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Title: Framework for health systems development towards universal health coverage in the context of the sustainable development goals in the African Region: Report of the Secretariat
Authors: Regional Committee for Africa, 67
Issue Date: Aug-2017
Place of publication: Brazzaville
Language: English
Abstract: 1. The 2030 Agenda for Sustainable Development was adopted to guide global development, with health embodied in the third Sustainable Development Goal. Universal Health Coverage underpins the achievement of the health and related SDG targets. Health systems strengthening for universal health coverage was identified by WHO as one of the key instruments for the change offered by the 2030 Agenda. 2. Member States have made substantial improvements in population health outcomes over the past 25 years. These improvements are reflected in better availability and utilization of services targeted at addressing the priority disease burdens, matched by an increase in total health expenditure and general government expenditure on health. However, this masks large variations within and across Member States, with implications for health delivery. In addition, national health systems in the Region are not well aligned with the changing needs and expectations in facilitating health in sustainable development. 3. The Region is experiencing demographic, economic, social, security and environmental changes that place unique demands on health and related service delivery systems. New/re-emerging health threats are diverting significant human and financial resources away from routine services. The devastating Ebola outbreak in West Africa underscored the need for effective and resilient health systems in low-income countries. 4. This action framework presents the approach Member States need to consider in order to strengthen and realign their health systems to ensure that they are able to achieve their health development goals. It represents a foundational plan for Member States to ensure that health is playing its role in facilitating movement towards sustainable development. 5. The proposed priority actions emphasize the need to ensure the availability and coverage of health and related services, increase the population protected from financial risk, enhance health security, improve client satisfaction and address interventions targeted at other SDGs that impact on health. Key measures for monitoring health system performance such as health system resilience, effective demand for health services, equitable and efficient access and quality of care are defined. A scope of investments in health systems across health governance, service delivery systems, health workforce, access to medicines and health technologies, health infrastructure, sustainable financing for health and health information systems is also outlined. 6. The Regional Committee examined and adopted the actions proposed in this framework
Description: 19 p.
Keywords: Universal Health Coverage
Sustainable Development Goal
Subject: Health Services Accessibility
Health Systems Plans
Regional Health Planning
Universal Coverage
Gov't Doc #: AFR/RC67/10
Appears in Collections:Regional Committee for Africa

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