Abstract:
INTRODUCTION:Equity should be implicit within universal health coverage (UHC) however, emerging evidence is showing that without adequate focus on measurement of equity, vulnerable populations may continue to receive inadequate or inferior health care. This study undertakes a narrative review which aims to: (i) elucidate how equity is contextualised and measured within UHC, and (ii) describe tools, resources and lessons which will assist decision makers to plan and implement UHC programmes which ensure equity for all. METHODS:A narrative review of peer-reviewed literature published in English between 2005 and 2013, retrieved from PubMed via the search words, 'universal health coverage/care' and 'equity/inequity' was performed. Websites of key global health organizations were also searched for relevant grey literature. Papers were excluded if they failed to focus on equity (of access, financial risk protection or health outcomes) as well as focusing on one of the following: (i) the impact of UHC programmes, policies or interventions on equity (ii) indicators, measurement, monitoring and/or evaluation of equity within UHC, or (iii) tools or resources to assist with measurement. RESULTS:Eighteen journal articles consisting mostly of secondary analysis of country data and qualitative case studies in the form of commentaries/reviews, and 13 items of grey literature, consisting largely of reports from working groups and expert meetings focusing on defining, understanding and measuring inequity in UHC (including recent drafts of global/country monitoring frameworks) were included. DISCUSSION:The literature advocates for progressive universalism addressing monetary and non-monetary barriers to access and strengthening existing health systems. This however relies on countries being effectively able to identify and reach disadvantaged populations and estimate unmet need. Countries should assess the new WHO/WB-proposed framework for its ability to adequately track the progress of disadvantaged populations in terms of achieving equitable access, effective coverage and financial risk protection within their own settings. CONCLUSIONS:Recently published resources contextualise equity as a measurable component of UHC and propose several useful indicators and frameworks. Country case-studies also provide useful lessons and recommendations for planning and implementing equitable UHC which will assist other countries to consider their own requirements for UHC monitoring and evaluation.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Rodney AM,Hill PSdoi
10.1186/s12939-014-0072-8subject
Has Abstractpub_date
2014-10-10 00:00:00pages
72issn
1475-9276pii
10.1186/s12939-014-0072-8journal_volume
13pub_type
杂志文章,评审abstract:BACKGROUND:Family planning and maternal care services have become increasingly available in West Africa but the level of non-use remains high. This unfavorable outcome may be partly due to the unaffordability of reproductive health care services. METHODS:Using the Demographic Health Survey data from Burkina Faso, Nige...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01167-7
更新日期:2020-03-27 00:00:00
abstract:INTRODUCTION:We simulate and analyze Total Health Expenditure (THE) in financial sources and other economic indicators (such as THE per capita, GDP, etc.) in a province of China from 2002 to 2012 on System Dynamics. METHODS:Based on actual data and certain mathematical methods, we use system dynamic software to constr...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-015-0203-x
更新日期:2015-08-27 00:00:00
abstract::Overcoming continuing polarization regarding judicial enforcement of health rights in Latin America requires clarifying divergent normative and political premises, addressing the lack of reliable empirical data, and establishing the conditions for fruitful inter-sectoral, inter-disciplinary dialogue. ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1005-3
更新日期:2019-07-04 00:00:00
abstract:OBJECTIVE:Self-rated health represents a reliable and important health measure related to general health and quality of life. This study aimed to identify the differences of health states of rural residents in a lower middle income setting in China and its associated factors. METHODS:A descriptive study of a stratifie...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0875-0
更新日期:2018-11-08 00:00:00
abstract:CONTEXT:The Kenya Partnership for Health (KPH) program began in 1999, and is currently one of the 12 field projects participating in the WHO's 'Towards Unity for Health initiative' implemented to develop partnership synergies in support of the Primary Health Care (PHC) approach 1. CONTENT:This paper illustrates how Pr...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-4-8
更新日期:2005-06-24 00:00:00
abstract:BACKGROUND:In 2004, The Kenyan government removed user fees in public dispensaries and health centers and replaced them with registration charges of 10 and 20 Kenyan shillings (2004 $US 0.13 and $0.25), respectively. This was termed the 10/20 policy. We examined the effect of this policy on the coverage, timing, source...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-1150-8
