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GLOBAL NETWORK FOR HEALTH EQUITY (GNHE)

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 and economic hardship. Access to health services continues to be largely determined by socioeconomic factors, and financial protection against catastrophic health costs remains inadequate. Solutions have and will continue to be identified through evidence based, and locally produced research that addresses the issue of equity in health.

Three regional networks with a substantial history in research, capacity building and policy outreach in health equity, health financing and health delivery have teamed up to form the Global Network for Health Equity (GNHE) and strengthen the opportunities and platforms for researchers from and based in low and middle income countries (LMICs). Strategies for Health Insurance for Equity in Less Developed Countries (SHIELD), Equity in Asia-Pacific Health Systems (EQUITAP), and the Latin American Research Network on Financial Protection (LANET), offer strong regional platforms for Africa, Asia and Latin America and the Caribbean, respectively to significantly contribute to this search for solutions in health equity. (Learn more)

 

New and News

GNHE presents its policy brief:

'Assessing Progress to UHC - the GNHE Perspective on Health Service Use'. This brief is the first in a three-part series. The other two briefs will be published within the next few months and present the GNHE perspectives on Financial Risk Protection and Universal Coverage respectively.

 

 

 

Montu Bose who earned a GNHE scholarship in 2013 presented his research at the IHEA Conference in Milan, 12 - 15 July 2015. Below on this page you can find his PhD thesis and abstract: 'Pattern of morbidity and access to health care in West Bengal'.

 

The African Health Budget Network (MamaYe) has produced a Health Spending Scorecard, among many other tools to measure progress in health care financing towards Universal Health Coverage (find out more:http://www.mamaye.org/en/evidence). Some examples of these tools were presented at the Financing for Development Conference in Addis Ababa, Ethiopia, 13 - 16 July (find out more: http://www.un.org/esa/ffd/ffd3/). 

 

Tracking universal health coverage: 
First global monitoring report
Joint WHO/World Bank Group report, June 2015

This report is the first of its kind to measure health service coverage and financial protection to assess countries’ progress towards universal health coverage.

It shows that at least 400 million people do not have access to one or more essential health services and 6% of people in low- and middle-income countries are tipped into or pushed further into extreme poverty because of health spending. 
http://www.who.int/healthinfo/universal_health_coverage/report/2015/en/


Cobertura universal de salud en Latinoamérica
(Traducción al español de la serie en The Lancet, Universal Health Coverage in Latin America)

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(MEDICC Review, Suplemento 2015, v.17, n.1). Published: April 2015
 
Foreword / Prólogo:
Experiencias compartidas: acelerando el paso hacia la cobertura universal de salud.


Según la OMS, la cobertura universal de salud (CUS) garantiza que todas las personas puedan utilizar los servicios de salud que necesiten sin penurias financieras. Hoy día, esta cobertura constituye un objetivo primordial de la OMS y también de buen número de gobiernos del mundo. Indudablemente, es imprescindible para los pueblos, y sobre todo, para las poblaciones más vulnerables, tanto del Norte como del Sur. Así que el pensamiento salubrista mundial ha evolucionado del qué hasta el cómo…obligando a todos a salir en busca de experiencias concretas que puedan brindar información y acelerar el proceso único en cada país hacia este objetivo común. En esta dirección, numerosos países latinoamericanos han implementado reformas extensivas de salud —a menudo conjuntamente con transformaciones estructurales y sociales más amplias— cuyo fin declarado ha sido mejorar el acceso a la salud y la protección financiera, incrementar la eficiencia de los servicios médicos y reducir las inequidades. Las estrategias escogidas para lograr estas metas han sido diversas —tanto entre países como en diferentes momentos dentro de un mismo país— abarcando desde un incremento del papel del Estado hasta una ampliación de la competencia de mercado y complejos enfoques mixtos, con mayores o menores resultados. Después de décadas de reformas en salud, las lecciones aprendidas de América Latina constituyen un sólido,aunque poco divulgado, conjunto de conocimientos particularmente pertinente para los países de ingresos bajos y medios en el mundo entero y sus esfuerzos hacia la cobertura universal de salud. En Octubre 2014, la revista The Lancet publicó una Serie especial que, por primera vez en una sola publicación, intentó analizar y resumir estas experiencias para los lectores de habla inglesa. A la vez, una colaboración entre The Lancet y nuestra revista ha hecho posible este suplemento de MEDICC Review para los lectores de habla hispana, ofreciéndoles el fruto del estudio, análisis y reflexión realizados por numerosos autores de la región y fuera de ella, sobre los caminos seguidos en América Latina para lograr la CUS. Agradecemos especialmente a Richard Horton y Pam Das de The Lancet por su compañerismo y su dedicación a la equidad. Esperamos que esta edición en español amplíe la divulgación de las lecciones aprendidas, llegando a las manos de aquellos profesionales y trabajadores de la salud en las zonas más pobres y apartadas de las Américas y otras latitudes, quienes comparten una sola trinchera, desde la cual contribuyen con sus esfuerzos a lograr la cobertura universal de salud y abrir así el camino hacia la equidad en salud. Agradecemos a la Fundación Rockefeller y a la Comisión Económica para América Latina y el Caribe por el apoyo financiero que hizo posible la Serie, incluyendo esta edición en español publicada por MEDICC Review, y a la Organización Panamericana de la Salud por hacer posible la impresión de este suplemento.
Los Editores

