Achieving Universal Health Coverage (UHC): Dominance analysis across 183 countries highlights importance of strengthening health workforce

PloS One
Michael ReidPaul Wesson

Abstract

Despite increasing political will to achieve Universal Health Coverage (UHC), there is a paucity of empiric data describing what health system indicators are useful surrogates of country-level progress towards UHC. We sought to determine what public health interventions were useful tracers of country-level UHC progress. Across 183 countries we evaluated the extent to which 16 service delivery indicators explained variability in the UHC Service Coverage Index, (UHC SCI) a WHO-validated indicator of country-level health coverage. Dominance analyses, stratifying countries by World Bank income criteria, were used to determine which indicators were most important in in predicting UHC SCI scores. Health workforce density ranked first overall, provision of basic sanitation and access to clean water ranked second, and provision of basic antenatal services ranked third. In analysis stratified by World Bank income criteria, health workforce density ranked first in Lower Middle Income-Countries (LMICs) (n = 45) and third in Upper Middle Income-Countries (UMICs) (n = 51). While each country will have a different approach to achieving UHC, strengthening the health workforce will need to be a key priority if they are to be successful in achi...Continue Reading

References

Aug 20, 2003·Psychological Methods·Razia Azen, David V Budescu
Dec 7, 2013·Lancet·Dean T JamisonGavin Yamey
Jul 15, 2015·Lancet·Judith ShamianLianne Jeffs
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Feb 1, 2020·Eastern Mediterranean Health Journal = La Revue De Santé De La Méditerranée Orientale = Al-Majallah Al-ṣiḥḥīyah Li-sharq Al-mutawassiṭ·Arash Rashidian

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Citations

Apr 20, 2021·Global Public Health·Sonja L MyhreAnne Bergh
Jul 27, 2021·International Journal of Nursing Sciences·Sein Yaw MaySu Su Maw
Jun 21, 2021··Roland Haas, Asoke Talukder

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