更新日期:2020-03-14 00:00:00
abstract:BACKGROUND:In 2007 Uruguay began a reform in the health sector towards the construction of a National Integrated Health System (SNIS), based on public insurance with private and public provision. The main objective of the reform was to universalize access to health services. METHODS:Data comes from the first National ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01237-w
更新日期:2020-10-26 00:00:00
abstract:BACKGROUND:Inequity in use of physician services has been detected even within health care systems with universal coverage of the population through public insurance schemes. In this study we analyse and compare inequity in use of physician visits (GP and specialists) in Norway based on data from the Surveys of Living ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-10-25
更新日期:2011-06-15 00:00:00
abstract:BACKGROUND:Large inequalities of mortality by most cancers in general, by mouth and pharynx cancer in particular, have been associated to behaviour and geopolitical factors. The assessment of socioeconomic covariates of cancer mortality may be relevant to a full comprehension of distal determinants of the disease, and ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-7-14
更新日期:2008-06-04 00:00:00
abstract:BACKGROUND:Studies from various countries have observed worse population health in geographical areas with more income inequality. The psychosocial interpretation of this association is that large income disparities are harmful to health because they generate relative deprivation and undermine social cohesion. An alter...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-10-7
更新日期:2011-02-03 00:00:00
abstract:BACKGROUND:Aggregate urban health statistics mask inequalities. We described maternity care in vulnerable slum communities in Mumbai, and examined differences in care and outcomes between more and less deprived groups. METHODS:We collected information through a birth surveillance system covering a population of over 2...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-8-21
更新日期:2009-06-05 00:00:00
abstract:BACKGROUND:Previous studies suggested that the racial differences in U.S. suicide rates are decreasing, particularly for African Americans, but the cause behind the temporal variations has yet to be determined. This study aims to investigate the long-term trends in suicide mortality in the U.S. between 1983 and 2012 an...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0400-2
更新日期:2016-07-13 00:00:00
abstract:BACKGROUND:Aging and the chronic non-communicable diseases (NCDs) challenge the Chinese government in the process of providing hospitalization services fairly and reasonably. The Chinese government has developed the basic medical insurance system to solve the problem of "expensive medical cost and difficult medical ser...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1117-9
更新日期:2020-01-06 00:00:00
abstract:BACKGROUND:China is experiencing environmental issues and related health effects due to its industrialization and urbanization. The health effects associated with air pollution are not just a matter of epidemiology and environmental science research, but also an important social science issue. Literature about the rela...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0719-y
更新日期:2018-02-05 00:00:00
abstract:BACKGROUND:Dying at home is the most frequent preference of patients with advanced chronic conditions, their caregivers, and the general population. However, most deaths continue to occur in hospitals. The objective of this study was to analyse the socioeconomic inequalities in the place of death in urban areas of Medi...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01324-y
更新日期:2020-12-03 00:00:00
abstract:BACKGROUND:Hypertension has become a global health challenge given its high prevalence and but low awareness and detection. Whether the actual prevalence of hypertension has been estimated is important, especially for the poor. This study aimed to measure tested prevalence and self-reported prevalence of hypertension a...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0796-y
更新日期:2018-06-15 00:00:00
abstract:BACKGROUND:Over the last several decades, global efforts to end female genital mutilation/cutting (FGM/C) have intensified through combined efforts of international and non-governmental organizations, governments, and religious and civil society groups. One question asked by donors, program implementers and observers a...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0907-9
更新日期:2019-01-30 00:00:00
abstract:BACKGROUND:Social isolation among older adults raises major issues for equity in healthcare in the context of the COVID-19 pandemic. MAIN TEXT:This commentary describes current challenges in preventing social isolation among older adults and proposes pathways to develop inclusive approaches to intervention in this vul...
