying attention to what happens once people reach the clinic—the quality of care. However, whereas data on health-care use greatly improved in the MDG era, we know little about the quality and effectiveness of care in lower-income countries." (Photo: UNAMID/flickr)
La fermeture de l’aéroport de Sana’a met des millions de vies en danger
Handicap International Douze organisations humanitaires appellent la coalition arabe à lever les restrictions pesant sur l’espace aérien yéménite et à rouvrir le principal aéroport du pays, l’aéroport international de Sana’a, afin de permettre la reprise des vols humanitaires. Selon le porte-parole des organisations humanitaires, Syma Jamil, "la fermeture du principal aéroport en fonction du Yémen est inexcusable alors que des milliers de familles yéménites ont un besoin vital d’assistance humanitaire".
Shortage of 15 million health workers worldwide by 2030
Global Health Workforce Labor Market Projections
World Bank Group "In low- and middle-income countries, scaling essential health interventions to achieve health development targets is constrained by the lack of skilled health professionals to deliver services. This paper takes a labor market approach to project future health workforce demand based on an economic model that projects economic growth, demographics, and health coverage, and using health workforce data (1990–2013) for 165 countries from the World Health Organization’s Global Health Observatory.
(...) The model predicts that by 2030 global demand for health workers will rise to 80 million workers, double the current (2013) stock of health workers. The supply of health workers is expected to reach 65 million over the same period, resulting in a worldwide shortage of 15 million health workers." (Photo: Path global health/flickr)
Does performance-based financing increase value for money in low- and middle- income countries? A systematic review
Health Economics Review "Governments of low- and middle-income countries (LMICs) are widely implementing performance-based financing (PBF) to improve healthcare services. However, it is unclear whether PBF provides good value for money compared to status quo or other interventions aimed at strengthening the healthcare system in LMICs.
The objective of this systematic review is to identify and synthesize the existing literature that examines whether PBF represents an efficient manner of investing resources. We considered PBF to be efficient when improved care quality or quantity was achieved with equal or lower costs, or alternatively, when the same quality of care was achieved using less financial resources." (Photo: European commission DG ECHO/flickr)