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Three case studies in making fair choices on the path to universal health coverage

Voorhoeve, Alex, Edejer, Tessa T. T., Kapiriri, Lydia, Norheim, Ole F., Snowden, James, Basenya, Olivier, Bayarsaikhan, Dorjsuren, Chentaf, Ikram, Eyal, Nir, Folsom, Amanda, Hussein, Rozita Halina Tun, Morales, Cristian, Ostmann, Florian, Ottersen, Trygve, Prakongsai, Phusit, Saenz, Carla, Saleh, Karima, Sommanustweechai, Angkana, Wikler, Daniel and Zakariah, Afisah (2016) Three case studies in making fair choices on the path to universal health coverage. Health and Human Rights Journal, 18 (2). pp. 11-22. ISSN 2150-4113

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The goal of achieving Universal Health Coverage (UHC) can generally be realized only in stages. Moreover, resource, capacity and political constraints mean governments often face difficult trade-offs on the path to UHC. In a 2014 report, Making fair choices on the path to UHC, the WHO Consultative Group on Equity and Universal Health Coverage articulated principles for making such trade-offs in an equitable manner. We present three case studies which illustrate how these principles can guide practical decision-making. These case studies show how progressive realization of the right to health can be effectively guided by prioritysetting principles, including generating the greatest total health gain, priority for the worse off, and financial risk protection. They also demonstrate the value of a fair and accountable process of priority setting.

Item Type: Article
Official URL:
Additional Information: © 2016 The Authors © CC BY-NC 3.0
Divisions: Philosophy, Logic and Scientific Method
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 01 Aug 2016 14:44
Last Modified: 07 Feb 2024 02:00
Projects: AH/J006033/1
Funders: Arts and Humanities Research Council, Ministry of Foreign Affairs of Norway, Norwegian Agency for Development Cooperation, Norwegian Research Council, Pan-American Health Organization, Uehiro Centre for Practical Ethics

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