Advancing Universal Health Coverage in the WHO South-East Asia Region with a focus on Human Resources for Health

Lancet Reg Health Southeast Asia. 2023 Oct 29:18:100313. doi: 10.1016/j.lansea.2023.100313. eCollection 2023 Nov.

Abstract

The identification in 2014 of Universal Health Coverage, including focus on human resources for health, as a flagship priority for the WHO South-East Asia Region marked critical departure from the prior period of the Millennium Development Goals. The last decade witnessed strong political commitment and action to advance UHC across the Region. At regional level, UHC service coverage index improved from 47 in 2010 to 62 in 2021. Improved availability of human resources for health has been an important contributor, with the regional average of doctors, nurses and midwives increasing by approximately a third between 2014 and 2020. Progress on financial protection has been mixed: proportion of population impoverished declined significantly but catastrophic expenditure did not reduce. Despite important gains, progress is insufficient to achieve UHC targets by 2030. Covid-19 pandemic and subsequent economic challenges have created further urgency to accelerate progress towards UHC, with attention to strengthening primary health care.

Keywords: HRH; Health systems; Human Resources for Health; PHC; Primary Health Care; UHC; Universal Health Coverage.

Publication types

  • Review