Universidad Peruana Cayetano Heredia

Universal health coverage and intersectoral action for health: key messages from Disease Control Priorities, 3rd edition

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dc.contributor.author Jamison, Dean T.
dc.contributor.author Alwan, Ala
dc.contributor.author Mock, Charles N.
dc.contributor.author Nugent, Rachel
dc.contributor.author Watkins, David
dc.contributor.author Adeyi, Olusoji
dc.contributor.author Anand, Shuchi
dc.contributor.author Atun, Rifat
dc.contributor.author Bertozzi, Stefano
dc.contributor.author Bhutta, Zulfiqar
dc.contributor.author Binagwaho, Agnes
dc.contributor.author Black, Robert
dc.contributor.author Blecher, Mark
dc.contributor.author Bloom, Barry R.
dc.contributor.author Brouwer, Elizabeth
dc.contributor.author Bundy, Donald A. P.
dc.contributor.author Chisholm, Dan
dc.contributor.author Cieza, Alarcos
dc.contributor.author Cullen, Mark
dc.contributor.author Danforth, Kristen
dc.contributor.author de Silva, Nilanthi
dc.contributor.author Debas, Haile T.
dc.contributor.author Donkor, Peter
dc.contributor.author Dua, Tarun
dc.contributor.author Fleming, Kenneth A.
dc.contributor.author Gallivan, Mark
dc.contributor.author Garcia Funegra, Patricia Jannet
dc.contributor.author Gawande, Atul
dc.contributor.author Gaziano, Thomas
dc.contributor.author Gelband, Hellen
dc.contributor.author Glass, Roger
dc.contributor.author Glassman, Amanda
dc.contributor.author Gray, Glenda
dc.contributor.author Habte, Demissie
dc.contributor.author Holmes, King K.
dc.contributor.author Horton, Susan
dc.contributor.author Hutton, Guy
dc.contributor.author Jha, Prabhat
dc.contributor.author Knaul, Felicia M.
dc.contributor.author Kobusingye, Olive
dc.contributor.author Krakauer, Eric L.
dc.contributor.author Kruk, Margaret E.
dc.contributor.author Lachmann, Peter
dc.contributor.author Laxminarayan, Ramanan
dc.contributor.author Levin, Carol
dc.contributor.author Looi, Lai Meng
dc.contributor.author Madhav, Nita
dc.contributor.author Mahmoud, Adel
dc.contributor.author Mbanya, Jean Claude
dc.contributor.author Measham, Anthony
dc.contributor.author Medina-Mora, María Elena
dc.contributor.author Medlin, Carol
dc.contributor.author Mills, Anne
dc.contributor.author Mills, Jody-Anne
dc.contributor.author Montoya, Jaime
dc.contributor.author Norheim, Ole
dc.contributor.author Olson, Zachary
dc.contributor.author Omokhodion, Folashade
dc.contributor.author Oppenheim, Ben
dc.contributor.author Ord, Toby
dc.contributor.author Patel, Vikram
dc.contributor.author Patton, George C.
dc.contributor.author Peabody, John
dc.contributor.author Prabhakaran, Dorairaj
dc.contributor.author Qi, Jinyuan
dc.contributor.author Reynolds, Teri
dc.contributor.author Ruacan, Sevket
dc.contributor.author Sankaranarayanan, Rengaswamy
dc.contributor.author Sepúlveda, Jaime
dc.contributor.author Skolnik, Richard
dc.contributor.author Smith, Kirk R.
dc.contributor.author Temmerman, Marleen
dc.contributor.author Tollman, Stephen
dc.contributor.author Verguet, Stéphane
dc.contributor.author Walker, Damian G.
dc.contributor.author Walker, Neff
dc.contributor.author Wu, Yangfeng
dc.contributor.author Zhao, Kun
dc.date.accessioned 2018-12-03T17:02:47Z
dc.date.available 2018-12-03T17:02:47Z
dc.date.issued 2018
dc.identifier.uri https://hdl.handle.net/20.500.12866/4290
dc.description.abstract The World Bank is publishing nine volumes of Disease Control Priorities, 3rd edition (DCP3) between 2015 and 2018. Volume 9, Improving Health and Reducing Poverty, summarises the main messages from all the volumes and contains cross-cutting analyses. This Review draws on all nine volumes to convey conclusions. The analysis in DCP3 is built around 21 essential packages that were developed in the nine volumes. Each essential package addresses the concerns of a major professional community (eg, child health or surgery) and contains a mix of intersectoral policies and health-sector interventions. 71 intersectoral prevention policies were identified in total, 29 of which are priorities for early introduction. Interventions within the health sector were grouped onto five platforms (population based, community level, health centre, first-level hospital, and referral hospital). DCP3 defines a model concept of essential universal health coverage (EUHC) with 218 interventions that provides a starting point for country-specific analysis of priorities. Assuming steady-state implementation by 2030, EUHC in lower-middle-income countries would reduce premature deaths by an estimated 4·2 million per year. Estimated total costs prove substantial: about 9·1% of (current) gross national income (GNI) in low-income countries and 5·2% of GNI in lower-middle-income countries. Financing provision of continuing intervention against chronic conditions accounts for about half of estimated incremental costs. For lower-middle-income countries, the mortality reduction from implementing the EUHC can only reach about half the mortality reduction in non-communicable diseases called for by the Sustainable Development Goals. Full achievement will require increased investment or sustained intersectoral action, and actions by finance ministries to tax smoking and polluting emissions and to reduce or eliminate (often large) subsidies on fossil fuels appear of central importance. DCP3 is intended to be a model starting point for analyses at the country level, but country-specific cost structures, epidemiological needs, and national priorities will generally lead to definitions of EUHC that differ from country to country and from the model in this Review. DCP3 is particularly relevant as achievement of EUHC relies increasingly on greater domestic finance, with global developmental assistance in health focusing more on global public goods. In addition to assessing effects on mortality, DCP3 looked at outcomes of EUHC not encompassed by the disability-adjusted life-year metric and related cost-effectiveness analyses. The other objectives included financial protection (potentially better provided upstream by keeping people out of the hospital rather than downstream by paying their hospital bills for them), stillbirths averted, palliative care, contraception, and child physical and intellectual growth. The first 1000 days after conception are highly important for child development, but the next 7000 days are likewise important and often neglected. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Lancet
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject Global Health en_US
dc.subject Delivery of Health Care en_US
dc.subject Health Priorities en_US
dc.subject Universal Coverage en_US
dc.title Universal health coverage and intersectoral action for health: key messages from Disease Control Priorities, 3rd edition en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1016/S0140-6736(17)32906-9
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00
dc.relation.issn 1474-547X


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