Role of stakeholders to implement Universal Health Coverage

1. ROLE OF MAJOR STAKEHOLDERS IN UHC
Dr. Anil Sharma, PhD(N)
Principal, Manikaka
Topawala Institute of
Nursing-CHARUSAT,
Changa
Accredited Grade “A”
with NAAC & KCG
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2. Flow of Presentation
 To understand what is Universal Health
Coverage (UHC)
 To know meaning of Stakeholders
 To identify major Stakeholders in UHC
 To understand role of major stakeholders
in UHC implementation
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3. Universal Health Coverage
Universal Health Coverage: Everyone, Everywhere
Health is a human right. No one should get sick and
die just because they are poor, or because they
cannot access the health services they need
Dr Tedros Adhanom Ghebreyesus,-WHO Director-General
Two Key of UHC
1. Use of Health services: people need
2. Economic consequences for using health services
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4. Investing in universal health coverage is
the invest in the long-term prosperity of
people and Nation
Universal health coverage happens when
political will is strong
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5. Alarming Facts:
 Half of World population not able to obtain
essential health services
 >100 million people are being pushed into
extreme poverty because to pay for health
services.
 Catastrophic expenditures (almost 12
percent of the world’s population spend at
least 10 percent of their household
budgets on health expenses)
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6. Stakeholders: What is a Stakeholder?
 Those groups without whose support the
organization would cease to exist.
Stanford Research Institute (SRI) in 1963
 Those groups who are vital to the survival and
success of the organization.
Freeman (2004)
 Any group or individual who can affect or is
affected by the achievement of the
organization objectives. Freeman (1984)
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7. Stakeholders: Who are They?
A very common way of differentiating the
different kinds of stakeholders is to consider
groups of people who have classifiable
relationships with the organization
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Who are
stakeholders
in UHC
Person, group or
organization who
have interest in
Universal Health
Coverage

8. Why to involve stakeholders?
Involving stake holders from the beginning
of health for all or Universal Health
Coverage ensure that decisions are
relevant to users and applicable in real
world situations.
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9. Major Stakeholders
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UHC
Stakeholder
Professional
Organizations
Individual
Media
Civil
Societies
Political
parties
Policy-
Makers
Government
Health
Professional

10. 1. Government:
Government implements policy change to
improve health and fasten economic growth and
social development.
• Identify need, demands and expectations
of population Helps to improve policy.
• Engage in structured conversations with
community stakeholders.
• Collaborate with grassroots organizations
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11. 2. Individual:
Individuals use their voice to demand good health
services and financial protection.
 Everyone can take the lead towards universal health
coverage, including you!
 Make your voice heard, start a local campaign
Individual may contribute by:
• Identify problem within family, friends and society and
start solving it
• Share your stories for others motivation and an eye
opening for health administrators
• Take action before demanding action
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12. 3. Policy-Makers:
Universal health coverage is a political choice,
requiring careful policy dialogue, tailored to
each country’s needs and capacity.
• Three steps to have policy dialogue:
1. Identify problems
2. Develop solutions and
3. Engage all stakeholders
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13. 4. Civil Societies:
Civil society organizations work on the ground
to represent the voice and the concerns of
different population groups.
If civil society advocacy is successful, governments will
take their ideas, evidence and proposals to advance
Health for All.
- Civil- societies may work of three step formula:
1. Develop a roadmap
2. Connect with allies
3. Rally with community
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14. 5%
% Household
Poor condition
Out of pocket health expenditure 90%
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High Out of Pocket = More PovertyLow Govt. Health spending = High Out of Pocket = More Poverty

15. 5. Media:
Media can help raise awareness of why people
need to be able to get healthcare and what
happens when they can’t.
- Media can play its role in following ways:
1. Advertise success stories and report hurdles
2. Hold politicians accountable
3. Support dialogue
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16. 6. Political Parties:
Universal health coverage has become a rallying cry in
health policy, but it is often presented as a consensual,
technical project. It is not.
 A review of the broader international literature on the
origins of universal coverage shows that it is
intrinsically political and cannot be achieved without
recognition of its dependence on, and consequences for,
both governance and politics.
 Politics may work on:
• Social solidarity
• Economic growth
• Public disaffection
• Legislative decorum
• Transformative political figure 16
Political will, rather
then National
Wealth, is the
critical pre-requisite
for moving towards
UHC

17. 7. Professional Organizations and
Health professionals:
 Is there facilities available for the best
diagnostic and treatment choices for the
patients?
 What evidence is available to make
recommendations?
 What facilities are available to provide
best care for patients?
 Must be engaged in awareness drive. 17

18. Who is the most important
stakeholder for implementing
Universal Health Coverage ?
Everyone of Us
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19. Reference Available on Request @
anilsharma.nur@charusat.ac.in
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20. Thank You
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