UN Report on Universal Health Coverage: Highlights

Recently, the ‘Tracking Universal Health Coverage: 2017 Global Monitoring Report’ co-authored by the World Bank and WHO was released. Following are the main highlights of the Report:

At least half of the world’s population cannot obtain essential health services, and nearly 100 million people are being pushed into extreme poverty each year due to the out-of-pocket health expenses they must pay.

Report notes that 800 million people spend at least 10 per cent of their household budgets on health expenses for themselves, a sick child or other family member.

For almost 100 million people, these expenses are high enough to push them into extreme poverty, forcing them to survive on just $1.90 or less a day.

The report makes clear that if we are serious – not just about better health outcomes, but also about ending poverty – we must urgently scale up our efforts on universal health coverage.

Wide gaps exist in the availability of services in Sub-Saharan Africa and Southern Asia. In other regions, basic health care services such as family planning and infant immunization are becoming more available, but lack of financial protection makes it difficult for families to pay for these services.

Even in more affluent regions such as East Asia, Latin America and Europe, a growing number of people are spending at least 10 per cent of their household budgets on out-of-pocket health expenses.

Inequalities in health services are seen not just between, but also within countries: national averages can mask low levels of health service coverage in disadvantaged population groups.

In low- and lower-middle income countries, only 17 per cent of mothers and children in the poorest fifth of households received at least six of seven basic maternal and child health interventions, while 74 per cent for the wealthiest fifth of households did so.

The report was a key point of discussion at the global Universal Health Coverage Forum 2017, that took place in Tokyo, Japan.