The World Health Report 2013 W hy Universal H ealth Coverage Historical background Alma Ata Declaration of 1978 200512 all nations have made the commitment to achieve universal health ID: 565245
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Slide1
Research for Universal Health Coverage
The World Health Report 2013Slide2
W
hy Universal H
ealth Coverage? Historical background: Alma
Ata Declaration of 19782005-12: all nations have made the commitment to achieve universal health
coverage
"everyone should have access to the health services they need without risk of financial ruin or impoverishment"
a powerful mechanism for achieving better health and well-being, and for promoting human development.Slide3
Why is research essential? Slide4
HIV/AIDS and TB
towards universal coverage (but not there yet)
Source: Lancet 381, 413-418 (2013)Slide5
Financial risk protection is patchyWhere out-of-pocket expenditure is high in relation to total health expenditure; 150M people suffer catastrophic expenditure each year
Source: WHOSlide6
Coverage of health services is unevenNot just about wealth. What else?Slide7
The growth of research…
for universal health coverage Slide8
Foundations to build on: comparatively high growth rate of research in low- and middle-income countriesSlide9
How research contributes… to universal health
coverageSlide10
Case study 1Does antiretroviral therapy prevent HIV transmission?Slide11
Case study 2Do conditional cash transfers stimulate demand for services?Slide12
Case study 3Will public health expenditure increase in aging Europe?
Annual increases in health expenditure <1% and falling; more older people but costs of health care are large only in the last few years of life (Rechel, Lancet 381, 1312, 2013)Slide13
Action on research… for universal health coverage
Slide14
Setting national research prioritiesBrazil’s top 10 investments in health research, 2004-2009
Source: HPRS 9, 35, 2011Slide15
Translating evidence into policy and practice
Why so variable? Why so slow?
Source: BMC Pub Health 12, 683, 2012Slide16
Finding local as well as global solutionsAll nations need to do researchSlide17
Supporting the people who do researchThe key to building capacity
Innovation in action. Mobile phone software developed by students in Uganda
to monitor foetal movements and heartbeats (photo
Abbie Traylor-Smith/Oxfam).Slide18
Research for universal prevention
Energy efficient, cost-saving, smoke-free housingSlide19
Measuring progress towards UHCGlobal and local tracers of coverage and risk protectionSlide20
Stimulating R&D+
Funding, coordinating, monitoring
WHO Consultative Expert Working Group on Research and Development: Financing and Coordination (CEWG)Slide21
The
World Health Report 2013
Key messagesSlide22
The
World Health Report 2013
Key messages