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Original Research

Monitoring Process Barriers and Enablers Towards Universal Health Coverage Within the Sustainable Development Goals: A Systematic Review and Content Analysis

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Pages 459-472 | Published online: 24 Aug 2020

References

  • World Health Organization. The world health report 2000: health systems: improving performance. WHO; 2000.
  • Sekhri N, Savedoff W. Regulating private health insurance to serve the public interest: policy issues for developing countries. Int J Health Plann Manage. 2006;21(4):357–392. doi:10.1002/hpm.857
  • Evans DB, Saksena P, Elovainio R, Boerma T. Measuring Progress Towards Universal Coverage. Geneva: World Health Organization; 2012.
  • Savedoff WD, de Ferranti D, Smith AL, Fan V. Political and economic aspects of the transition to universal health coverage. Lancet. 2012;380(9845):924–932. doi:10.1016/S0140-6736(12)61083-6
  • World Health Organization. Tracking universal health coverage: first global monitoring report. WHO; 2015.
  • Supachutikul A. Situation analysis on health insurance and future development. Thailand Health Research Institute; 1996.
  • Pannarunothai S, Patmasiriwat D, Srithamrongsawat S. Universal health coverage in Thailand: ideas for reform and policy struggling. Health Policy. 2004;68(1):17–30. doi:10.1016/S0168-8510(03)00024-1
  • World Health Organization. Basic documents. WHO; 2010.
  • Carrin G, Mathauer I, Xu K, Evans DB. Universal coverage of health services: tailoring its implementation. Bull World Health Organ. 2008;86(11):857–863. doi:10.2471/BLT.07.049387
  • McIntyre D, Garshong B, Mtei G, et al. Beyond fragmentation and towards universal coverage: insights from Ghana, South Africa and the United Republic of Tanzania. Bull World Health Organ. 2008;86(11):871–876. doi:10.2471/BLT.08.053413
  • Evans DB, Etienne C. Health systems financing and the path to universal coverage. Bull World Health Organ. 2010;88(6):402–403. doi:10.2471/BLT.10.078741
  • Mills A, Ataguba JE, Akazili J, et al. Equity in financing and use of health care in Ghana, South Africa, and Tanzania: implications for paths to universal coverage. Lancet. 2012;380(9837):126–133. doi:10.1016/S0140-6736(12)60357-2
  • Atun R, Aydın S, Chakraborty S, et al. Universal health coverage in Turkey: enhancement of equity. Lancet. 2013;382(9886):65–99. doi:10.1016/S0140-6736(13)61051-X
  • Alkenbrack S, Jacobs B, Lindelow M. Achieving universal health coverage through voluntary insurance: what can we learn from the experience of Lao PDR? BMC Health Serv Res. 2013;13(1):1.
  • O’Connell T, Rasanathan K, Chopra M. What does universal health coverage mean? Lancet. 2014;383(9913):277–279. doi:10.1016/S0140-6736(13)60955-1
  • Çiçeklioğlu M, Öcek ZA, Turk M, Taner Ş. The influence of a market-oriented primary care reform on family physicians’ working conditions: a qualitative study in Turkey. Eur J Gen Pract. 2015;21(2):1–6. doi:10.3109/13814788.2014.966075
  • Aran M, Ozceli EA. Universal health coverage for inclusive and sustainable development: country summary report for Turkey. 2014.
  • Yardim MS, Cilingiroglu N, Yardim N. Catastrophic health expenditure and impoverishment in Turkey. Health Policy. 2010;94(1):26–33. doi:10.1016/j.healthpol.2009.08.006
  • Doshmangir L, As M. Assessment of Turkey’s achievements in universal health coverage. Hakim. 2015;19(3):233–245.
  • Evans T, Chowdhury M, Evans D, et al. Thailand’s universal coverage scheme: achievements and challenges: an independent assessment of the first 10 years (2001–2010). Health Insurance System Research Office: Nonthaburi; 2012.
