WHO: The many paths towards universal health coverage
Table of Contents
- [Music] at different stages throughout life we...
- They do not understand the principle it will be very danger to the program...
- Coverage has increased from 10% to 97 percent in June la Tongo Tongo Bo Tong...
- Tenga access efectivo econ oportunidad a los servicios econ khalida like many...
- Shonda or Gondo coo coo coo Janaki Larry the orange a silver dome...
- System is that 55 percent of the budget is managed at the community level and...
00:00
[Music]
at different stages throughout life we
all need health services but today not
everyone has it universal health
coverage is the most powerful concept
that public health has to offer
[Music]
universal health coverage ensures that
all people get the health services they
need without suffering financial
hardship when paying for it some say
00:29
it's too costly or limit services but
studies consistently show that when
well-managed to provide quality care
it delivers better health outcomes at
lower costs indeed some global trends
could create challenges more people are
living longer and non communicable
diseases like diabetes heart disease and
cancers are on the rise together with
increasing costs of new cutting-edge
01:01
treatments the price tag for ensuring
all people have the health services they
need will inevitably rise if not managed
wisely so how do you balance
expectations and cost containment while
still achieving the best health possible
the most important step is to let the
people understand the real principle of
the UC with it to provide the hill the
basic health care benefits to every
people all to all because otherwise if
01:32
they do not understand the principle it
will be very danger to the program
because there will be a lot of over
expectation to the level of recovery
that the government has to provide to
them
in 2012 global support for universal
health coverage gathered momentum when
the United Nations General Assembly
unanimously adopted a resolution
emphasizing health as an essential
element of sustainable development few
countries have fully achieved universal
health coverage but every country can
02:04
work towards it to get a better
understanding of how to do that
let's take a look at some countries
already making progress like China
Mexico Amman Rwanda Thailand and turkey
their experience can provide lessons for
countries just beginning the journey as
they move forward country should take
three things into account who is covered
which services are covered and at what
02:36
level of quality and how the services
are paid for first who is covered with
20% of the world's population China is a
good place to look to see how to cover
as many people as possible in just the
past few years a hundred and seventy two
million previously uninsured people have
been brought into China's health
insurance schemes in rural areas
03:09
coverage has increased from 10% to 97
percent in June la Tongo Tongo Bo Tong
Tong fo
hawlucha beta yang Tian Xian Tian super
Dozo
yeah yeah ha su Mondo's oh geez Honda yo
Fujiko sur de grande arche in June 9
Gautam uncle crashing being TSO churchy
de fooi liao
03:39
Wang Baer who is recovering from a
fracture in her right hand
yamir what man Sushil tell you the
opposite the heart the acquirement with
me what I'm seeing quality to a compass
even in Amman despite its small
population challenges remain because
some of its communities are widely
dispersed the population is only around
3 million but the area's over 330,000
04:13
square kilometers more than 95 percent
of our population clusters are less than
500 200 primary health care centers have
now been established around the country
one within half an hour of even the most
remote village often a large proportion
of a health budget goes to hospital care
and treatment of chronic and expensive
diseases but in Amman the health centers
help reduce these costs by focusing on
04:41
prevention and early diagnosis for other
countries the focus is on expanding the
type of services provided and at what
level of quality in Mexico for example a
comprehensive health package called the
people's insurance
ensures everyone has access to primary
health care such as vaccinations and
skilled health workers during childbirth
el rato que tiene el sistema de salud is
ver que tenga Mo's khatola población
05:15
Tenga access efectivo econ oportunidad a
los servicios econ khalida like many
countries Mexico is seeing the rise of
expensive diseases requiring long term
treatment such as diabetes and cancer
the Insurance Scheme is expanding to
meet these needs
[Music]
posterior meant a la comisión del
sistema protection see Alan Solow lo que
haces definied el punto vista financiero
csfac tively no cobras s semper Mehra's
como siempre mozcon una I said Asano's
05:48
yah hora con Thomas cometa Sesenta que
estan cuvee artists and traders por
ejemplo and cancelled in my patients
like Salazar a leader see the benefit
firsthand she was diagnosed with breast
cancer in 2011 sin el seguro popular me
yo creo que mi vida serie moodiest
rosante
por la falta de recursos por que es una
Familia es muy muy Cara incidents of
06:18
sadness yearnings winter intervention in
the past the high cost meant one-third
patients dropped out of treatment or did
not even start until very late since it
began reforming its health system ten
years ago Turkey has increased coverage
to 98% of its people and expanded the
range of services available mr. Carrillo
Salukis met Larry by actin very attract
honor today we better keep his met Larry
06:51
Shonda or Gondo coo coo coo Janaki Larry
the orange a silver dome
Soros had a little bit back home segata
cups of N'awlins prevention and improved
maternal and child programs are showing
impact maternal mortality has almost
halved and 97 percent of children are
reached with essential vaccines
[Music]
Thailand also began its journey towards
universal coverage ten years ago like in
07:26
Turkey it's not just access to primary
and emergency care to meet increasing
health needs for expensive treatments
such as kidney dialysis the government
is finding innovative ways to expand
services while containing costs for
example this home-based kidney dialysis
device allows 37 year-old ranked on to
continue her work as a seamstress while
caring for her 73 year old diabetic
mother at home this saves trips to the
clinic three times each week no no Jack
07:58
I didn't hang local my tongue didn't
anglers on my family bond i i'm yeah
Coco my soul heightened t bond with you
Allah make them pay
Bella pile I call myself a TT me top can
cook kyoka can compare like Anya Coco
high motley perhaps the biggest
challenge on the journey to universal
health coverage is how to cover the cost
a unique aspect of rwanda x' health
08:28
system is that 55 percent of the budget
is managed at the community level and
progress is measured against specific
health targets
you clearly sit how there is going to be
method and then measure it and have
people accountable not just accountable
to their seniors but also accountable to
the population the government covers the
insurance premiums for the poorest 25
percent of the population in the last
08:58
decade coverage has increased from 7% to
97 percent people are living 10 years
longer child mortality has been cut by
half and deaths from malaria have
dropped by two-thirds
as you can see from these examples each
country's road to universal coverage
varies depending on its own health needs
there is no one-size-fits-all model
countries must take into account their
09:34
you know historical development their
health system capacities and also their
ability in terms of the speed and the
scope of coverage to move our over time
but the essential ingredient in all
these examples is providing basic
primary care to everyone to prevent
diseases from ever starting or
diagnosing them early when they're much
more treatable this is a step every
country can take and providing health
10:06
services and care for everyone creates a
healthier community for all of us this
is key to making health care affordable
and helping as many people as possible
live longer and healthier lives
[Music]