Click here to access the free full text articles available at/ El editorial y los articulos gratuitos estan dispibles aqui: click here.


In compiling the country assessments, the different authors worked according to a template developed by the GNHE coordinators (in alphabetical order, Felicia Knaul, Diane McIntyre, Jorine Muiser, Ravindra Rannan-Eliya and Rehana Thowfeek). This template, in turn, is an abbreviated version of the approach suggested by McIntyre D, Kutzin J. 2014 in: Guidance on conducting a situation analysis of health financing for universal health coverage. Version 1.0. Geneva: World Health.

The strengths and limitations of some aspects of this approach will be discussed in a series of short publications focused on UHC, Financial Risk Protection and Utilization respectively. These will also be launched via the GNHE website.

We invite you share any of these images far and wide in your social media, and don't forget to include the #HeatlhForAll hashtag so that people can follow the movement.

If you to know more about it, you can visit "Faces of #HealhForAll" blog page


Within the same context of UHC Day, GNHE affiliates are organizing the following activities in their countries: 

Uganda
HealthNet Consult: http://www.healthnetconsult.com
Talkshow on TV on 12/12/14, activities on social networks, publication of GNHE UHC Country Assessment Uganda by Zikusooka CM , Kwesiga B, Lagony S, Abewe C

República Dominicana
Fundación Plenitud: http://www.fundacionplenitud.org
Activities on social networks, publication of article about 'the road to UHC in the Dominican Republic' by Magdalena Rathe
Fundación Plenitud already started to organize a UHC Day campaign and to promote it among its partners. The Foundation is planning to spread the following messages via its social networks in the week of 7 - 12 December.

The Nepalese Health Economics Association (NHEA) will conduct the following key activities to celebrate the first ever UHC Day in Nepal:
1. National level one-day interaction meeting on the 12th December 2014, with high level policy makers of ministry of health and population, ministry of finance, national planning commission, relevant university professors & researchers, health sector donors, experts and public policy/opinion makers, selected representative from non-government organizations, private sector, research students and media.
2. For this, relevant policy briefs on “towards universal health coverage in Nepal” will be developed and communicated.
Read more.....

The Indonesian Center for Health Policy & Management (CHPM) if the Faculty of Medicine, Universitas Gadjah Mada will organize the following activity to celebrate UHC Day 2014: 'Policy Discussion and Health Intervention: Marking Indonesian 1-year UCH Implementation in Indonesia & Celebrating Universal Health Coverage Day'.
Read more...

Costa Rica. The Caja Costarricense de Seguro Social organizes a seminar with the title International UHC Day: Costa Rica progresses towards Universal Coverage. There will be presentations by the Health Minister, María Elena Lopez, the Executive President of the Social Security Institution, María del Rocío Sáenz Madrigal , among others. All health centers in the country will be connected to the conference through the internet. There will be a press conference and an editorial for national newspapers, and social networks will be used to spread the messages.

