Key messages for World Health Day 2018
7 April, 2018, 12:00 am
* Universal health coverage is about ensuring all people can get quality health services, where and when they need them, without suffering financial hardship.
* No one should have to choose between good health and other life necessities.
* UHC is key to people’s and nations’ health and well-being.
* UHC is feasible. Some countries have made great progress. Their challenge is to maintain coverage to meet people’s expectations.
* All countries will approach UHC in different ways: there is no one size fits all. But every country can do something to advance UHC.
* Making health services truly universal requires a shift from designing health systems around diseases and institutions towards health services designed around and for people.
* Everyone can play a part in the path to UHC, by taking part in a UHC conversation.
Too many people are currently missing out on health coverage
“Universal” in UHC means “for all”, without discrimination, leaving no one behind. Everyone everywhere has a right to benefit from health services they need without falling into poverty when using them.
Here are some facts and figures about the state of UHC today:
* At least half of the world’s people is currently unable to obtain essential health services.
* Almost 100 million people are being pushed into extreme poverty, forced to survive on just $1.90 or less a day, because they have to pay for health services out of their own pockets.
* More than 800 million people (almost 12 per cent of the world’s population) spend at least 10 per cent of their household budgets on health expenses for themselves, a sick child or other family member. They incur so-called “catastrophic expenditures”.
* Incurring catastrophic expenses for health care is a global problem. In richer countries in Europe, Latin America and parts of Asia, which have achieved high levels of access to health services, increasing numbers of people are spending at least 10 per cent of their household budgets on out-of-pocket health expenses.
What UHC is
* UHC means that all people and communities receive the health services they need without suffering financial hardship.
* UHC enables everyone to access the services that address the most important causes of disease and death and ensures that the quality of those services is good enough to improve the health of the people who receive them.
What UHC is not
* UHC does not mean free coverage for all possible health interventions, regardless of the cost, as no country can provide all services free of charge on a sustainable basis.
* UHC is not only about ensuring a minimum package of health services, but also about ensuring a progressive expansion of coverage of health services and financial protection as more resources become available.
* UHC is not only about medical treatment for individuals, but also includes services for whole populations such as public health campaigns – for example adding fluoride to water or controlling the breeding grounds of mosquitoes that carry viruses that can cause disease.
* UHC is not just about health care and financing the health system of a country. It encompasses all components of the health system: systems and healthcare providers that deliver health services to people, health facilities and communications networks, health technologies, information systems, quality assurance mechanisms and governance and legislation.