Strategy for Universal Access to Health and Universal Health Coverage March 2015

Strategy for Universal Access to Health and Universal Health Coverage March 2015 Health Services and Access Unit Department of Health Systems and Services

Resolu<on CD53.R14 ü Resolves to adopt the Strategy for Universal Access to Health and Universal Health Coverage. ü Urges Member States to take ac*on, taking into account their own context and na<onal priori<es. ü Requests PAHO s Director to develop ac*ons and tools to support the implementa<on of the Strategy.

Objec<ve of the Strategy Ø It defines the condi<ons that will enable countries to focus and evaluate their policies and measure their progress toward universal access to health and universal health coverage. Ø It recognizes that each country has the capacity to establish its own ac<on plan, according to context and future health challenges. Ø It posi*ons the Region ahead in the SDG post 2015 global Agenda.

Universal Access to Health and Universal Health Coverage: Imply that all people and communi<es have access, without any kind of discrimina<on, to comprehensive, appropriate and <mely quality health services, without exposing users to financial difficul<es. Values: " Right to Health ü Equity ü Solidarity

Universal Access to Health Access Universal Access Capacity to use comprehensive, appropriate, <mely, quality health services and safe, effec<ve, and affordable quality medicines. According to needs. Addresses SDH under a mul*sectoral approach. Alma Ata of 21st Century (Health for All). Absence of geographical, economic, sociocultural, organiza<onal, or gender barriers that prevent all people from having equitable use of comprehensive health services.

Universal Health Coverage Coverage Universal Coverage Capacity of the health system to serve needs of the popula<on Availability of infrastructure, HHRR, health technologies & financing. Sufficient organiza<onal mechanisms and financing to cover the en<re popula<on. Universal coverage in itself is not sufficient to ensure health, well- being, and equity in health.

Alma Ata of the XXI century Health for All Universal access to health and universal health coverage are the founda<on of an equitable health system.

Core value pins down the Strategy Right to Health The right of every person to the enjoyment of the highest attainable standard of health. A fundamental human right. It should be promoted and protected without distinction of age, ethnicity, sex, gender, sexual orientation, language, national origin, place of birth or any other condition. Links with other related rights.

Core Value: RIGHT TO HEALTH Equity Absence of unfair differences in health status, access to comprehensive and timely high quality health services, financial contributions, and access to healthy spaces. Solidarity To provide financial protection: all contribute according to their means and receive services according to their needs. EQUALITY EQUITY

Four simultaneous and Interdependent Strategic Lines

SL1: Expanding equitable access to comprehensive, quality, people and community centered health services Move forward in providing universal access to comprehensive and progressively expanded health services. Iden<fy the unmet and differen<ated health needs of the popula<on, as well as the specific ones of groups in situa<on of vulnerability. Improve and increase the response capacity at the first level of care ar<culated in IHSNs. Improve human resource capacity in the first level of care by increasing employment opportuni<es, par<cularly in underserved areas.

Universal access to comprehensive, quality and progressively expanded health services Defining the services that the health service commits to offer and progressively expand is a challenge. Priori<za<on, even if implicit, always exists. Comprehensiveness Progressivity Feasibility Universality Social Valida*on It must be strategically defined in order to op<mize health outcomes. Evidence- based Ethics

SL2: Strengthening stewardship and governance Define and implement a set of ac<ons to strengthen the stewardship and governance of the health sector (i.e. public health func<ons, legal and regulatory framework). Establish and/or strengthen formal mechanisms of social par<cipa<on and accountability. Establish na<onal targets and goals, and define their plans of ac<on, set priori<es for the 2014-2019 period.

SL3: Increasing and improving financing, with equity and efficiency, advancing toward the elimina<on of direct payments Increase public financing of health (6% of GDP a useful benchmark). Allocate resources on a priority basis to the primary level of care Improve the efficiency of financing and health system organiza<on: ü Transparent and consolidated procurement mechanisms. ü Changes in the model of care priori<zing promo<on and preven<on, quality of services. Advance toward elimina<ng direct payment that cons<tutes a barrier to access, replacing it by pooling- mechanisms based on solidarity.

SL4: Strengthening intersectoral coordina<on to address social determinants of health Exercise leadership to impact policies, plans, regula<ons and ac<ons beyond the health sector that address the social determinants of health. Examples of mul<sectoral policies Social protec<on Vector control Food industry regula<on Promo<on of physical ac<vity Workers health Environmental contamina<on Environmental protec<on Regula<on of the pharmaceu<cal industry Regula<on of alcohol consump<on whilst driving Regula<on of vehicles and road safety Implement plans, programs and projects to facilitate the empowerment of people and communi<es.

Thank you! 16