  • Hsiao W, Shaw R, Fraker A, et al. Social health insurance for developing nations. WBI Development Studies. Washington DC: The World Bank; 2006.
  • Ahmed S, Annear PL, Phonvisay B, et al. Institutional design and organizational practice for universal coverage in lesser-developed countries: challenges facing the Lao PDR. Soc Sci Med. 2013;96:250–257. doi:10.1016/j.socscimed.2013.01.019
  • Carrin G, James C, Organization WH. Reaching universal coverage via social health insurance: key design features in the transition period. 2004.
  • Schäfer W, Kroneman M, Boerma W, et al. The Netherlands: health system review. Health Syst Transit. 2010;12(1):xxvii, 1–228.
  • Meng-Kin L. Health care systems m transition II. Singapore, part I. An overview of health care systems in Singapore. J Public Health Med. 1998;20:16–22. doi:10.1093/oxfordjournals.pubmed.a024711
  • Fukawa T Public health insurance in Japan. World Bank; 2002.
  • Johnsen JR, Bankauskaite V. Norway: European observatory on health systems and policies. Health Syst Transit. 2006;8(1).
  • Vuorenkosky L, Mladovsky P, Finland ME. Health system review. Health Syst Transit. 2008;10(4):1–168.
  • Busse R, Riesberg A. Health care systems in transition: Germany: world health organization. Regional Office for Europe; 2004.
  • Hofmarcher MM, Quentin W. Austria: health system review. Health Syst Transit. 2012;15(7):1–292.
  • World Health Organization. Republic of Korea health system review: Manila: WHO regional office for the western Pacific. 2015.
  • World Health Organization. Health care systems in transition: Switzerland. Technical Report. European Observatory on Health Care Systems; 2000.
  • Onarheim KH, Taddesse M, Norheim OF, Abdullah M, Miljeteig I. Towards universal health coverage for reproductive health services in Ethiopia: two policy recommendations. Int J Equity Health. 2015;14(1):86. doi:10.1186/s12939-015-0218-3
  • Qingyue M, Shenglan T. Universal health care coverage in China: challenges and opportunities. Procedia Soc Behav Sci. 2013;77:330–340. doi:10.1016/j.sbspro.2013.03.091
  • Rao M, Rao KD, Kumar AKS, Chatterjee M, Sundararaman T. Human resources for health in India. Lancet. 2011;377(9765):587–598. doi:10.1016/S0140-6736(10)61888-0
  • Reich MR, Harris J, Ikegami N, et al. Moving towards universal health coverage: lessons from 11 country studies. Lancet. 2016;387(10020):811–816. doi:10.1016/S0140-6736(15)60002-2
  • Saksena P, Hsu J, Evans DB. Financial risk protection and universal health coverage: evidence and measurement challenges. PLoS Med. 2014;11(9):e1001701. doi:10.1371/journal.pmed.1001701
  • Bonilla-Chacín ME, Aguilera N. The Mexican social protection system in health. 2013.
  • González-Pier E, Gutiérrez-Delgado C, Stevens G, et al. Priority setting for health interventions in Mexico’s system of social protection in health. Lancet. 2006;368(9547):1608–1618. doi:10.1016/S0140-6736(06)69567-6
  • Kwon S. Payment system reform for health care providers in Korea. Health Policy Plan. 2003;18(1):84–92. doi:10.1093/heapol/18.1.84
  • Marten R, McIntyre D, Travassos C, et al. An assessment of progress towards universal health coverage in Brazil, Russia, India, China, and South Africa (BRICS). Lancet. 2014;384(9960):2164–2171. doi:10.1016/S0140-6736(14)60075-1
  • World Health Organization. Monitoring progress towards universal health coverage at country and global levels: framework, measures and targets. WHO; 2014.
