Wang Huihui, Juma Mariam Ally, Rosemberg Nicolas, Ulisubisya Mpoki M
a Health, Nutrition & Population Global Practice , World Bank , Washington , DC , USA.
b Ministry of Health, Community Development, Gender, Elderly and Children , Dodoma , Tanzania.
Health Syst Reform. 2018;4(4):279-283. doi: 10.1080/23288604.2018.1513268. Epub 2018 Oct 31.
Universal health coverage (UHC) can be a vehicle for improving equity, health outcomes, and financial well-being. After publication of the World Health Organization's report in 2010, many countries declared their goal of achieving UHC. A key lesson from research evidence and country experience in implementation of pro-poor UHC is that public budget plays a crucial role in financing the poor. It has long been recognized that if a country wants to reduce the gap between the poor and non-poor, deprived groups should receive preferential allocation of health care resources to achieve more rapid improvements in their health. Based on a technical analysis of public funds allocation mechanisms in Tanzania, we argue that these mechanisms should prioritize the poor more explicitly and give them preferential treatment to close the gap with the non-poor in service utilization and health outcomes.
全民健康覆盖可以成为促进公平、改善健康结果和提高经济福祉的一种手段。2010年世界卫生组织的报告发布后，许多国家宣布了实现全民健康覆盖的目标。从支持穷人的全民健康覆盖实施的研究证据和国家经验中得到的一个关键教训是，公共预算在为穷人提供资金方面发挥着至关重要的作用。长期以来人们认识到，如果一个国家想要缩小穷人与非穷人之间的差距，贫困群体应获得医疗保健资源的优先分配，以更快地改善他们的健康状况。基于对坦桑尼亚公共资金分配机制的技术分析，我们认为这些机制应更明确地将穷人作为优先对象，并给予他们优惠待遇，以缩小在服务利用和健康结果方面与非穷人的差距。
