Evaluation of progress toward universal health coverage in Myanmar: A national and subnational analysis.

<h4>Background</h4>Universal health coverage (UHC) encompasses 2 main components: access to essential healthcare services and protection from financial hardship when using healthcare. This study examines Myanmar's efforts to achieve UHC on a national and subnational level. It is a p...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Zlatko Nikoloski, Alistair McGuire, Elias Mossialos
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/75255c2a6d39469fbae0ca8090efbd94
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:75255c2a6d39469fbae0ca8090efbd94
record_format	dspace
spelling	oai:doaj.org-article:75255c2a6d39469fbae0ca8090efbd942021-11-25T05:36:33ZEvaluation of progress toward universal health coverage in Myanmar: A national and subnational analysis.1549-12771549-167610.1371/journal.pmed.1003811https://doaj.org/article/75255c2a6d39469fbae0ca8090efbd942021-10-01T00:00:00Zhttps://doi.org/10.1371/journal.pmed.1003811https://doaj.org/toc/1549-1277https://doaj.org/toc/1549-1676<h4>Background</h4>Universal health coverage (UHC) encompasses 2 main components: access to essential healthcare services and protection from financial hardship when using healthcare. This study examines Myanmar's efforts to achieve UHC on a national and subnational level. It is a primer of studying the concept of UHC on a subnational level, and it also establishes a baseline for assessing future progress toward reaching UHC in Myanmar.<h4>Methods and findings</h4>The study uses the Demographic and Health Survey (2015) and the Myanmar Living Conditions Survey (MLCS; 2017) and adapts a previously developed UHC index to provide insights into the main barriers preventing the country's progress toward UHC. We find a negative correlation between the UHC index and the state/region poverty levels. The equity of access analysis reveals significant pro-rich inequity in access to all essential healthcare services. Socioeconomic status and limited availability of healthcare infrastructure are the main driving forces behind the unequal access to interventions that are crucial to achieving UHC by 2030. Finally, financial risk protection analysis shows that the poor are less likely to use healthcare services, and, once they do, they are at a greater risk of suffering financial catastrophe. Limitations of this study revolve around its correlational, rather than causal, nature.<h4>Conclusions</h4>We suggest a 2-pronged approach to help Myanmar achieve UHC: Government and state authorities should reduce the financial burden of seeking healthcare, and, coupled with this, significant investment in and expansion of health infrastructure and the health workforce should be made, particularly in the poorer and more remote states.Zlatko NikoloskiAlistair McGuireElias MossialosPublic Library of Science (PLoS)articleMedicineRENPLoS Medicine, Vol 18, Iss 10, p e1003811 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Zlatko Nikoloski Alistair McGuire Elias Mossialos Evaluation of progress toward universal health coverage in Myanmar: A national and subnational analysis.
description	<h4>Background</h4>Universal health coverage (UHC) encompasses 2 main components: access to essential healthcare services and protection from financial hardship when using healthcare. This study examines Myanmar's efforts to achieve UHC on a national and subnational level. It is a primer of studying the concept of UHC on a subnational level, and it also establishes a baseline for assessing future progress toward reaching UHC in Myanmar.<h4>Methods and findings</h4>The study uses the Demographic and Health Survey (2015) and the Myanmar Living Conditions Survey (MLCS; 2017) and adapts a previously developed UHC index to provide insights into the main barriers preventing the country's progress toward UHC. We find a negative correlation between the UHC index and the state/region poverty levels. The equity of access analysis reveals significant pro-rich inequity in access to all essential healthcare services. Socioeconomic status and limited availability of healthcare infrastructure are the main driving forces behind the unequal access to interventions that are crucial to achieving UHC by 2030. Finally, financial risk protection analysis shows that the poor are less likely to use healthcare services, and, once they do, they are at a greater risk of suffering financial catastrophe. Limitations of this study revolve around its correlational, rather than causal, nature.<h4>Conclusions</h4>We suggest a 2-pronged approach to help Myanmar achieve UHC: Government and state authorities should reduce the financial burden of seeking healthcare, and, coupled with this, significant investment in and expansion of health infrastructure and the health workforce should be made, particularly in the poorer and more remote states.
format	article
author	Zlatko Nikoloski Alistair McGuire Elias Mossialos
author_facet	Zlatko Nikoloski Alistair McGuire Elias Mossialos
author_sort	Zlatko Nikoloski
title	Evaluation of progress toward universal health coverage in Myanmar: A national and subnational analysis.
title_short	Evaluation of progress toward universal health coverage in Myanmar: A national and subnational analysis.
title_full	Evaluation of progress toward universal health coverage in Myanmar: A national and subnational analysis.
title_fullStr	Evaluation of progress toward universal health coverage in Myanmar: A national and subnational analysis.
title_full_unstemmed	Evaluation of progress toward universal health coverage in Myanmar: A national and subnational analysis.
title_sort	evaluation of progress toward universal health coverage in myanmar: a national and subnational analysis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/75255c2a6d39469fbae0ca8090efbd94
work_keys_str_mv	AT zlatkonikoloski evaluationofprogresstowarduniversalhealthcoverageinmyanmaranationalandsubnationalanalysis AT alistairmcguire evaluationofprogresstowarduniversalhealthcoverageinmyanmaranationalandsubnationalanalysis AT eliasmossialos evaluationofprogresstowarduniversalhealthcoverageinmyanmaranationalandsubnationalanalysis
_version_	1718414584402935808

Evaluation of progress toward universal health coverage in Myanmar: A national and subnational analysis.

Ejemplares similares