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221013 ||| eng |
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|a Wagstaff, Adam
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|a Measuring Progress towards Universal Health Coverage
|h Elektronische Ressource
|b With an Application to 24 Developing Countries
|c Wagstaff, Adam
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|a Washington, D.C
|b The World Bank
|c 2015
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|a 67 p
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|a Wagstaff, Adam
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|a Cotlear, Daniel
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|a Buisman, Leander R.
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|a eng
|2 ISO 639-2
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| 989 |
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|b WOBA
|a World Bank E-Library Archive
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|a World Bank E-Library Archive
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|a 10.1596/1813-9450-7470
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|u http://elibrary.worldbank.org/doi/book/10.1596/1813-9450-7470
|x Verlag
|3 Volltext
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|a 330
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|a The last few years have seen a growing commitment worldwide to universal health coverage (UHC). Yet there is a lack of clarity on how to measure progress towards UHC. This paper proposes a 'mashup' index that captures both aspects of UHC: that everyone-irrespective of their ability-to-pay-gets the health services they need; and that nobody suffers undue financial hardship as a result of receiving care. Service coverage is broken down into prevention and treatment, and financial protection into impoverishment and catastrophic spending; nationally representative household survey data are used to adjust population averages to capture inequalities between the poor and better off; nonlinear tradeoffs are allowed between and within the two dimensions of the UHC index; and all indicators are expressed such that scores run from 0 to 100, and higher scores are better. In a sample of 24 countries for which there are detailed information on UHC-inspired reforms, a cluster of high-performing countries emerges with UHC scores of between 79 and 84 (Brazil, Colombia, Costa Rica, Mexico and South Africa) and a cluster of low-performing countries emerges with UHC scores in the range 35-57 (Ethiopia, Guatemala, India, Indonesia and Vietnam). Countries have mostly improved their UHC scores between the earliest and latest years for which there are data-by about 5 points on average; however, the improvement has come from increases in receipt of key health interventions, not from reductions in the incidence of out-of-pocket payments on welfare
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