
Universal health coverage and the health Sustainable Development Goal: achievements and challenges for Sri Lanka / Amala de Silva;Thushara Ranasinghe;Palitha Abeykoon
Tác giả : Amala de Silva;Thushara Ranasinghe;Palitha Abeykoon
Nhà xuất bản : World Health Organization. Regional Office for South-East Asia
Năm xuất bản : 2016
Chủ đề : 1. gender gap. 2. healthy life expectancy. 3. out of pocket. 4. Sri Lanka. 5. Sustainable Development Goals. 6. universal health coverage. 7. Journal / periodical articles.
Thông tin chi tiết
Tóm tắt : | With state-funded health care that is free at the point of delivery, a sound primaryhealth-care policy and widespread health-care services, Sri Lanka seems a goodexample of universal health coverage. Yet, health transition and disparities inprovision and financing threaten this situation. Sri Lanka did well on the MillenniumDevelopment Goal health indicators, but the Sustainable Development Goal (SDG)for health has a wider purview, which is to “ensure healthy lives and promote wellbeing for all at all ages”. The gender gap in life expectancy and the gap betweenlife expectancy and healthy life expectancy make achievement of the health SDGmore challenging. Although women and children do well overall, the comparativehealth disadvantage for men in Sri Lanka is a cause for concern. From a financingperspective, high out-of-pocket expenditure and high utilization of the private sector,even by those in the lowest income quintile, are concerns, as is the emerging “thirdtier”, where some individuals accessing state health care that is free at the pointof delivery actually bear some of the costs of drugs, investigations and surgery.This cost sharing is resulting in catastrophic health expenditure for individuals,and delays in and non-compliance with treatment. These concerns about provisionand financing must be addressed, as health transition will intensify the morbidityburden and loss of well-being, and could derail plans to achieve the health SDG. |
Thông tin dữ liệu nguồn
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https://iris.who.int/handle/10665/329641 |