JSI Research & Training Institute Inc, Mezzanine Floor, Grand Hotel, Street 1, MPCHS, E-11/1, Islamabad, 44000, Pakistan.
Global Health. 2023 Jan 12;19(1):4. doi: 10.1186/s12992-023-00904-1.
There is a strong and wide consensus that Pakistan must pursue universal health coverage (UHC) attainment as the driving force for achieving sustainable development goals by 2030. Nevertheless, several institutional and socioeconomic challenges may hinder the progress toward UHC.
It is important that the health system of Pakistan must be transformed to strengthen all three dimensions of UHC i.e. maximizing the population covered, increasing the range of services offered, and reducing the cost-sharing. To make UHC dream a reality in Pakistan, there are some pre-requisites to meet upfront: a) budgetary allocation for health as percentage of GDP must be increased; b) health system's readiness especially in the public sector ought to improve in terms of human resource and availability of essential services; c) safety nets for health must continue regardless of the change in the political regimes; d) decrease the reliance on donors' funding; and e) accountability to be ensured across the board for service providers, managers, administrators and policymakers in the health system.
COVID-19 pandemic has revealed some major gaps in the health system's capacity to deliver equitable healthcare, which is a cornerstone to achieving the UHC agenda. The priority-setting process will need to be aligned with the SDGs to ensure that the agenda for action towards 2030 is comprehensively addressed and successfully accomplished preferably before, but hopefully not beyond the targeted dates.
人们强烈且广泛地认为，巴基斯坦必须追求全民健康覆盖（UHC），以此作为实现 2030 年可持续发展目标的推动力。然而，一些制度和社会经济方面的挑战可能会阻碍全民健康覆盖的进展。
巴基斯坦的卫生系统必须进行改革，以加强全民健康覆盖的三个维度，即最大限度地覆盖人口、增加提供的服务范围和降低费用分担。为了使全民健康覆盖的梦想在巴基斯坦成为现实，需要满足一些前置条件：a）增加卫生预算占 GDP 的百分比；b）提高卫生系统的准备程度，特别是在公共部门，提高人力资源和基本服务的可用性；c）无论政治制度如何变化，都要继续为卫生建立安全网；d）减少对捐助者资金的依赖；e）确保卫生系统中的服务提供者、管理者、行政人员和政策制定者全面负责。
COVID-19 大流行揭示了卫生系统提供公平医疗保健的能力存在一些重大差距，而这是实现全民健康覆盖议程的基石。优先事项的设定过程需要与可持续发展目标保持一致，以确保 2030 年行动计划得到全面解决，并最好在目标日期之前完成，而不是之后。
