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Paula Louro Morgado (2019). The Implementation of Universal Health Coverage in Low-Income African Countries: A Challenge or a Dilemma?. ECAS 2019 - Africa: Connections and Disruptions.

P. C. Morgado,  "The Implementation of Universal Health Coverage in Low-Income African Countries: A Challenge or a Dilemma?", in ECAS 2019 - Africa: Connections and Disruptions, Edinburgh, 2019

@misc{morgado2019_1776291396578,
	author = "Paula Louro Morgado",
	title = "The Implementation of Universal Health Coverage in Low-Income African Countries: A Challenge or a Dilemma?",
	year = "2019",
	howpublished = "Ambos (impresso e digital)",
	url = "https://ecasconference.org/2019/home"
}

TY  - CPAPER
TI  - The Implementation of Universal Health Coverage in Low-Income African Countries: A Challenge or a Dilemma?
T2  - ECAS 2019 - Africa: Connections and Disruptions
AU  - Paula Louro Morgado
PY  - 2019
CY  - Edinburgh
UR  - https://ecasconference.org/2019/home
AB  - This paper aims at reflecting on the viability of Universal Health Coverage [UHC] approach in low-income African countries. Over the last decade, African governments have strived to find solutions that enable the most deprived segments of the population to access public health care. Consequently, financial mechanisms that charge users before illness episodes happen, in terms of risk sharing benefits, have been studied in order to bring poor people closer to health facilities and to prevent households from exhausting their financial resources during episodes of serious illness. This idea is not entirely new. The Equity Funds created in the early 2000s were based on a similar principle in which UHC approach underlies, that is, to promote access to healthcare facilities for those who were unable to pay for it. However, this initiative has not been successful due to, among other things, never-ending funding problems. Based on the Nigerien experience, this paper will discuss the feasibility of UHC policy by exploring two different aspects. The first relates to public healthcare system's dysfunctionality and ineffectiveness. Without a resolution of these issues, UHC will be doomed to failure. And the second concerns the security of permanent and regular health funds. When half the population lives on less than two dollars a day, taxing the informal sector or promoting mutual health organizations will not solve the health funding issue. Therefore, it is concluded that public-private partnerships, like Global Fund, are probably the most sustainable long-term solution.
ER  -