  • Wagstaff A, Cotlear D, Eozenou PH-V, Buisman LR. Measuring progress towards universal health coverage: with an application to 24 developing countries. Oxford Rev Econ Policy. 2016;32(1):147–189. doi:10.1093/oxrep/grv019
  • Hogan DR, Stevens GA, Hosseinpoor AR, Boerma T. Monitoring universal health coverage within the sustainable development goals: development and baseline data for an index of essential health services. Lancet Glob Health. 2018;6(2):e152–e68. doi:10.1016/S2214-109X(17)30472-2
  • World Health Organization. World bank (2017) tracking universal health coverage: 2017 global monitoring report. Geneva: WHO.
  • Lozano R, Fullman N, Abate D, et al. Measuring progress from 1990 to 2017 and projecting attainment to 2030 of the health-related sustainable development goals for 195 countries and territories: a systematic analysis for the global burden of disease study 2017. Lancet. 2018;392(10159):2091–2138.
  • Schoen C, Davis K, Collins SR. Building blocks for reform: achieving universal coverage with private and public group health insurance. Health Aff. 2008;27(3):646–657. doi:10.1377/hlthaff.27.3.646
  • Boerma T, Eozenou P, Evans D, Evans T, Kieny M-P M-P, Wagstaff A. Monitoring progress towards universal health coverage at country and global levels. PLoS Med. 2014;11(9):e1001731. doi:10.1371/journal.pmed.1001731
  • Ng M, Fullman N, Dieleman JL, Flaxman AD, Murray CJ, Lim SS. Effective coverage: a metric for monitoring universal health coverage. PLoS Med. 2014;11(9):e1001730. doi:10.1371/journal.pmed.1001730
  • Abdi Z, Majdzadeh R, Ahmadnezhad E. Developing a framework for the monitoring and evaluation of the health transformation plan in the Islamic republic of Iran: lessons learned. East Mediterr Health J. 2019;25:394–405. doi:10.26719/emhj.18.067
  • Neuendorf KA. The Content Analysis Guidebook. Sage; 2002.
  • Patton MQ. Qualitative Evaluation and Research Methods. SAGE Publications, inc; 1990.
  • Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101. doi:10.1191/1478088706qp063oa
  • Solar O, Valentine N, Rice M, Albrecht D, editors. Intersectorality in Health. 7th Global Conference on Health Promotion Promoting Health and Development: Closing the Implementation Gap. 2009.
  • de Andrade LOM, Pellegrini Filho A, Solar O, et al. Social determinants of health, universal health coverage, and sustainable development: case studies from Latin American countries. Lancet. 2015;385(9975):1343–1351. doi:10.1016/S0140-6736(14)61494-X
  • Atun R, De Andrade LOM, Almeida G, et al. Health-system reform and universal health coverage in Latin America. Lancet. 2015;385(9974):1230–1247. doi:10.1016/S0140-6736(14)61646-9
  • Borgonovi E, Compagni A. Sustaining universal health coverage: the interaction of social, political, and economic sustainability. Value Health. 2013;16(1):S34–S8. doi:10.1016/j.jval.2012.10.006
  • Quick J, Jay J, Langer A. Improving women’s health through universal health coverage. PLoS Med. 2014;11(1):e1001580. doi:10.1371/journal.pmed.1001580
  • Damrongplasit K, Melnick G. Funding, coverage, and access under Thailand’s universal health insurance program: an update after ten years. Appl Health Econ Health Policy. 2015;13(2):157–166. doi:10.1007/s40258-014-0148-z
  • Tripathy RM. Public health challenges for universal health coverage. 2014.
  • Saleh SS, Alameddine MS, Natafgi NM, et al. The path towards universal health coverage in the Arab uprising countries Tunisia, Egypt, Libya, and Yemen. Lancet. 2014;383(9914):368–381. doi:10.1016/S0140-6736(13)62339-9
  • Van Minh H, Pocock NS, Chaiyakunapruk N, et al. Progress toward universal health coverage in ASEAN. Glob Health Action. 2014;7(1):25856. doi:10.3402/gha.v7.25856
  • McKee M, Balabanova D, Basu S, Ricciardi W, Stuckler D. Universal health coverage: a quest for all countries but under threat in some. Value Health. 2013;16(1):S39–S45. doi:10.1016/j.jval.2012.10.001
  • Xu Y, Huang C, Colón-Ramos U. Moving toward universal health coverage (UHC) to achieve inclusive and sustainable health development: three essential strategies drawn from asian experience: comment on” Improving the world’s health through the post-2015 development agenda: perspectives from Rwanda”. Int J Health Policy Manag. 2015;4(12):869.