Peru. Videnza organizes a breakfast with the following speakers: The Vice Health Minister, Percy Minaya; Miguel Ángel Carpio/Noelia Bernal from the University of Piura, authors of an important paper about Integrated Social Health Insurance in Peru; and Janice Seinfeld, health economist and director of Videnza who will talk about UHC in Peru. Some 50 people will be invited, including academics, health administrators, multilateral organizations, among others.  

Mexico organized a Webinar for the Young Leaders Network about UHC. You can access and download the recording through the following link: 
https://www.dropbox.com/s/ci5ke3h5uzdpfpg/GNHE_webinar3_UHC.mp4?dl=0

Taiwan: Rachel Lu will host a seminar for Chang Gung University medical students on UHC.
Date: 3-5pm, Dec. 12, 2014
Seminar venue: College of Medicine, Chang Gung University
Seminar topic: Path to UHC from a financing perspective
Seminar description:  This seminar aims to promote the concept of UHC and will exploit country examples to illustrate how UHC can be achieved through various financing mechanisms.

The Rockefeller Foundation announced the launch of the first UHC Day on 12 December 2014/
La Fundación Rockefeller anunció el lanzamiento del primer Día CUS el 12 de Diciembre de 2014: http://www.rockefellerfoundation.org/blog/delivering-universal-health-coverage

The initiative now counts with its own website/La iniciativa ya cuenta con su propia página web: http://www.universalhealthcoverageday.org/en/

On the UHC Day website you can now find a toolkit for those who want to organize a local or virtual event provided by Health Systems Global.

 

Montu Bose was awarded a GNHE scholarship in 2013. This is the abstract of his PhD thesis that will be published on this webpage as soon as it has been approved. The title of his dissertation is: Pattern of morbidity and access to health care in West Bengal.
Abstrac
Document Complete

Global Health Strategies launches the first ever Universal Health Coverage Day to be celebrated around the world on 12 December 2014.
See flyer here.

Global Health Strategies lanza el primer Día de Cobertura Universal en Salud a ser celebrado en todo el mundo el día 12 de diciembre de 2014.
Poster

GNHE is currently receiving proposals on how we can contribute to mark this important event. 
Please send your ideas to: gnhe.funsalud@gmail.com
Actualmente, GNHE está recibiendo propuestas de cómo contribuir a este importante evento.
Favor enviar sus idéas a: gnhe.funsalud@gmail.com

 

GNHE’s agenda at the Third Global Symposium on Health Systems Research
Just like two years ago during the Second Global Symposium on Health System Research in Beijing and one year ago at iHEA’s World Congress in Sydney, researchers linked to GNHE will present their work and organize meetings for discussion at the Third Global Symposium on Health Systems Research in Cape Town (30 September – 3 October 2014). More information...

PAHO/WHO Equity list & Knowledge network
Progress towards universal health coverage in BRICS: translating economic growth into better health
Krishna D Rao, Varduhi Petrosyan, Edson Correia Araujo & Diane McIntyre
doi: 10.2471/BLT.13.127951

Brazil, the Russian Federation, India, China and South Africa – the countries known as BRICS – represent some of the world’s fastest growing large economies and nearly 40% of the world’s population. Over the last two decades, BRICS have undertaken health-system reforms to make progress towards universal health coverage. This paper discusses three key aspects of these reforms: the role of government in financing health; the underlying motivation behind the reforms; and the value of the lessons learnt for non-BRICS countries. 
Abstrac
PDF

Implicit Value Judgments in the Measurement of Health Inequalities. The Milbank Quarterly. 2010;88(1):4–29.
Sam Harper, Nicholas B King, Stephen C Meersman, Marsha E Reichman, Nancy Breen, and John Lynch

English
Spanish

Training opportunity: Short Course Healthcare Financing and Equity, August 4 - 9, 2014, Aga Khan University, Karachi. Read more:
http://goo.gl/AFsg5D

Registration form

WHO publishes its new Handbook on monitoring health equity in low and middle income countries. Check the following link:
http://goo.gl/l2kGzD

 

GNHE supports Heartfile's campaign to End Medical Poverty and to make Universal Health Coverage one of the Post-2015 Development Goals. Check here Heartfile's webpage and read the testimonies:
http://www.heartfile.org/blog/endmedicalpoverty

Read here the Lancet's proposal (Richard Horton et al.) to start a 'from Public to Planetary Health' Movement.
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)60409-8/fulltext?_eventId=login

¿Do you want to know what Universal Health Coverage is all about? Check this video.

