IDEAS home Printed from https://ideas.repec.org/a/plo/pmed00/1001728.html
   My bibliography  Save this article

Monitoring Intervention Coverage in the Context of Universal Health Coverage

Author

Listed:
  • Ties Boerma
  • Carla AbouZahr
  • David Evans
  • Tim Evans

Abstract

: As part of the Universal Health Coverage Collection, Ties Boerma and colleagues discuss monitoring intervention coverage related to the full spectrum of UHC, including health promotion and disease prevention, treatment, rehabilitation, and palliation. Monitoring universal health coverage (UHC) focuses on information on health intervention coverage and financial protection. This paper addresses monitoring intervention coverage, related to the full spectrum of UHC, including health promotion and disease prevention, treatment, rehabilitation, and palliation. A comprehensive core set of indicators most relevant to the country situation should be monitored on a regular basis as part of health progress and systems performance assessment for all countries. UHC monitoring should be embedded in a broad results framework for the country health system, but focus on indicators related to the coverage of interventions that most directly reflect the results of UHC investments and strategies in each country. A set of tracer coverage indicators can be selected, divided into two groups—promotion/prevention, and treatment/care—as illustrated in this paper. Disaggregation of the indicators by the main equity stratifiers is critical to monitor progress in all population groups. Targets need to be set in accordance with baselines, historical rate of progress, and measurement considerations. Critical measurement gaps also exist, especially for treatment indicators, covering issues such as mental health, injuries, chronic conditions, surgical interventions, rehabilitation, and palliation. Consequently, further research and proxy indicators need to be used in the interim. Ideally, indicators should include a quality of intervention dimension. For some interventions, use of a single indicator is feasible, such as management of hypertension; but in many areas additional indicators are needed to capture quality of service provision. The monitoring of UHC has significant implications for health information systems. Major data gaps will need to be filled. At a minimum, countries will need to administer regular household health surveys with biological and clinical data collection. Countries will also need to improve the production of reliable, comprehensive, and timely health facility data.Please see later in the article for the Editors' Summary

Suggested Citation

  • Ties Boerma & Carla AbouZahr & David Evans & Tim Evans, 2014. "Monitoring Intervention Coverage in the Context of Universal Health Coverage," PLOS Medicine, Public Library of Science, vol. 11(9), pages 1-13, September.
  • Handle: RePEc:plo:pmed00:1001728
    DOI: 10.1371/journal.pmed.1001728
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001728
    Download Restriction: no

    File URL: https://journals.plos.org/plosmedicine/article/file?id=10.1371/journal.pmed.1001728&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pmed.1001728?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Tess Bright & Hannah Kuper, 2018. "A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries," IJERPH, MDPI, vol. 15(9), pages 1-29, August.
    2. Barbara Madaj & Helen Smith & Matthews Mathai & Nathalie Roos & Nynke van den Broek, 2017. "Developing global indicators for quality of maternal and newborn care: A feasibility assessment," WIDER Working Paper Series wp-2017-141, World Institute for Development Economic Research (UNU-WIDER).
    3. Kimberly M Koporc & David R Hotchkiss & Charles F Stoecker & Deborah A McFarland & Thomas Carton, 2021. "Assessing the effects of disease-specific programs on health systems: An analysis of the Bangladesh Lymphatic Filariasis Elimination Program’s impacts on health service coverage and catastrophic healt," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 15(11), pages 1-21, November.
    4. Aalok Ranjan Chaurasia, 2022. "An Index to Measure Progress Towards Universal Social Protection with Application to India," Indian Journal of Human Development, , vol. 16(1), pages 34-54, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pmed00:1001728. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosmedicine (email available below). General contact details of provider: https://journals.plos.org/plosmedicine/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.