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"Nagpal, Somil, author"
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Going Universal: How 24 Countries Are Implementing Universal Health Coverage Reforms from the Bottom Up
The quest for universal health coverage (UHC) has gathered real momentumover the past decade, with countries on every continent now taking part. This iswelcome news, since a lack of universal coverage means that hundreds ofmillions of people around the world either do not get the health care servicesthey need, or they have to pay dearly for them, often falling into poverty as aresult. But the UHC agenda also poses an enormous challenge to policy makersacross the globe, and many countries are eager to learn from the experiencesof others as they undertake the long journey toward UHC.Going Universal: How 24 Developing Countries Are Implementing UniversalHealth Coverage Reforms from the Bottom Up draws on a wealth of newevidence to help enrich the global knowledge base on UHC. It provides asynthesis of UHC reform programs that placed a special focus on expandingcoverage in ways inclusive of the poor. The main objective was to documentand analyze their experiences based on a systematic data collection effort thatsought to capture in great detail how they have been implementing UHCreforms. The main chapters oer an in-depth analysis of how countries areaddressing five key challenges: covering people, expanding benefits, managingmoney, improving the supply of health care services, and strengtheningaccountability.The UHC reform programs described in the volume are new, massive, andtransformational. Most were launched during the past decade, and togetherthey now cover more than 2 billion people. But most importantly, the authorsfind that the programs are fundamentally changing the way health systemsoperate, offering the potential to achieve greater equity and better results forthe money spent. The authors identify key risks that lie ahead, as well as anemerging agenda that requires more country and global learning. Overall, thisbook offers those contributing to the achievement of UHC worldwide avaluable new resource to help chart a way forward.
eBook
Government-sponsored health insurance in india
Since independence, India has struggled to provide its people with universal health coverage. Whether defined in terms of financial protection or access to and effective use of health care, the majority of Indians remain irregularly and incompletely covered. Finally, and most recently, a new generation of Government-Sponsored Health Insurance Schemes (GSHISs) has emerged to provide the poor with financial coverage. Briefly, the main objective of these new GSHISs was to offer financial protection against catastrophic health shocks, defined in terms of an inpatient stay. Between 2007 and 2010, six major schemes have emerged, including one sponsored by the Government of India (GOI) and five state-sponsored schemes. This new wave of schemes provides fully subsidized coverage for a limited package of secondary or tertiary inpatient care, targeting below poverty populations. Similar to the private voluntary insurance products in the country, ambulatory services including drugs are not covered except as part of an episode of illness requiring an inpatient stay. The schemes have organized hospital networks consisting of public and private facilities, and most care funded by these schemes is provided in private hospitals. Ostensibly, the objective of any health insurance scheme is to increase access, utilization, and financial protection, and ultimately improve health status. Due to lack of evaluations and analyses of household data, the authors of this book do not examine the impact of health insurance in terms of these objectives. This book is not meant to highlight problems of the GSHISs, but rather to raise potential challenges and emerging issues that should be addressed to ensure the long-term viability of these schemes and secure their place within the health finance and delivery system.
eBook