More information:
http://goo.gl/xLLhw3

 

View this video by AfGH: Universal access to maternal health in El Salvador on the way

WHO publishes the final report of the WHO Consultative Group on Equity and Universal Health Coverage: 'Making fair choices on the path to universal health coverage'. 
http://goo.gl/6xLNgZ

The PAHO Task Force on Universal Health Coverage chaired by Harvard Global Equity Initiative (HGEI) Director Felicia Knaul met in Cambridge this week to discuss strategies to support the Region of the Americas in achieving universal health coverage (UHC).
http://goo.gl/FdHL9A

 

The perspective of the Lancet–University of Oslo Commission on Global Governance for Health on the issue of health inequity, and that of the Youth Commission that presented the discussions.

1) The political origins of health inequity: prospects for change

2) The political origins of health inequity: the perspective of the Youth Commission on Global Governance for Health

GNHE launches Scholarships in Health Equity 2014-2015
The Global Network for Health Equity (GNHE) announces the launch of its Scholarships Program for 2014 – 2015.
More information:

GNHE Becas 2014
GNHE Scholarship program 2014

Ann Mills elaborates on Health Care Systems in Low- and Middle Income Countries. Published in the New England Journal of Medicine. February 2014.
http://www.nejm.org/doi/full/10.1056/NEJMra1110897

 

 

 

Eduardo Gomez publishes his article 'Smart Development' in Foreign Affairs, highlighting the conditions under which the emerging economies of Mexico, Colombia and Singapore outpaced the BRICS in response to growing social welfare (health and education) needs.
http://goo.gl/p2tf8Z

 

 

Book Review

By Rogério M. Pinto, Columbia University School of Social Work, New York, NY, USA. Recently published in the International Journal of Social Welfare: http://onlinelibrary.wiley.com/doi/10.1111/ijsw.12070/abstract.

 

 

 

 

John Ataguba receives the Young Investigator's Award: Best Publication 2012 from the University of Cape Town for the article: Paying for and receiving benefits from health services in South Africa: is the health system equitable? by Ataguba and McIntyre.

GNHE warmly congratulates John with this achievement and looks forward to his future work and contributions to the pursuit of enhanced health equity both within and beyond the African region. Please open the following links to find the announcement and John's awarded publication.

Announcement:http://goo.gl/Bvauh3
Publicaction:http://goo.gl/qY7I3S

 

Events

AHF is organizing "Roundtable Discussion on Health Benefits Plans in the context of Universal Health Coverage in Latin America and the Caribbean"

Recognizing the importance of achieving universal health coverage in Latin America and the Caribbean (LAC) and the priority-focus placed on this goal by the Pan American Health Organization/Regional Office of the World Health Organization (PAHO/WHO), the Americas Health Foundation is organizing  Roundtable Discussion on Health Benefits Plans in the context of Universal Health Coverage in Latin America and the Caribbean. The meeting will be held on December 6, 2013 in Washington, DC.

The objective of Roundtable Discussion is to share views and discuss issues around explicit health benefits plans from a multiplicity of stakeholder perspectives, both public and private sector.
http://goo.gl/DjOvJK


The health of women and children in LAC:
Progress and challenges, challenges and opportunities
(spanish).

(view presentation)

 

GNHE Consensus Statement

The GNHE Consensus Statement has been submitted at the end of December 2012 as part of the WHO/ILO consultation process regarding the Post-2015 Development Goals in Health. (learn more)


Promoting universal financial protection

Promoting universal financial protection: health insurance for the poor in Georgia - a case study
Zoidze A, Rukhazde N, Chkhatarashvili K, Gotsadze G
Health Research Policy and Systems 2013, 11:45 (14 November 2013)
Abstract
Full text
PDF

