IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0223559.html
   My bibliography  Save this article

Monitoring Universal Health Coverage (UHC) in high Tuberculosis burden countries: Tuberculosis mortality an important tracer of UHC service coverage

Author

Listed:
  • Michael Reid
  • Glenna Roberts
  • Eric Goosby
  • Paul Wesson

Abstract

Background: There is a paucity of empiric data evaluating whether Tuberculosis (TB) is a useful surrogate measure for Universal Health Coverage (UHC), despite recognition of the importance of TB control efforts as part of the broader UHC agenda. We hypothesized that indicators of TB burden and coverage are sensitive tracers of UHC, when compared to other disease-specific indicators of service provision. Methods: Linear regression models were used to determine the extent to which variability in UHC Service Coverage Index (SCI) was accounted for by (1) TB incidence rates and (2) TB mortality rates across 183 countries. Dominance analyses, stratifying countries by World Bank income criteria and TB burden, were used to determine the importance of TB treatment coverage in predicting UHC SCI scores, relative to other disease-specific indicators of service provision. Results: Across 183 countries, TB incidence rate and TB mortality rate were negatively correlated, with UHC SCI score, (r = -0.67 and r = -0.74, respectively). In linear regression models including all 183 countries, TB incidence rates explained 45% of the variability in SCI scores; TB mortality rate explained 55% of variability. Restricting models to the 30 highest TB burden countries, both incidence and mortality explained less of the variability in SCI score (16% and 36%, respectively). In dominance analysis, comparing 13 disease-specific indicators of service provision, TB effective treatment coverage, ranked ninth overall. In dominance analysis stratified by TB burden, the TB treatment coverage estimate was ranked ninth in the 30 high burden countries and sixth in the 153 non-high burden countries. In separate analyses stratified by world bank income status, TB coverage ranked as third most important variable in LICs and fifth in LMICs and UMICs, but was less important in analysis restricted HICs (ranked seventh). Conclusions: Compared to other disease-specific indicators of service provision, TB coverage was an important indicator of overall UHC service coverage, especially in low-income countries. These findings highlight that national-level inequities in TB-coverage may be an important tracer of universal health coverage.

Suggested Citation

  • Michael Reid & Glenna Roberts & Eric Goosby & Paul Wesson, 2019. "Monitoring Universal Health Coverage (UHC) in high Tuberculosis burden countries: Tuberculosis mortality an important tracer of UHC service coverage," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-10, October.
  • Handle: RePEc:plo:pone00:0223559
    DOI: 10.1371/journal.pone.0223559
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0223559
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0223559&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0223559?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
    ---><---

    References listed on IDEAS

    as
    1. M. Gabriela M. Gomes & Juliane F. Oliveira & Adelmo Bertolde & Diepreye Ayabina & Tuan Anh Nguyen & Ethel L. Maciel & Raquel Duarte & Binh Hoa Nguyen & Priya B. Shete & Christian Lienhardt, 2019. "Introducing risk inequality metrics in tuberculosis policy development," Nature Communications, Nature, vol. 10(1), pages 1-12, December.
    2. World Health Organization & World Bank, 2017. "Tracking Universal Health Coverage," World Bank Publications - Books, The World Bank Group, number 29042.
    Full references (including those not matched with items on IDEAS)

    Citations

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


    Cited by:

