Abstract
Universal Health Coverage as a Distinct Sustainable Development Goals Target: Dispelling Doubts and Underlining Implications.
Highlights
United Nations General Assembly is preparing proposal for Sustainable Development Goals (SDGs), and it has recently made explicit its working group proposal
Inclusion of universal health coverage (UHC) in SDG3 has been taken with a pinch of salt, and doubts have been raised whether this undermines public health measures and health equity [2]
UHC is a desirable outcome of a health system, even if it does not inevitably lead to improvement in other health measures
Summary
Concerns have been brought up as to the pursuit of UHC contributing to inequity in health outcomes – to be precise, these concerns pertain to the early stages in the transition to UHC, as it has been shown that poor and disadvantaged groups do not immediately benefit [7] These doubts call into question the fascination with UHC and its being considered as a SDG target. Targeting the poor as a complementary approach to UHC has proved beneficial in reducing the health gap between rich and poor, as observed in Indonesia [9] Approaches, it seems obvious, a country take for UHC, and not the progress toward UHC in general, are the decisive factor for health equity.
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