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Published in: 10/21/2019

"Universal health coverage is a political choice": Universal Health Coverage passes key global milestone

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Rafaela de Oliveira

The World Health Organization welcomed a new Inter-Parliamentary Union (IPU) Resolution on achieving Universal Health Coverage (UHC) by 2030, last thursday (october 17). The resolution, adopted at the IPU Assembly in Belgrade, Serbia, comes one month after heads of state agreed a high-level United Nations Political Declaration on UHC in New York. UHC is increasingly regarded as a cornerstone for sustainable global development as leaders and communities acknowledge that health is both a human right and essential to economic growth.

“Universal health coverage is a political choice. Last month, the world’s leaders signalled their readiness to make that choice.  Now it’s time to turn those commitments into health results,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. He added: “Parliamentarians have a vital role to play in making this happen. Because it’s parliamentarians who pass laws and allocate funding. It’s parliaments who , keep government accountable for the commitments it’s made and who forge  the partnerships that help countries make universal health coverage a reality.”

Today’s Resolution calls on parliaments and parliamentarians to “take all possible measures to achieve UHC”, stressing the need for robust legal frameworks and the need to allocate adequate resources. Like the UN declaration, it highlights the importance of assuring strong primary health care – the provision of essential health services at the community level –  and strengthening health systems. It also emphasizes the role strong health systems and services play in assuring global health security. Only when  the most vulnerable groups can obtain health care, can a country protect its people and ensure that outbreaks do not turn into epidemics.The resolution includes a strong focus on women, children and adolescent health including sexual and reproductive health as a key component of UHC.

The Resolution ends with a request to WHO to work with the IPU and other partners to support the implementation of the resolution at the global, regional and country levels and to monitor progress. “The resolution highlights the power of the collaboration between IPU and WHO, and builds on the Memorandum of Understanding we both signed  in October 2018,” added Dr Tedros.

In September, during the UN General Assembly, WHO and 11 partner organizations launched, Stronger Collaboration, Better Health: Global Action Plan for Healthy Living and Well-Being for All. The Global Action Plan outlines ways the 12 agencies will work together to better support countries accelerate progresss to achieve the health-related Sustainable Development Goal targets.

The UHC Global Monitoring Report, issued by WHO and partners in September, highlighted the need to double health coverage between now and 2030. It warns that if current trends continue, up to 5 billion people will still be unable to access health care in 2030 – the deadline world leaders have set for achieving universal health coverage. Most of those people are poor and lack access to basic health services.

Investing an additional USD200 billion a year on scaling up primary health care across low- and middle-income countries would potentially save 60 million lives, increase average life expectancy by 3.7 years by 2030, and contribute significantly to socio-economic development. The report estimates that this would represent a roughly 3% increase on the USD7.5 trillion already spent on health globally each year.