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Chikungunya Virtual Course

Descrição: 
This course is offered for professionals that are from the health area, in the distance learning modality, its main objective is to train the students for the professional health clinical management inserted in the welcome basic care for people affected by the chikungunya fever. Because it deals with a disease that was recently introduced in the country it is important to health providers to develop skills that can give the proper healthcare to the population. The course is divided in two parts: Unit 1 gives information about the epidemiology, clinical picture, diagnostic, health monitoring, organization of the health service, as well as to present the importance of the continued education on health. The class material is a mixture of various medias. The videos’ content and texts are complementary so we recommend that both are used with attention. Unit 2 presents clinical cases that will make the student think about the best practice to deal with the patients who are suspected of this disease.

The impact of health insurance on health services utilization and health outcomes in Vietnan

Descrição: 
In recent years, a number of low- and middle-income country governments have introduced health insurance schemes. Yet not a great deal is known about the impact of such policy shifts. Vietnam’s recent health insurance experience including a health insurance scheme for the poor in 2003 and a compulsory scheme that provides health insurance to all children under six years of age combined with Vietnam’s commitment to universal coverage calls for research that examines the impact of health insurance. Taking advantage of Vietnam’s unique policy environment, data from the 2002, 2004 and 2006 waves of the Vietnam Household Living Standard Survey and single-difference and difference-in-differences approaches are used to assess whether access to health insurance – for the poor, for children and for students – impacts on health services utilization and health outcomes in Vietnam. For the poor and for students, results suggest health insurance increased the use of inpatient services but not of outpatient services or health outcomes. For young children, results suggest health insurance increased the use of outpatient services (including the use of preventive health services such as vaccination and check-up) but not of inpatient services.Relatório publicado no Health Economics, Policy and Law, v. 9, n. 4,  p.359–382, 2014.

The political economy of universal health coverage

Descrição: 
Trabalho apresentado no Primeiro Simpósio Global de Sistemas de Saúde, realizado de 16-19 novembro de 2010 em Montreux, na Suíça. Autores: David Stuckler ;  Andrea B. Feigl ; Sanjay Basu ; Martin McKee.Universal Health Care is one of the most widely shared goals in global health. The concept of Universal Health Care captures a common set of common values: equity, shared responsibility, and quality healthcare delivery irrespective of ability to pay. This paper focuses on Universal Health Coverage (UHC), which is one aspect of Universal Health Care, unless otherwise specified. Universal Coverage focuses primarily on the achievement of a wide network of health providers and health institutions so that the vast majority of the population can have access to health services; the components that are ‘sufficient’ to be considered adequate coverage are highly contested, as we will show.Debates about expanding health care within a country involve competing visions about the appropriate roles of the public and private sectors; market and state; local andcentral government; the duties and entitlements of youth and elderly, sick and healthy, and rich and poor; and the contribution of health to the advancement of society. 

Universal health coverage with equity: what we know, don´t know and need to know

Descrição: 
Trabalho apresentado no Primeiro Simpósio Global de Sistemas de Saúde,  realizado de 16-19 novembro de 2010 em Montreux, na Suíça. Autoras: Patricia Frenz e Jeanette Vega (Orgs.) The pursuit of equity of access to health care is inherent to the health system objective of universal health coverage (UHC). Policies aimed at UHC, from wider health systems approaches to focalized programs and interventions, must be assessed in terms of their effect on equity of access, which requires that their design and management specifically facilitate and enable access across the social gradient, particularly by disadvantaged groups. This background paper reviews the extensive theoretical literature and evidence generated through health systems research (HSR) on equity of access as it relates to UHC. By integrating common elements from diverse disciplinary perspectives discussed in the vast conceptual literature, we set forth an analytical framework to assess equity of access in UHC policies. Key studies from all regions of the world are examined using thisframework to identify the issues addressed, methods and specific findings.  

Universal health coverage: a commitment to close the gap

Descrição: 
Sumário Executivo do Relatório publicado por Save the Children, 2013.Support for universal health coverage (UHC) – ensuring "that all people obtain the health services they need, of good quality, without suffering financial hardship when paying  for them" 1 – is fast gaining momentum. The World Health Organization (WHO), the World Bank and many developing and donor countries have already adopted UHC as their top health  priority. This report focuses on how and why inequity – unfair and avoidable inequalities – should be prioritised as countries progress on the path towards UHC. It identifies policy options that governments and donors should consider when implementing reforms for UHC and estimates the effect this could have on health outcomes, setting out the implications for the post- 2015 sustainable development framework.Research for this report included:- A structured literature review to identify lessons from countries;- key informant interviews with a range of experts;- An econometric analysis to estimate the impact of more equitable health financing on mortality rates;- A Lives Saved analysis to estimate the impact of eliminating in-country wealth inequities incoverage of maternal and child health services.