  • ChangBae C, SoonYang K, JunYoung L, SangYi L. Republic of Korea. Health system review. Health Syst Transit. 2009;11(7).
  • Hajizadeh M, Nghiem HS. Out-of-pocket expenditures for hospital care in Iran: who is at risk of incurring catastrophic payments? Int J Health Care Finance Econ. 2011;11(4):267–285. doi:10.1007/s10754-011-9099-1
  • Kavosi Z, Rashidian A, Pourreza A, et al. Inequality in household catastrophic health care expenditure in a low-income society of Iran. Health Policy Plan. 2012;27(7):613–623. doi:10.1093/heapol/czs001
  • Moghadam MN, Banshi M, Javar MA, Amiresmaili M, Ganjavi S. Iranian household financial protection against catastrophic health care expenditures. Iran J Public Health. 2012;41(9):62.
  • Tangcharoensathien V, Limwattananon S, Patcharanarumol W, Thammatacharee J, Jongudomsuk P, Sirilak S. Achieving universal health coverage goals in Thailand: the vital role of strategic purchasing. Health Policy Plan. 2014;30(9):1152–1161. doi:10.1093/heapol/czu120
  • World Health Organization. World Health Report, 2010: health systems financing the path to universal coverage. 2010.
  • Xu K, Evans DB, Carrin G, Aguilar-Rivera AM, Musgrove P, Evans T. Protecting households from catastrophic health spending. Health Aff. 2007;26(4):972–983. doi:10.1377/hlthaff.26.4.972
  • Adebayo EF, Uthman OA, Wiysonge CS, Stern EA, Lamont KT, Ataguba JE. A systematic review of factors that affect uptake of community-based health insurance in low-income and middle-income countries. BMC Health Serv Res. 2015;15(1):543. doi:10.1186/s12913-015-1179-3
  • Alkenbrack S, Jacobs B, Lindelow M. Achieving universal health coverage through voluntary insurance: what can we learn from the experience of Lao PDR? BMC Health Serv Res. 2013;13(1):521.
  • Amaya JL, Ruiz F, Trujillo AJ, Buttorff C. Identifying barriers to move to better health coverage: preferences for health insurance benefits among the rural poor population in La Guajira, Colombia. Int J Health Plann Manage. 2016;31(1):126–138. doi:10.1002/hpm.2268
  • Blanchet K, Gordon I, Gilbert CE, Wormald R, Awan H. How to achieve universal coverage of cataract surgical services in developing countries: lessons from systematic reviews of other services. Ophthalmic Epidemiol. 2012;19(6):329–339. doi:10.3109/09286586.2012.717674
  • Aguilera X, Castillo-Laborde C, Najera-de Ferrari M, Delgado I, Ibañez C. Monitoring and evaluating progress towards universal health coverage in Chile. PLoS Med. 2014;11(9):e1001676. doi:10.1371/journal.pmed.1001676
  • Onwujekwe O, Onoka C, Uguru N, et al. Preferences for benefit packages for community-based health insurance: an exploratory study in Nigeria. BMC Health Serv Res. 2010;10(1):162. doi:10.1186/1472-6963-10-162
  • Dong H, Kouyate B, Cairns J, Sauerborn R. Differential willingness of household heads to pay community-based health insurance premia for themselves and other household members. Health Policy Plan. 2004;19(2):120–126. doi:10.1093/heapol/czh014
  • Dror DM, Koren R, Ost A, Binnendijk E, Vellakkal S, Danis M. Health insurance benefit packages prioritized by low-income clients in India: three criteria to estimate effectiveness of choice. Soc Sci Med. 2007;64(4):884–896. doi:10.1016/j.socscimed.2006.10.032
  • Fairbank A. Sources of financial instability of community-based health insurance schemes: how could social reinsurance help? Partners for Health Reformplus, Abt Associates. 2003.
