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Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage

Lal, Arush, Erondu, Ngozi A., Heymann, David L., Gitahi, Githinji and Yates, Robert (2021) Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage. The Lancet, 397 (10268). 61 - 67. ISSN 0140-6736

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Identification Number: 10.1016/S0140-6736(20)32228-5

Abstract

The COVID-19 pandemic has placed enormous strain on countries around the world, exposing long-standing gaps in public health and exacerbating chronic inequities. Although research and analyses have attempted to draw important lessons on how to strengthen pandemic preparedness and response, few have examined the effect that fragmented governance for health has had on effectively mitigating the crisis. By assessing the ability of health systems to manage COVID-19 from the perspective of two key approaches to global health policy—global health security and universal health coverage—important lessons can be drawn for how to align varied priorities and objectives in strengthening health systems. This Health Policy paper compares three types of health systems (ie, with stronger investments in global health security, stronger investments in universal health coverage, and integrated investments in global health security and universal health coverage) in their response to the ongoing COVID-19 pandemic and synthesises four essential recommendations (ie, integration, financing, resilience, and equity) to reimagine governance, policies, and investments for better health towards a more sustainable future.

Item Type: Article
Official URL: https://www.thelancet.com/journals/lancet/home
Additional Information: © 2020 Elsevier Ltd
Divisions: Health Policy
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
H Social Sciences > HV Social pathology. Social and public welfare. Criminology
Date Deposited: 18 Feb 2022 10:39
Last Modified: 28 Feb 2024 23:21
URI: http://eprints.lse.ac.uk/id/eprint/113780

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