Promoting universal financial protection: evidence from seven low- and middle-income countries on factors facilitating or hindering progress.
Di McIntyre, Michael K Ranson, Bhupinder K Aulakh and Ayako Honda. Health Research Policy and Systems 2013, 11:36. 
http://www.health-policy-systems.com/content/pdf/1478-4505-11-36.pdf

Promoting universal financial protection: a policy analysis of universal health coverage in Costa Rica (1940–2000)
Juan Vargas, Jorine Muiser
Health Research Policy and Systems 2013, 11:28 (4 September 2013)
Abstract
Full text
PDF


(view more studies)

 

Call for Papers: "The science and practice of people-centred health systems”.
Issued on July 18, 2013 by Health Policy and Planning and the organizers of the Third Global Symposium on Health Systems Research

http://bit.ly/194qIhb

Participants of GNHE's Second Research Meeting in Sydney, Australia, 11 and 12 July 2013.


(Learn more)


GNHE launches Scholarships in Health Equity
The Global Network for Health Equity (GNHE) announces the launch of its Scholarships Program for 2013 – 2014.

General objective:
The program aims to build capacity in low and middle-income countries for health systems research into issues of health systems equity and universal health coverage, by supporting junior researchers from those countries undertaking research on the following topics in particular:
• Equity in health systems financing and financial protection
• Equity in health systems delivery, including access and utilization
• Equity in health outcomes at the population level
• Universal health coverage


More information:

English
Spanish

Update Scholarship program September 2013

 

GNHE Coordinators: Ravindra Rannan Eliya (EQUITAP), Di McIntyre (SHIELD) and Felicia Knaul (LAnet-EHS) at the Second Health Systems Research Symposium, Beijing, October-November 2012.

 

 

 



Contributing and collaborating institutions:
   

 


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New and News

A new source of information on issues related to Fiscal Space for health by Resyst (Resilient and Responsive Health Systems), a consortium of researchers of which many are affiliated to GNHE/SHIELD. Please check the following link: Increasing the fiscal space for health
http://resyst.lshtm.ac.uk/news-and-blogs/fiscal-space

Read here the Lancet's proposal (Richard Horton et al.) to start a 'from Public to Planetary Health' Movement.

WHO publishes the final report of the WHO Consultative Group on Equity and Universal Health Coverage: 'Making fair choices on the path to universal health coverage'.

Promoting universal financial protection (7 case studies from LMICs) - Alliance for Health Policy and Systems Research WHO.

GNHE is preparing itself for the Third Global Symposium on Health Systems Research 2014 in Cape Town

Special section of the Pan American Journal of Public Health on Equity in Health Systems in Latin America and the Caribbean. Pan American Journal of Public Health (RPSP/PAJPH), February 2013 - Vol. 33, No. 2 

GNHE launches Scholarships in Health Equity 2014
English
Spanish

GNHE launches Scholarships in Health Equity

Update Scholarship program September 2013

Cleary S, Birch S, Chimbindi N, Silal S, Di McIntyre.
Investigating the affordability of key health services in South Africa.
Social Science & Medicine2013:80 (2013)


News Archive...

Lit picks of the week

GNHE tracks interesting and relevant publications for researchers working on health systems and equity.

Suggestions welcome to: gnhe.funsalud@gmail.com

Upcoming Events & Forthcoming
Publications

Universal Health Coverage Day
The Rockefeller Foundation announced the launch of the first UHC Day on 12 December 2014

GNHE recommends these links

GNHE supports Heartfile's campaign to End Medical Poverty and to make Universal Health Coverage one of the Post-2015 Development Goals. Check here Heartfile's webpage and read the testimonies

International Health Policies (IHP) Newsletter: headlines in global health policies and reactions from global south experts. Institute of Tropical Medicine, Antwerp. Belgium.
http://e.itg.be/ihp/

Action for Global Health (AfGH) is a broad European network of NGOs advocating for Europe to play a more proactive role in enabling developing countries to meet the Right to health for all and the Health Millennium Development Goals (MDGs).

Health in the Post-2015 Development Agenda
http://www.worldwewant2015.org

Follow the discussions about the Post-2015 Development Agenda and read GNHE's Consensus Statement on UHC (Contributed Papers page 2). view more...

UHC FORWARD - Towards Universal Health Coverage
http://uhcforward.org/

 

 



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