Framework for action on advancing universal health
coverage (UHC) in the Eastern Mediterranean Region
 Undertake a health system review including the current status of coverage by financial risk
protection, health services needed and population; while determining the institutional, political and
security constraints; the extent of private sector/donor financing and provision; and the role of
health actors inside and outside the Ministry of Health
 Organize capacity development courses on components of
 Institute country-specific institutional arrangements accountable for coordinating UHC
 Facilitate exchange of
 Develop a communication strategy that increases awareness and understanding of UHC among the
 Review and update coverage under different prepayment arrangements by conducting national
health accounts analysis and the organizational assessment for improving and strengthening health
financing (OASIS)
 Explore, and advocate for, innovative approaches in health financing
functions, including the review
of cash transfers, income support schemes, and social security systems in order to develop synergies
that would support UHC
 Consider the consolidation of different health insurance arrangements to reduce fragmentation; and
the establishment and/or strengthening of independent or quasi-independent purchasing bodies in
order to separate health financing from health care provision
preventive, curative, rehabilitative and palliative health services needed at
individual and population level, based on the principles of primary health care
 Improve the quality, safety and continuity of care by ensuring patient-centred and integrated health
services; enhance access to and affordability of health services, essential medicines, diagnostic
facilities, and other technologies; and increase availability of health workforce with appropriate skills
mix to provide the health services needed
 Strengthen the engagement of the private sector in service provision, particularly primary health
WHO-EM/HEC/042/E
 Progressively expand coverage by prepayment arrangements for the entire population (particularly
the poor, those in the informal sector, the unemployed and migrant or expatriate workers) to
enhance coverage with services needed and financial risk protection
 Collect data disaggregated by income, region,
locality, gender and other categories to allow
monitoring of equity and progress towards population coverage and include these UHC indicators in
national health information systems
 Provide technical support for building up national capacities
to conduct national health accounts, OASIS and economic
evaluation
 Develop and organize training
courses on health financing for
UHC
 Support the development of health care financing strategies
for UHC, including the introduction of prepayment
arrangements
 Provide technical support for the conduct of surveys and data
analysis to assess financial risk protection
 Develop a regional roadmap for accelerating integrated
people-centred health services
 Develop and disseminate regional guidance and reviews on
family practice, the private health sector, quality and safety in
health care, and community health workers and outreach
teams
 Support countries in their efforts to establish effective and
replicable family practice programmes, including private
sector family practice programmes
 Provide technical guidance on
mechanisms to cover the poor
and vulnerable populations
 Develop a framework for monitoring population coverage
and UHC
© World Health Organization 2015. All rights reserved.
researchers and civil societies
experiences across countries
 Fund and support UHC-related research
WHO support
general public, government health sector staff, other government ministries, social security
organizations, international organizations and associations, private sector and other stakeholders
care, to support UHC
coverage
health system strengthening for moving towards UHC
interventions
 Provide the promotive,
population
mechanisms to enhance the move towards UHC
community organizations to steer UHC
 Promote and sponsor applied research on UHC by academia,
evidence-based
UHC strategies
 Establish a multisectoral mechanism that would include civil society, academia, private sector and
catastrophic health expenditures and impoverishment, as well as the share of
out-of-pocket payment in total health expenditures
Ensuring
 Facilitate national policy dialogues to develop
 Provide technical support for establishment of multisectoral
 Track the incidence of
Expanding the
coverage of
needed health
services
what works and does not work in advancing UHC
 Develop a national roadmap for moving towards UHC
Actions for countries
Commitments
Developing a
vision and
strategy for
universal health
coverage
Addressing
coverage of
financial risk
protection
 Generate evidence and share international experiences in