WHO Global NCD Platform, Geneva, Switzerland.
WHO Global NCD Platform, Geneva, Switzerland.
Lancet Glob Health. 2023 Dec;11(12):e1978-e1985. doi: 10.1016/S2214-109X(23)00489-8.
UN member states have committed to universal health coverage (UHC) to ensure all individuals and communities receive the health services they need without suffering financial hardship. Although the pursuit of UHC should unify disparate global health challenges, it is too commonly seen as another standalone initiative with a singular focus on the health sector. Despite constituting the cornerstone of the health-related Sustainable Development Goals, UHC-related commitments, actions, and metrics do not engage with the major drivers and determinants of health, such as poverty, gender inequality, discriminatory laws and policies, environment, housing, education, sanitation, and employment. Given that all countries already face multiple competing health priorities, the global UHC agenda should be used to reconcile, rationalise, prioritise, and integrate investments and multisectoral actions that influence health. In this paper, we call for greater coordination and coherence using a UHC+ lens to suggest new approaches to funding that can extend beyond biomedical health services to include the cross-cutting determinants of health. The proposed intersectoral co-financing mechanisms aim to support the advancement of health for all, regardless of countries' income.
联合国会员国致力于全民健康覆盖，以确保所有个人和社区都能获得所需的卫生服务，而不会陷入经济困境。尽管追求全民健康覆盖应该统一各种不同的全球卫生挑战，但它通常被视为另一个孤立的倡议，其重点是卫生部门。尽管全民健康覆盖是与健康相关的可持续发展目标的基石，但与全民健康覆盖相关的承诺、行动和指标并未涉及健康的主要驱动因素和决定因素，如贫困、性别不平等、歧视性法律和政策、环境、住房、教育、卫生和就业。鉴于所有国家已经面临多种相互竞争的卫生优先事项，全球全民健康覆盖议程应用于协调、合理化、优先排序和整合影响健康的投资和多部门行动。在本文中，我们呼吁通过全民健康覆盖+视角加强协调和一致性，提出新的筹资办法，不仅包括生物医学卫生服务，还包括健康的跨部门决定因素。拟议的部门间共同供资机制旨在支持所有国家实现全民健康，而不论其收入如何。
