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
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