Challenges and dilemmas on universal coverage for non-communicable diseases in middle-income countries: evidence and lessons from Mexico

Globalization and Health
Armando ArredondoAna Lucia Recaman

Abstract

Despite more than 20 years of reform projects in health systems, the universal coverage strategy has not reached the expected results in most middle-income countries (MICs). Using evidence from the Mexican case on diabetes and hypertension as tracers of non-communicable diseases, the effective coverage rate barely surpasses half of the expected goals necessary to meet the challenges that these two diseases represent at the population level. Prevalence and incidence rates do not diminish either; they even grow. In terms of the economic burden, this means that lack of financial protection and catastrophic expense rates have increased, contrary to what could have been expected. As any complex system, health systems present challenges and dilemmas that are difficult to solve. In terms of universal coverage, when contrasting normative coverage versus effective coverage, the epidemiological, cultural, organizational and economic challenges and barriers become evident. Such challenges have not allowed a greater effectiveness of the contributions of state of the art medicine in the resolution of health problems, particularly in relation to diabetes and hypertension. Despite of the existence of many universal coverage projects, strategi...Continue Reading

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Citations

Jul 17, 2019·American Journal of Hypertension·Armando Arredondo, Ana Lucia Recaman
Aug 6, 2019·Health Affairs·Armando Arredondo
Dec 29, 2020·The International Journal of Health Planning and Management·Armando ArredondoSilvia Magali Cuadra
Sep 4, 2021·Scientific Reports·Lilia V Castro-PorrasConsuelo Escamilla-Nuñez

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