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增强尼日利亚全民健康覆盖的政治意愿。

Enhancing Political Will for Universal Health Coverage in Nigeria.

作者信息

Aregbeshola Bolaji S

机构信息

College of Medicine, University of Lagos, Nigeria.

出版信息

MEDICC Rev. 2017 Jan;19(1):42-46. doi: 10.37757/MR2017.V19.N1.8.

Abstract

Universal health coverage aims to increase equity in access to quality health care services and to reduce financial risk due to health care costs. It is a key component of international health agenda and has been a subject of worldwide debate. Despite differing views on its scope and pathways to reach it, there is a global consensus that all countries should work toward universal health coverage. The goal remains distant for many African countries, including Nigeria. This is mostly due to lack of political will and commitment among political actors and policymakers. Evidence from countries such as Ghana, Chile, Mexico, China, Thailand, Turkey, Rwanda, Vietnam and Indonesia, which have introduced at least some form of universal health coverage scheme, shows that political will and commitment are key to the adoption of new laws and regulations for reforming coverage. For Nigeria to improve people's health, reduce poverty and achieve prosperity, universal health coverage must be vigorously pursued at all levels. Political will and commitment to these goals must be expressed in legal mandates and be translated into policies that ensure increased public health care financing for the benefit of all Nigerians. Nigeria, as part of a global system, cannot afford to lag behind in striving for this overarching health goal.

摘要

全民健康覆盖旨在提高获得优质医疗服务的公平性,并降低因医疗费用导致的经济风险。它是国际卫生议程的关键组成部分,一直是全球辩论的主题。尽管对于其范围和实现途径存在不同观点,但全球达成了一项共识,即所有国家都应努力实现全民健康覆盖。对于包括尼日利亚在内的许多非洲国家而言,这一目标仍很遥远。这主要是由于政治行为体和政策制定者缺乏政治意愿和承诺。来自加纳、智利、墨西哥、中国、泰国、土耳其、卢旺达、越南和印度尼西亚等国的证据表明,这些国家至少已推出了某种形式的全民健康覆盖计划,政治意愿和承诺是通过新法律法规改革医保覆盖范围的关键。为改善尼日利亚人民的健康状况、减少贫困并实现繁荣,必须在各级大力推行全民健康覆盖。对这些目标的政治意愿和承诺必须体现在法律授权中,并转化为确保增加公共医疗融资以惠及所有尼日利亚人的政策。作为全球体系的一部分,尼日利亚在努力实现这一总体卫生目标方面不能落后。

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