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Confronting the elephants in the room: reigniting momentum for universal health coverage - P4H Network

Confronting the elephants in the room: reigniting momentum for universal health coverage

A Lancet publication by UHC2030 highlights barriers to achieving Universal Health Coverage (UHC), including political commitment, insufficient financing, global health fragmentation, and communication challenges. Authors call for collective action to address these barriers and reignite progress towards UHC.

The article critically examines the challenges impeding the advancement of UHC globally and offers comprehensive strategies to address them. Firstly, it underscores the issue of insufficient political commitment, highlighting how many promises often remain unfulfilled. The article stresses the necessity of holding political leaders accountable for concrete actions towards UHC, advocating for a shift from rhetoric to tangible reforms.

Secondly, it delves into the problem of inadequate financing, emphasizing the importance of increased domestic funding and better coordination of health financing mechanisms. The authors call for strengthened efforts to tackle issues such as debt servicing, corruption, and ineffective aid allocation to ensure sustainable financing for UHC. Thirdly, the publication addresses the fragmentation of global health initiatives, emphasizing the need for coherent, country-driven policies that prioritize UHC. It advocates for greater collaboration among stakeholders to streamline efforts and maximize impact.

Lastly, the article highlights communication challenges surrounding UHC, advocating for clear, accessible messaging to engage political leaders and the public effectively. The authors stress the importance of articulating the multidimensional benefits of UHC and its role in expanding access to quality healthcare without financial hardship. Overall, the publication urges collective action to overcome these barriers and reinvigorate progress towards achieving UHC by 2030, emphasizing the critical role of accountability, advocacy, coalition-building, and increased domestic financing in this endeavour.

Katri Bertram, Bruce Aylward, Laetitia Bosio, Helen Clark, Francesca Colombo, Katie Dain, María Fernanda Espinosa, Alexis Feeney Tallman, Githinji Gitahi, Masahiko Hachiya, Arush Lal, Nupur Lalvani, Helena Legido-Quigley, Rosemary Mburu, Marjolaine Nicod, Sania Nishtar, Kumanan Rasanathan, Diah Saminarsih, Viroj Tangcharoensathien, Aquina Thulare, Robert Yates, Justin Koonin, Confronting the elephants in the room: reigniting momentum for universal health coverage, The Lancet