The Financing Of Health Systems And The Way To UniversalCoverage For Health Care

Has increased donor commitment to health care for more than four times since the signing of the Millennium Declaration in September 2000, has reached more than $ 20 billion in 2008.1 Although this is still some progress towards development goals for health care has been disappointing in many ways.
The simple act of increasing international funding more can not achieve alone goals if the health system is too weak to support the rapid increase of service coverage, and would require support activities where not enough health workers and health facilities or where people can not get health care because they can not pay costs.

Systems should be the financing of Interior Health for health care hard to get a broader coverage and preserved, and is based financing universal coverage on two interrelated, the first is to ensure not prevent financial barriers people from using the services they need, a prevention and promotion, treatment and rehabilitation, and the second is to ensure that they will not suffer financial deprivation as they are forced to pay for these services.

The health services cost money must pay a what. Still low-income countries, even with the increase in external financing to talk to the health, need to find approximately 75% of the funding for health from domestic sources, and the way in which these countries over this critical funding. The direct payments necessary when people have access to care (user fees, for example) that prevents many people from seeking care in the first place, and may cause a financial disaster and poverty for so many. Needs to improve universal coverage systems increases the amount of funding-mediated forms of advance payments (such as taxes and / or insurance), and then pool these funds for the deployment of risk the financial of the disease on the population, and requires systems to health financing, with incentives built to ensure the use of this funding effectively and fairly.

The report of the WHO global health following about health financing and will discuss that almost all countries, whether poor or rich, can improve the coverage of services or prevention of risk of financial dealing with one or more of the tasks the Chairperson of the financial system, any increase in funding adequate and collect funds for the deployment of financial and exchange risk prudently.

In addition to the above, was highlighted in some of the views published this month on some of the issues faced by policy makers inevitable as they develop their financial systems of health, has identified Fryatt and Mills 13 major achievements of the Group of finance the world's leading high-level for the health systems in terms of providing more funds , and declared that he helped to maintain the momentum for increased international financial support for health in low-income countries at a time of financial crisis. In the course of answered questions, discussed the McCoy and Brix 14 that the Panel's report was disappointing, it has provided support lukewarm only for the collection of taxes on financial transactions, an option aimed at the banking sector, while tax consumers the supporting groups of people poorer, and could give a focus on innovative financing backfire by encouraging countries to reneging on their commitments to provide official development assistance, and in fact are still a few countries so far only committed to its promises.

Focuses Yates on the way to increase funding for health and make the case for the removal of user fees, starting with services for women and children, on the other hand, claims to Jewett and Danilyan that the debate over user fees is not a clear-cut a lot, for example, has developed Armenia fee schedule for official for health services as a way to balance the informal payments or calculated.

Has declared Leatherman and Dunford conclusion that the funding little presents increasingly to the poor people relatively, most of them women, who have the opportunities to make money, suggesting that it can be that this funding can help people also on access to health services in places where they have to pay against which .

Many countries are very close to universal coverage and other countries are doing well, and raises the bulletin articles on this topic fundamental questions must be taken into account when thinking about how best to develop national systems of health financing for universal coverage.abuiyad