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Project

Equity in Health and Health Financing: Building and Strengthening Developing Country Networks
 

Central Asia
South Asia
Far East Asia
South America
South Asia
Project ID
106439
Total Funding
CAD 1,627,640.00
IDRC Officer
Marie-Gloriose Ingabire
Project Status
Completed
End Date
Duration
36 months

Programs and partnerships

Maternal and Child Health

Lead institution(s)

Project leader:
Diane McIntyre
South Africa

Project leader:
Ravindra P. Rannan-Eliya
Sri Lanka

Summary

Equity in health is a pressing global concern. Disparities in health status and access to health care within and across countries are both a cause and a consequence of social inequality.Read more

Equity in health is a pressing global concern. Disparities in health status and access to health care within and across countries are both a cause and a consequence of social inequality. Access to health services continues to be largely determined by socioeconomic factors, and financial protection against catastrophic health costs remains inadequate. It is crucial to find evidence-based, and locally-produced and owned solutions, to address the issue of equity in health. Three IDRC-sponsored regional networks are separately investigating inequities in health, health financing and health delivery. The networks are: Strategies for Health Insurance for Equity in Less Developed Countries - SHIELD (103457), Equity in Asia-Pacific Health Systems - EQUITAP (105231), and the Latin American Research Network on Financial Protection (LANET), for Africa, Asia and Latin America and the Caribbean, respectively. This grant will allow the three networks to cooperate through a series of opportunities for capacity building, exchange, and cross-regional comparative and collaborative work. Such work is expected to enhance the evidence base and dissemination of research results for informed policy design.

Research outputs

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Rapports
Language:

French

Summary
Author(s)
Somda, Jacques
Informes
Language:

Spanish

Summary
Author(s)
Gürtler, Ricardo E.
Report
Language:

Portuguese

Summary

The project KSIDS adopted as basic methodology the engagement of the main actors / agents in the research activities. To start the engagement of agents, the technical team Sol & Vento decided to organize a launch event in the city of Mindelo. The event, open to general public's main objective was to present the team and project objectives. Besides, it was an opportunity to evaluate the impact and interest of Mindelo population and key institutions in climate change. The choice of format proved to be adequate and provided a long discussion and exchanges. The debate that followed the presentation of the project participants highlighted the link with the policy makers and the Board Municipality of San Vicente in particular as the main concern and a factor for success / failure of the project. In Overall, the groups agreed on the identification of hazards (floods, haze, rising sea level), vulnerable areas (downtown, coastal zones) and main responsibility (Municipality of San Vicente, civil society).

Author(s)
Costa, Anildo
Article
Language:

English

Summary

Mexico is reaching universal health coverage in 2012. A national health insurance programme called Seguro Popular, introduced in 2003, is providing access to a package of comprehensive health services with financial protection for more than 50 million Mexicans previously excluded from insurance. Universal coverage in Mexico is synonymous with social protection of health. This report analyses the road to universal coverage along three dimensions of protection: against health risks, for patients through quality assurance of health care, and against the financial consequences of disease and injury. We present a conceptual discussion of the transition from labour-based social security to social protection of health, which implies access to effective health care as a universal right based on citizenship, the ethical basis of the Mexican reform. We discuss the conditions that prompted the reform, as well as its design and inception, and we describe the 9-year, evidence-driven implementation process, including updates and improvements to the original programme. The core of the report concentrates on the effects and impacts of the reform, based on analysis of all published and publically available scientific literature and new data. Evidence indicates that Seguro Popular is improving access to health services and reducing the prevalence of catastrophic and impoverishing health expenditures, especially for the poor. Recent studies also show improvement in effective coverage. This research then addresses persistent challenges, including the need to translate financial resources into more effective, equitable and responsive health services. A next generation of reforms will be required and these include systemic measures to complete the reorganisation of the health system by functions. The paper concludes with a discussion of the implications of the Mexican quest to achieve universal health coverage and its relevance for other low-income and middle-income countries.

Author(s)
Knaul, Felicia Marie
Article
Language:

English

Summary
Author(s)
Atun, Rifat
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