  • Van Lerberghe W. The world health report 2008: primary health care: now more than ever: World Health Organization; 2008.
  • Scheil‐Adlung X. Revisiting policies to achieve progress towards universal health coverage in low‐income countries: realizing the pay‐offs of national social protection floors. Int Soc Secur Rev. 2013;66(3–4):145–170. doi:10.1111/issr.12022
  • Alebachew A, Hatt L, Kukla M. Monitoring and evaluating progress towards universal health coverage in Ethiopia. PLoS Med. 2014;11(9):e1001696. doi:10.1371/journal.pmed.1001696
  • Wirtz VJ, Hogerzeil HV, Gray AL, et al. Essential medicines for universal health coverage. Lancet. 2017;389(10067):403–476. doi:10.1016/S0140-6736(16)31599-9
  • Rao KD, Petrosyan V, Araujo EC, McIntyre D. Progress towards universal health coverage in BRICS: translating economic growth into better health. Bull World Health Organ. 2014;92(6):429–435. doi:10.2471/BLT.13.127951
  • Koohpayehzadeh J, Azami-Aghdash S, Derakhshani N, et al. Best practices in achieving universal health coverage: a scoping review. 2020.
  • Knaul FM, González-Pier E, Gómez-Dantés O, et al. The quest for universal health coverage: achieving social protection for all in Mexico. Lancet. 2012;380(9849):1259–1279. doi:10.1016/S0140-6736(12)61068-X
  • Higashi H, Khuong TA, Ngo AD, Hill PS. Population-level approaches to universal health coverage in resource-poor settings: lessons from tobacco control policy in Vietnam. MEDICC Rev. 2011;13(3):39–42.
  • Mills A, Ally M, Goudge J, Gyapong J, Mtei G. Progress towards universal coverage: the health systems of Ghana, South Africa and Tanzania. Health Policy Plan. 2012;27(suppl_1):i4–i12. doi:10.1093/heapol/czs002
  • Okoroh JS, Chia V, Oliver EA, Dharmawardene M, Riviello R. Strengthening health systems of developing countries: inclusion of surgery in universal health coverage. World J Surg. 2015;39(8):1867–1874. doi:10.1007/s00268-015-3031-7
  • McIntyre D, Ranson MK, Aulakh BK, Honda A. Promoting universal financial protection: evidence from seven low-and middle-income countries on factors facilitating or hindering progress. Health Res Policy Syst. 2013;11(1):36. doi:10.1186/1478-4505-11-36
  • Patel V, Parikh R, Nandraj S, et al. Assuring health coverage for all in India. Lancet. 2015;386(10011):2422–2435. doi:10.1016/S0140-6736(15)00955-1
  • Davis K. Universal coverage in the United States: lessons from experience of the 20th century. J Urban Health. 2001;78(1):46–58.
  • Ha BT, Frizen S, Thi LM, Duong DT, Duc DM. Policy processes underpinning universal health insurance in Vietnam. Glob Health Action. 2014;7(1):24928.
  • Ibrahimipour H, Maleki M-R, Brown R, Gohari M, Karimi I, Dehnavieh R. A qualitative study of the difficulties in reaching sustainable universal health insurance coverage in Iran. Health Policy Plan. 2011;26(6):485–495. doi:10.1093/heapol/czq084
  • Kumar AS, Chen LC, Choudhury M, et al. Financing health care for all: challenges and opportunities. Lancet. 2011;377(9766):668–679. doi:10.1016/S0140-6736(10)61884-3
  • Donabedian A. An Introduction to Quality Assurance in Health Care. Oxford University Press; 2002.
  • Hatanaka T, Eguchi N, Deguchi M, Yazawa M, Ishii M. Study of global health strategy based on international trends:—promoting universal health coverage globally and ensuring the sustainability of Japan’s universal coverage of health insurance system: problems and proposals. Japan Med Assoc J. 2015;58(3):78.