The new global health agenda: universal health coverage

Descrição: 
Relatório elaborado por Oren Ahoobim ; Daniel Altman ; Laurie Garrett ; Vicky Hausman ; Yanzhong Huang, publicado em abril de 2012.Realizing the benefits of UHC for households is a formidable challenge.Not only do the political, legislative, and regulatory hurdles to launching a UHC program need to be overcome; the program needs to be implemented and fine-tuned in ways that respond to the behavior of the targeted population, as well as other economic and health-relatedtrends. No one country has a UHC program that is viewed as a model for the entire world. Rather, governments and their partners seeking to implement UHC need to use a combination of insights from a collection of countries operating in similar contexts. Evidence underlining the benefits of UHC continues to accrue, especially as the introduction of UHC is increasingly designed with controlled trials in mind. Of course, because no two systems are identical, positive results in one country will not necessarily imply success in another. Yet even the evidence collected to date makes a strong case for UHC as a way to cut costs, reduce financial hardship, and potentially improve health. 

The long road to universal health coverage: a century of lessons for development strategy.

Descrição: 
Relatório de autoria de  Jesse B. Bump,  publicado em outubro 2010.Universal health coverage (UHC) has risen to the forefront of the global health agenda in the past few years, as reflected by donor pledges, international  declarations, and high‐profile publications (BBC News 2009; Garrett, Chowdhury et  al. 2009). The next World Health Report will focus on UHC, and other recent efforts  have worked to identify sustainable financing for health systems strengthening. For  instance, to coincide with the final report of the Taskforce on Innovative  International Financing for Health Systems (TIIFHS)1 in September of 2009, donors  announced commitments and new financing strategies expected to generate US$5.3  billion. At the same time, six developing countries announced policy reforms to  increase access to health services, including the elimination of user fees, the  provision of free care, and new insurance mechanisms (TIIFHS 2009).

Financial protection in health in rural China, 1978-2005: trends and current status.

Descrição: 
This paper is a comprehensive review of journal articles as well as grey literature. PubMed, CINAHL, and EMBASE, published  March 2008  on Future healt systems.org.Amid public health sector reforms, China’s health care system is currently at a critical point, encountering unprecedented opportunities as well as challenges as a result of recent rapid economic development. The World Bank report identified acute serious illnesses to be the major risk factor for 30% of Chinese people who live below the official poverty line; other research studies have also indicated that chronic illnesses are major contributing factors for financial impoverishment in China. (World Bank, 1993; J. Chen, Lucas, & Gong, 2004) Unfortunately, the burden of health payment in China has been enormous and, according to the World Health Report 2000, China ranks 188 out of 191countries in ―fairness of financial contribution‖ in terms of health spending relative to income.In this paper, we focus on financial protection in rural China, where 745 million–57% of the Chinese people–reside (National Bureau of Statistics of China, 2006). First, we illustrate the degree of financial protection that rural residents have after a series of reforms and changes since 1978. Then we review the current rural health insurance reforms as well as the results from the pilot programs. We conclude with recommendations for future policies and programs. 

Tracking universal health coverage: First global monitoring report.

Descrição: 
Livro editado em 2015, elaborado pela Organização Mundial de Saúde e Banco Mundial. Universal health coverage (UHC) means that all people receive the quality, essential health services they need, without being exposed to financial hardship.A significant number of countries, at all levels of development, are embracing the goal of UHC as the right thing to do for their citizens.  It is a powerful social equalizer and contributes to social cohesion and stability. Every country has the potential to improve the performance of its health system in the main dimensions of UHC: coverage of quality services and financial protection for all. Priorities, strategies and implementation plans for UHC will differ from one country to another. Moving towards UHC is a dynamic, continuous process that requires changes in response to shifting demographic, epidemiological and technological trends, as well as people’s expectations.But in all cases, countries need to integrate regular monitoring of progress towards targets into their plans.In May 2014, the World Health Organization and the World Bank jointly launched a monitoring framework for UHC, based on broad consultation of experts from around the world. The framework focuses on indicators and targets for service coverage – including promotion, prevention, treatment, rehabilitation and palliation – and financial protection for all. This report provides the first global assessment of the current situation and aims to show how progress towards UHC can be measured.  

Universal Health Protection: progress to date and the way foward

Descrição: 
This paper proposes policy options based on ILO research and experiences that aim at universal coverage and equitable access to health care. The policy options discussed focus on ensuring the human rights to social security and health and on the rights-based approaches underpinning the need for equity and poverty alleviation. The paper also provides insights into aspects of implementation and related challenges. It includes an overview of ILO concepts, definitions and strategic approaches to achieving socially inclusive and sustainable progress and highlights recent global trends.  

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