journal_title:International journal for equity in health
pub_type: 信件
doi:10.1186/s12939-020-01360-8
更新日期:2021-01-08 00:00:00
abstract:OBJECTIVE:This narrative review aimed to identify and categorize the barriers and facilitators to the provision of brief intervention and behavioral change programs that target several risk behaviors among the Indigenous populations of Australia, Canada, and New Zealand. METHODS:A systematic database search was conduc...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-019-1059-2
更新日期:2019-11-05 00:00:00
abstract:BACKGROUND:The demographic shift and epidemiologic transition in Brazil have drawn attention to ways of measuring population health that complement studies of mortality. In this paper, we investigate regional differences in healthy life expectancy based on information from the National Health Survey (PNS), 2013. METHO...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0432-7
更新日期:2016-11-17 00:00:00
abstract::There is a global trend towards the use of ad hoc participation processes that seek to engage grassroots stakeholders in decisions related to municipal infrastructure, land use and services. We present the results of a scholarly literature review examining 14 articles detailing specific cases of these processes to con...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-015-0252-1
更新日期:2015-11-20 00:00:00
abstract:BACKGROUND:Significant health disparities persist regarding new and late Human Immunodeficiency Virus (HIV) diagnoses among sub-Saharan African (SSA) communities in Australia. Personal/cultural beliefs and practices influence HIV (risk, prevention, testing) within Australia and during visits to home countries. METHOD:...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0772-6
更新日期:2018-05-21 00:00:00
abstract:BACKGROUND:The concept of social capital has been extensively used to explain the relationship between socioeconomic status (SES) and adolescent health and well-being. Much less is known about the specific mechanism through which social capital impacts the relationship. This paper investigates whether an individual's p...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0490-x
更新日期:2016-12-12 00:00:00
abstract:: This review investigates the health of immigrants to Canada by critically examining differences in health status between immigrants and the native-born population and by tracing how the health of immigrants changes after settling in the country. Fifty-one published empirical studies met the inclusion criteria for thi...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-9-27
更新日期:2010-11-24 00:00:00
abstract:BACKGROUND:An important health issue in urban areas is how changes arising from the regeneration of city-areas affect social determinants of health and equity. This paper examines the impacts attributable to a new fish market and to delays in the regeneration of a port area in a deteriorated region of the Bay of Pasaia...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0424-7
更新日期:2016-09-15 00:00:00
abstract:BACKGROUND:'Caring for Country' is defined as Indigenous participation in interrelated activities with the objective of promoting ecological and human health. Ecological services on Indigenous-owned lands are belatedly attracting some institutional investment. However, the health outcomes associated with Indigenous par...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-7-26
更新日期:2008-12-18 00:00:00
abstract:BACKGROUND:At the beginning of 2007, health care reforms were implemented in Hungary in order to decrease public expenditure on health care. Reforms involved the increase of co-payments for pharmaceuticals and the introduction of co-payments for health care services. OBJECTIVE:The objective of this paper is to examine...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-36
更新日期:2012-07-24 00:00:00
abstract:BACKGROUND:China had proposed the unification of equity and efficiency since the launch of the new round of health system reform in 2009. And the central government gave priority to the development of primary health care (PHC) whilst ensuring its availability and improving its efficiency. This study aimed to evaluate t...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0851-8
更新日期:2018-09-12 00:00:00
abstract:INTRODUCTION:Vietnam has succeeded in reducing maternal mortality in the last decades. Analysis of survey data however indicate that large inequities exist between different segments of the population. We have analyzed utilization of antenatal care and skilled birth attendance among Vietnamese women of reproductive age...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-24
更新日期:2012-05-15 00:00:00
abstract:OBJECTIVE:To report the extent of self-reported chronic diseases, self-rated health status (SRH) and healthcare utilization among residents in 1-2 room Housing Development Board (HDB) apartments in Toa Payoh. MATERIALS & METHODS:The study population included a convenience sample of residents from 931 housing developme...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-44
更新日期:2012-08-16 00:00:00