Measuring Progress towards Universal Health Coverage

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dc.creatorEozenou, Patrick Hoang-Vu
dc.creatorWagstaff, Adam
dc.creatorBuisman, Leander Robert
dc.creatorCotlear, Daniel
dc.date2015-12-17T23:00:20Z
dc.date2015-12-17T23:00:20Z
dc.date2015-11
dc.date.accessioned2026-07-01T00:46:02Z
dc.descriptionThe last few years have seen a growing commitment worldwide to universal health coverage (UHC). Yet there is a lack of clarity on how to measure progress towards UHC. This paper proposes a ‘mashup’ index that captures both aspects of UHC: that everyone—irrespective of their ability-to-pay—gets the health services they need; and that nobody suffers undue financial hardship as a result of receiving care. Service coverage is broken down into prevention and treatment, and financial protection into impoverishment and catastrophic spending; nationally representative household survey data are used to adjust population averages to capture inequalities between the poor and better off; nonlinear tradeoffs are allowed between and within the two dimensions of the UHC index; and all indicators are expressed such that scores run from 0 to 100, and higher scores are better. In a sample of 24 countries for which there are detailed information on UHC-inspired reforms, a cluster of high-performing countries emerges with UHC scores of between 79 and 84 (Brazil, Colombia, Costa Rica, Mexico and South Africa) and a cluster of low-performing countries emerges with UHC scores in the range 35–57 (Ethiopia, Guatemala, India, Indonesia and Vietnam). Countries have mostly improved their UHC scores between the earliest and latest years for which there are data—by about 5 points on average; however, the improvement has come from increases in receipt of key health interventions, not from reductions in the incidence of out-of-pocket payments on welfare.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2015/11/25239709/measuring-progress-towards-universal-health-coverage-application-24-developing-countries
dc.identifierhttps://hdl.handle.net/10986/23432
dc.identifierhttps://doi.org/10.1596/1813-9450-7470
dc.identifier.urihttp://hdl.handle.net/123456789/410663
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationPolicy Research Working Paper;No. 7470
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectLIVING STANDARDS
dc.subjectCHILD HEALTH
dc.subjectEMPLOYMENT
dc.subjectPAYMENTS FOR HEALTH CARE
dc.subjectPEOPLE
dc.subjectVACCINATION
dc.subjectHEALTH EXTENSION
dc.subjectFINANCING
dc.subjectANTENATAL CARE
dc.subjectHEALTH REFORMS
dc.subjectINCOME
dc.subjectHEALTH CARE UTILIZATION
dc.subjectPREVENTION
dc.subjectLAWS
dc.subjectHEALTH EXPENDITURES
dc.subjectDOCTORS
dc.subjectHEALTH ECONOMICS
dc.subjectCOMMUNITY HEALTH
dc.subjectPRIMARY CARE
dc.subjectCOST-EFFECTIVENESS
dc.subjectMONITORING
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH CARE
dc.subjectFINANCIAL PROTECTION
dc.subjectCERVICAL CANCER
dc.subjectINCENTIVES
dc.subjectNATIONAL HEALTH INSURANCE
dc.subjectHEALTH
dc.subjectECONOMIC POLICY
dc.subjectPOLICY DISCUSSIONS
dc.subjectBREAST CANCER
dc.subjectPOCKET PAYMENTS
dc.subjectHYPERTENSION
dc.subjectHEALTH FACILITIES
dc.subjectPUBLIC HEALTH
dc.subjectHOSPITALIZATION
dc.subjectHEALTH SECTOR
dc.subjectCAPITATION
dc.subjectCHOICE
dc.subjectDIABETES
dc.subjectEXERCISES
dc.subjectHEALTH STATUS
dc.subjectCOSTS
dc.subjectIMMUNIZATION
dc.subjectPATIENTS
dc.subjectPATIENT
dc.subjectINTERVENTION
dc.subjectPROBABILITY
dc.subjectHEALTH SYSTEMS
dc.subjectPUBLIC HOSPITALS
dc.subjectHEALTH CENTERS
dc.subjectIMPACT EVALUATIONS
dc.subjectHEALTH CARE SERVICES
dc.subjectHEALTH INSURANCE SCHEME
dc.subjectHOSPITAL ADMISSIONS
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectUSE OF HEALTH SERVICES
dc.subjectMEDICAL CARE
dc.subjectHOSPITAL CARE
dc.subjectTUBERCULOSIS
dc.subjectHEALTH ORGANIZATION
dc.subjectSCREENING
dc.subjectHEALTH CARE COVERAGE
dc.subjectHIV/AIDS
dc.subjectINSURANCE COVERAGE
dc.subjectMORTALITY
dc.subjectMEDICAL TREATMENT
dc.subjectCOST OF CARE
dc.subjectCOSTS OF HEALTH CARE
dc.subjectHEALTH SPENDING
dc.subjectCOSTS OF CARE
dc.subjectEQUITY
dc.subjectCHILDBIRTH
dc.subjectHEALTH PLAN
dc.subjectWORKERS
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectAGED
dc.subjectHEALTH CARE PROVISION
dc.subjectCARE
dc.subjectHEALTH POLICY
dc.subjectBUDGETS
dc.subjectDEMAND
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH SERVICES USE
dc.subjectINCOME DISTRIBUTION
dc.subjectFAMILY PLANNING
dc.subjectEXPENDITURES
dc.subjectMEASUREMENT
dc.subjectNUTRITION
dc.subjectHEALTH POSTS
dc.subjectADOLESCENTS
dc.subjectHEALTH COVERAGE
dc.subjectPRIMARY HEALTH CARE
dc.subjectNATIONAL HEALTH
dc.subjectHEALTH SYSTEM
dc.subjectINSURANCE
dc.subjectOUTPATIENT CARE
dc.subjectWEIGHT
dc.subjectPREGNANT WOMEN
dc.subjectHEALTH CARE DELIVERY
dc.subjectCARDIOVASCULAR DISEASES
dc.subjectCHILDREN
dc.subjectHOSPITAL SUPPLY
dc.subjectCLINICS
dc.subjectEVALUATION
dc.subjectRISK
dc.subjectINPATIENT CARE
dc.subjectHUMAN RESOURCES
dc.subjectHEALTH PROVIDERS
dc.subjectPOVERTY
dc.subjectINTEGRATION
dc.subjectHEALTH EXPENDITURE
dc.subjectILLNESS
dc.subjectINCIDENCE
dc.subjectPOPULATION
dc.subjectPOLICY RESEARCH
dc.subjectHEALTH CARE FINANCE
dc.subjectFINANCIAL RISK
dc.subjectSTRATEGY
dc.subjectFEES
dc.subjectEPIDEMIOLOGY
dc.subjectFAMILIES
dc.subjectMEDICINES
dc.subjectHEALTH FINANCING
dc.subjectHOSPITALS
dc.subjectHEALTH INTERVENTIONS
dc.subjectHEALTH CARE SYSTEMS
dc.subjectBIRTH ATTENDANT
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICES
dc.subjectHOUSEHOLD EXPENDITURE
dc.subjectIMPLEMENTATION
dc.subjectPREGNANCY
dc.subjectHEALTH STRATEGY
dc.subjectBREASTFEEDING
dc.subjectHUMAN DEVELOPMENT
dc.titleMeasuring Progress towards Universal Health Coverage
dc.titleWith an Application to 24 Developing Countries
dc.typeWorking Paper
dc.typeDocument de travail
dc.typeDocumento de trabajo

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