Effective coverage: a metric for monitoring Universal Health Coverage.

Abstract:

:A major challenge in monitoring universal health coverage (UHC) is identifying an indicator that can adequately capture the multiple components underlying the UHC initiative. Effective coverage, which unites individual and intervention characteristics into a single metric, offers a direct and flexible means to measure health system performance at different levels. We view effective coverage as a relevant and actionable metric for tracking progress towards achieving UHC. In this paper, we review the concept of effective coverage and delineate the three components of the metric - need, use, and quality - using several examples. Further, we explain how the metric can be used for monitoring interventions at both local and global levels. We also discuss the ways that current health information systems can support generating estimates of effective coverage. We conclude by recognizing some of the challenges associated with producing estimates of effective coverage. Despite these challenges, effective coverage is a powerful metric that can provide a more nuanced understanding of whether, and how well, a health system is delivering services to its populations.

journal_name

PLoS Med

journal_title

PLoS medicine

authors

Ng M,Fullman N,Dieleman JL,Flaxman AD,Murray CJ,Lim SS

doi

10.1371/journal.pmed.1001730

subject

Has Abstract

pub_date

2014-09-22 00:00:00

pages

e1001730

issue

9

eissn

1549-1277

issn

1549-1676

pii

PMEDICINE-D-14-00277

journal_volume

11

pub_type

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