Date: 2021
Type: Technical Report
Macro-health system governance and the UHC agenda : key learnings from the COVID-19 pandemic
Technical Report, STG Resilience Papers, 2021
HUCKEL SCHNEIDER, Carmen, Macro-health system governance and the UHC agenda : key learnings from the COVID-19 pandemic, STG Resilience Papers, 2021 - https://hdl.handle.net/1814/71695
Retrieved from Cadmus, EUI Research Repository
• Prior to the Covid-pandemic, the ‘Political Declaration of the High-Level Meeting on
Universal Health Coverage’ signalled a high point for an approach to global health
focussed on health systems.
• The Covid pandemic has served to highlight the critical importance of the
fundamental goals of Universal Health Coverage ie broad and equitable access to
services and essential technologies; multi-stakeholder participation in decision
making; increased funding; and, protecting citizens against debilitating health care
costs.
• The Covid pandemic has also demonstrated the need to delve deeper into the
organisation and administration of health systems as the key factor in achieving
universal health coverage and effective pandemic control.
• Four elements of health system governance have been exposed as key to
maintaining resilient, adaptable, strong and equitable health systems and are
manifest in how the relationships within health systems are organised, legitimised
and maintained. First, relationships between levels and types of health services;
second, relationships between levels of government and health administration;
third, relationships between technical experts and decision makers; and fourth,
relationships between public and private actors in health.
• Global health policy, the Universal Health Coverage paradigm and the drive to
improve health will be strengthened by increasing attention to these factors and
the empirical evidence base for improved health governance and administration
Additional information:
This STG Resilience Paper is part of the Commission Research Report and Interim Progress Report (June 2021) published by Reform for Resilience.
Cadmus permanent link: https://hdl.handle.net/1814/71695
External link: https://www.r4rx.org/research-submissions
Series/Number: STG Resilience Papers; 2021
Publisher: European University Institute; Recovery Reform Resilience
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