  • Kwon S. Thirty years of national health insurance in South Korea: lessons for achieving universal health care coverage. Health Policy Plan. 2008;24(1):63–71. doi:10.1093/heapol/czn037
  • Tejativaddhana P, Briggs D, Fraser J, Minichiello V, Cruickshank M. Identifying challenges and barriers in the delivery of primary healthcare at the district level: a study in one Thai province. Int J Health Plann Manage. 2013;28(1):16–34. doi:10.1002/hpm.2118
  • Doshmangir L, Rashidian A, Kouhi F, Gordeev VS. Setting health care services tariffs in Iran: half a century quest for a window of opportunity. 2020.
  • Bredenkamp C, Evans T, Lagrada L, Langenbrunner J, Nachuk S, Palu T. Emerging challenges in implementing universal health coverage in Asia. Soc Sci Med. 2015;145:243–248. doi:10.1016/j.socscimed.2015.07.025
  • Nyandekwe M, Nzayirambaho M, Kakoma JB. Universal health coverage in Rwanda: dream or reality. Pan Afr Med J. 2014;17. doi:10.11604/pamj.2014.17.232.3471
  • Bennett S, Ozawa S, Rao KD. Which path to universal health coverage? Perspectives on the World Health Report 2010. PLoS Med. 2010;7(11):e1001001. doi:10.1371/journal.pmed.1001001
  • World Health Organization. The World Health Report: Health Systems Financing: The Path to Universal Coverage. Geneva: WHO; 2010.
  • Ha BT, Frizen S, Thi LM, Duong DT, Duc DM. Policy processes underpinning universal health insurance in Vietnam. Glob Health Action. 2014;7:24928.
  • Davis MK. Universal coverage in the United States: lessons from experience of the 20th century. J Urban Health. 2001;78(1):46–58.
  • Mathauer I, Doetinchem O, Kirigia J, Carrin G. Reaching universal coverage by means of social health insurance in Lesotho? Results and implications from a financial feasibility assessment. Int Soc Secur Rev. 2011;64(2):45–63. doi:10.1111/j.1468-246X.2011.01392.x
  • Fattore G, Tediosi F. The importance of values in shaping how health systems governance and management can support universal health coverage. Value Health. 2013;16(1):S19–S23. doi:10.1016/j.jval.2012.10.008
  • Ferré F, de Belvis AG, Valerio L, et al. Italy: health system review. 2014.
  • Garcia-Subirats I, Vargas I, Mogollón-Pérez AS, et al. Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil. Soc Sci Med. 2014;106:204–213. doi:10.1016/j.socscimed.2014.01.054
  • Govender V, Chersich MF, Harris B, et al. Moving towards universal coverage in South Africa? Lessons from a voluntary government insurance scheme. Glob Health Action. 2013;6:19253. doi:10.3402/gha.v6i0.19253
  • Wahlster P, Scahill S, Lu CY. Barriers to access and use of high cost medicines: a review. Health Policy Technol. 2015;4(3):191–214. doi:10.1016/j.hlpt.2015.04.009
  • Yasar GY, Ugurluoglu UE. Can Turkey’s general health insurance system achieve universal coverage? Int J Health Plann Manage. 2011;26(3):282–295. doi:10.1002/hpm.1079
  • Maeda A, Araujo E, Cashin C, Harris J, Ikegami N, Reich MR. Universal health coverage for inclusive and sustainable development: a synthesis of 11 country case studies. World Bank Publications; 2014.
  • Shibuya K, Hashimoto H, Ikegami N, et al. Future of Japan’s system of good health at low cost with equity: beyond universal coverage. Lancet. 2011;378(9798):1265–1273. doi:10.1016/S0140-6736(11)61098-2
  • Abiiro GA, De Allegri M. Universal health coverage from multiple perspectives: a synthesis of conceptual literature and global debates. BMC Int Health Hum Rights. 2015;15(1):17. doi:10.1186/s12914-015-0056-9