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Analytical summary - Universal coverage

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The Alma-Ata Declaration signatories noted that health for all would contribute to a better quality of life and also to global peace and security. Although circumstances both within and outside the health sector contribute to the health status of the population, timely access to health services is considered key in promoting and sustaining society’s health.

Thus, in 2005 with the goal of universal coverage WHO Member States committed to developing health financing systems so that all people have access to service without out-of-pocket financial burden.[1]

In Ethiopia, the Ministry of Health has initiated and implemented health care financing reform, consisting of:

  • facility revenue retention and utilization
  • facility governance
  • systematization of fee waiver and exempted health services
  • user fee revision
  • outsourcing non-clinical services
  • the establishment of a private sector.

The objective of this strategy is to strengthen the supply side and provide quality health care services to the public.[2]

To address the demand for health care services, the Ministry initiated two types of health insurance to remove financial barriers to access to health care: community-based health insurance for the rural population and urban informal sector, and social health insurance for the formal sector.

References

  1. Health systems financing. The path to universal coverage (pdf 2.82Mb) Geneva, World Health Organization, 2010
  2. Health Sector Development Programme IV, Annual performance report. Addis Ababa, Government of Ethiopia, Ministry of Health, 2010