    1. Hsiao-Yu Yang & Jason Kai Wei Lee, 2021. "The Impact of Temperature on the Risk of COVID-19: A Multinational Study," IJERPH, MDPI, vol. 18(8), pages 1-10, April.
    2. Jianqiang Xu & Juan Zheng & Lingzhong Xu & Hongtao Wu, 2021. "Equity of Health Services Utilisation and Expenditure among Urban and Rural Residents under Universal Health Coverage," IJERPH, MDPI, vol. 18(2), pages 1-15, January.
    3. Michael Reid & Reena Gupta & Glenna Roberts & Eric Goosby & Paul Wesson, 2020. "Achieving Universal Health Coverage (UHC): Dominance analysis across 183 countries highlights importance of strengthening health workforce," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-7, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kiatkanid Pongpanich, 2019. "Investment needs for ambitiously moving towards universal health coverage," MPDD Policy Briefs PB85, United Nations Economic and Social Commission for Asia and the Pacific (ESCAP).
    2. Dorota Elżbieta Piotrowska & Dorota Jankowska & Dorota Huzarska & Andrzej Stanisław Szpak & Bartosz Pędziński, 2020. "Socioeconomic inequalities in use and non-use of dental services in Poland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(5), pages 637-647, June.
    3. Santos, María Emma, 2019. "Non-monetary indicators to monitor SDG targets 1.2 and 1.4: standards, availability, comparability and quality," Estudios Estadísticos 44452, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    4. Sandoval Moreno, Carlos, 2019. "Three essays on poverty measurement and risk protection," Other publications TiSEM 934c114b-7dce-431b-a613-a, Tilburg University, School of Economics and Management.
    5. Yerramilli, Pooja & Fernández, Óscar & Thomson, Sarah, 2018. "Financial protection in Europe: a systematic review of the literature and mapping of data availability," Health Policy, Elsevier, vol. 122(5), pages 493-508.
    6. Tuba I. Agartan, 2021. "Politics of success stories in the path towards Universal Health Coverage: The case of Turkey," Development Policy Review, Overseas Development Institute, vol. 39(2), pages 283-302, March.
    7. Johnston, Bridget M. & Burke, Sara & Barry, Sarah & Normand, Charles & Ní Fhallúin, Maebh & Thomas, Steve, 2019. "Private health expenditure in Ireland: Assessing the affordability of private financing of health care," Health Policy, Elsevier, vol. 123(10), pages 963-969.
    8. Nolan, Anne & May, Peter & Matthews, Soraya & Normand, Charles & Kenny, Rose Anne & Ward, Mark, 2022. "Public health insurance and mortality in the older population: Evidence from the Irish Longitudinal Study on Ageing," Health Policy, Elsevier, vol. 126(3), pages 190-196.
    9. Haiyan Jia & Xiaoyu Sai & Yangyue Su & Ying Huang, 2022. "Measurement and Decomposition of the Health Poverty of Rural Residents in China," IJERPH, MDPI, vol. 19(19), pages 1-20, October.
    10. Rika Idei & Hironori Kato, 2020. "Medical-purposed travel behaviors in rural areas in developing countries: a case study in rural Cambodia," Transportation, Springer, vol. 47(3), pages 1415-1438, June.
    11. Andrea M. Leiter & Engelbert Theurl, 2021. "Determinants of prepaid systems of healthcare financing: a worldwide country-level perspective," International Journal of Health Economics and Management, Springer, vol. 21(3), pages 317-344, September.
    12. Camilo Bohorquez-Penuela, 2020. "Subsidized Health Care and Food Security: Evidence from Colombia," Borradores de Economia 1103, Banco de la Republica de Colombia.
    13. Bhalotra, Sonia R. & Rocha, Rudi & Soares, Rodrigo R., 2019. "Does Universalization of Health Work? Evidence from Health Systems Restructuring and Expansion in Brazil," IZA Discussion Papers 12111, Institute of Labor Economics (IZA).
    14. Pedrazzoli, Debora & Carter, Daniel J. & Borghi, Josephine & Laokri, Samia & Boccia, Delia & Houben, Rein MGJ., 2021. "Does Ghana's National Health Insurance Scheme provide financial protection to tuberculosis patients and their households?," Social Science & Medicine, Elsevier, vol. 277(C).
    15. Gatien Broucker & So Yoon Sim & Logan Brenzel & Margaret Gross & Bryan Patenaude & Dagna O. Constenla, 2020. "Cost of Nine Pediatric Infectious Illnesses in Low- and Middle-Income Countries: A Systematic Review of Cost-of-Illness Studies," PharmacoEconomics, Springer, vol. 38(10), pages 1071-1094, October.
    16. Katherine T. Lofgren & David A. Watkins & Solomon T. Memirie & Joshua A. Salomon & Stéphane Verguet, 2021. "Balancing health and financial protection in health benefit package design," Health Economics, John Wiley & Sons, Ltd., vol. 30(12), pages 3236-3247, December.
    17. Lan, Jing & Khan, Sufyan Ullah & Sadiq, Muhammad & Chien, Fengsheng & Baloch, Zulfiqar Ali, 2022. "Evaluating energy poverty and its effects using multi-dimensional based DEA-like mathematical composite indicator approach: Findings from Asia," Energy Policy, Elsevier, vol. 165(C).
    18. Hsu, Justine & Majdzadeh, Reza & Mills, Anne & Hanson, Kara, 2021. "A dominance approach to analyze the incidence of catastrophic health expenditures in Iran," Social Science & Medicine, Elsevier, vol. 285(C).
    19. Font-Gilabert, Paulino, 2020. "Taking cover: human capital accumulation in the presence of shocks and health insurance," ISER Working Paper Series 2020-16, Institute for Social and Economic Research.
    20. Ram, Harchand, 2019. "Public and Private Divide in Health Care Spending in India: What Factors Explains the Gap?," MPRA Paper 109768, University Library of Munich, Germany.

    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:pone00:0223559. 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.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with 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: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    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.