UNIVERSAL HEALTH COVERAGE COVERAGE ARES IMPOTANCE OF UNIVERSAL HEALTH COVERAGE

1. UNIVERSAL HEALTH
COVERAGE NAMITHA SUDHAKAR6/1/2019

2. UNIVERSAL HEALTH COVERAGE
• UHC is a health care system that provides health care and financial
protection to all residents of a particular country or region.
• everyone who needs services should get them, not only those who can pay
for them
• The quality of health services should be good enough to improve the health
of those receiving services.
• People should be protected against financial-risk, ensuring that the cost of
using services does not put people at risk of financial harm.
6/1/2019

3.  On 58th session of world health assembly in 2005
defined UHC as providing access to curative
preventive, and rehabilitative health intervention
for all at an affordable cost
6/1/2019

4. 6/1/2019

5. 6/1/2019

6. DIMENSIONS OF COVERAGE
6/1/2019

7. ESSENTAILS OF UNIVERSAL HEALTH
COVERAGE
6/1/2019

8. THE SOCIALASPECTS OF UHC
• Protection from health risk
1.Health promotion
2.desease prevention
3.regulation on food & drugs
• Patient protection
1.Availability &quality of care
2.Safety & effectiveness
3.Responsiveness
• Financial protection
1.protection from health
expenditure
6/1/2019

9. 6/1/2019

10. 6/1/2019

11. WHO WILL PAY YOUR BILLS ?
6/1/2019

12. INDIAN HEALTH CARE SCENARIO
6/1/2019

13. HEALTH OF THE NATION IS WEALTH
OF THE NATION”
• About 39 million Indians fall below the poverty line each year because of
healthcare expenses.
• Around 30 per cent in rural India don’t visit hospitals afraid of the expenses.
• The healthcare needs of 47 per cent of rural India and 31 per cent of urban
India are financed by loans or sale of assets.
• About 70 per cent of Indians spend all their income on healthcare and
buying drugs
• Out-of-pocket spending in India — 69 per cent of total health expenditure —
is among the highest in the world
SOURCE : https://www.asianage.com/india/all-india/181217/india-needs-to-
reform-its-ailing-healthcare.html6/1/2019

14. • India has highest number of malnourished and children in the
world.
• Health situation is not uniform across India, a girl born Madhya
pradhesh,the risk of dying before age 1 is around 6 times higher
than a girl born in Tamil nadu.
• National programs like National rural health mission(NRHM)
Rashtriya swasthya bhima yojana,janani suraksha yojana have
been running in the country.
• But they themselves are insufficient to provide and sustain UHC
for the nation at large
6/1/2019

15. WHAT WE NEED TO ACHIEVE IN INDIA
• 1. Reducing child under nutrition and chronic
diseases
•
2. Reducing the number of malaria infections
•
3. Reducing the number of tuberculosis deaths
•
4. Lowering the newborn mortality rate
•
5. Increasing the number of childhood immunizations
•
6. Improving access to family planning
•
7. Reducing indoor air pollution
6/1/2019

16. WHERE INDIA STANDS NOW IN UHC
• Keeping in view of high requirement for UHC,planning commission
constituted a high level expert group on 2010.
• HLEG focuses on ..!!
 human resource requirement to achieve health care.
 Rework on financial norms needed to ensure healthcare.
 Suggest management reforms to increase efficiency
 Participation of communities such as NGO to deliver service
 Propose reform on healthcare policies.
 Ensure health insurance system.
6/1/2019

17. TEN PRINCIPLES OF UHC IN INDIA:
• Universality
• Equity
• Non-exclusion and non-discrimination
• Comprehensive care that is rational and of good quality
• Financial protection
• Protection of patients’ rights that guarantee appropriateness of care,
patient choice, portability and continuity of care.
• Consolidated and strengthened public health provisioning
• Accountability and transparency
• Community participation
• Putting health in people’s hands
6/1/2019

18. 6/1/2019

19. RECOMMENDATION OF HLEG
6/1/2019

20. 6/1/2019

21. 6/1/2019

22. 6/1/2019

23. 6/1/2019

24. WHAT DOES UNIVERSAL HEALTH
COVERAGE ENTAIL FOR INDIA
• "Universal coverage" refers to a scenario where everyone is
covered for basic healthcare services.
• This is a scheme, under which all Indian citizens, regardless
of their economic, social or cultural backgrounds
• It will have the right to affordable, accountable and
appropriate health services of assured quality defined in a
published package of services and benefits.
• It is also a supplemental system of financing to protect
people from increasing medical expenses
6/1/2019

25. HOW CAN ONE AVAIL THE SERVICE
IN INDIA
• The process of providing you with quality health care under this
new system is an easy one.
• To access the health benefits offered you must first be registered
with UHC.
• Every citizen will be issued an IT-enabled National Health
Entitlement Card (NHEC) that will ensure cashless transactions
of services.
• It will also be mobile across the country and contain the
individual’s health information
6/1/2019

26. HOW WILL MEDICINE BE SUPPLIED
 People will get free access to medicines.
 Drugs included in the published UHC package will be
provided at all participating facilities and you have access
to this medication under UHC coverage.
 The government will ensure availability of free essential
medicines by increasing public spending on drug
procurement and purchasing more drugs in bulk
6/1/2019

27. WHERE YOU CAN GO TO GET
MEDICAL CARE ?
• People will be free to choose between government
hospitals as well as contracted-in private hospitals
which will be part of the system.
• The Government will be the guarantor and enabler but
not sole provider of services
6/1/2019

28. WHO WILL DELIVER UHC SERVICES ?
• The government will invest in ensuring adequate numbers of
trained healthcare providers at the different levels of care.
• There will thus be greater recruitment and training for the
delivery of UHC services by community health workers (such as
ASHAs),
• nurses, rural healthcare practitioners (who will be trained by the
proposed 3-year Bachelor of Rural Health Care program),
allopathic doctors, AYUSH workers, and allied health
professionals.
• A trained and equipped works force will be available at both
public and privately contracted in facilities.
6/1/2019

29. WHO WILL MANAGE THE SYSTEM ?
• The government will set up new all India and state level Public
Health Service Cadres and a specialized state level Health
Systems Management Cadre in order to give greater attention to
public health and also strengthen the management of the UHC
system.
• The human resources will be managed by autonomous,
specialized agencies for regulation, evaluation and health
promotion.
6/1/2019

30. HOW WILL THE SYSTEM BE GOVERENED
AND MADE ACCOUNTABLE ?
• National Health Regulatory and Development Authority
(NHRDA) the main functions of which will be to regulate and
monitor public and private health care providers, with powers
of enforcement and redressel.
• This regulator will oversee contracts, accredit health care
providers, develop ethical standards for care delivery, enforce
patient‘s charter of rights and take other measures to provide
UHC system support for the National Health Package so as to
control entry, quality, quantity, and price.
• The National Authority will be linked to similar state-level
institutions and to the Ombudsperson at the district level
especially to handle grievance redressal
6/1/2019

31. 6/1/2019