Article
Public, Environmental & Occupational Health
Anuska Kalita, Bijetri Bose, Liana Woskie, Annie Haakenstad, Jan E. Cooper, Winnie Yip
Summary: This study is the first large-scale research on private pharmacies in India and compares them with other healthcare providers. The study also explores the reasons why patients choose private pharmacies and evaluates the quality and cost of care provided by these pharmacies. The findings suggest that incorporating private pharmacies into a comprehensive health systems approach is important for achieving universal health coverage in India.
Article
Public, Environmental & Occupational Health
Teri Reynolds, Thomas Wilkinson, Melanie Y. Bertram, Matthew Jowett, Rob Baltussen, Awad Mataria, Ferozuddin Feroz, Mohamed Jama
Summary: As no country or health system can provide all possible health services, prioritizing a subset of services for universal availability is integral to universal health coverage. However, creating a package of priority services alone is not enough; implementation is crucial for their impact. There are tensions between criteria-driven prioritization and implementation-oriented formulations, and service delivery considerations are often overlooked. Bridging the gap from a package of services to actual delivery presents challenges for countries. Failure to incorporate delivery considerations during prioritization and design stages can undermine the goals of service delivery. Drawing from country experiences, we discuss choices in package structure and content, and propose ideas to build more implementable service packages to effectively bridge the gap between intent and implementation.
Article
Public, Environmental & Occupational Health
Joel Arthur Kiendrebeogo, Andrea Thoumi, Keith Mangam, Cheickna Toure, Seyni Mbaye, Patricia Odero, Edward Owino, Claire Jones, Grace Ssali Kiwanuka, Zilper Audi, Danielle Bloom, Amelia Kinter, Allison Gamble Kelley
Summary: This article discusses how low-income and middle-income countries can gain more control over their development assistance programming to achieve universal health coverage. It presents new ways for development partners to support UHC processes in countries, focusing on changing long-standing paradigms and implementing five action steps to facilitate progress towards UHC.
Article
Medicine, General & Internal
Agnes Bhakti Pratiwi, Hermawati Setiyaningsih, Maarten Olivier Kok, Trynke Hoekstra, Ali Ghufron Mukti, Elizabeth Pisani
Summary: The study analyzed the relationship between health need, insurance coverage, health service availability, service use, insurance claims, and out-of-pocket spending across Indonesia. Results showed a discrepancy between self-reported national health insurance registration and insurer's report, with higher insurance coverage in poorer areas where service provision is lower, impacting service use and health spending.
Article
Health Care Sciences & Services
Steven van de Vijver, Paulien Tensen, Gershim Asiki, Ana Requena-Mendez, Michiel Heidenrijk, Karien Stronks, Frank Cobelens, Jettie Bont, Charles Agyemang
Summary: Digital transformation in healthcare offers opportunities to improve access and quality of care, but not all individuals and communities benefit equally. Vulnerable groups often do not participate in digital health programs despite their greater need for care. Fortunately, initiatives around the world are working towards making digital health accessible to all citizens, but lack coordination and connection to maximize positive impact. To achieve universal health coverage through digital health, there is a need for global and local knowledge exchange, initiative linkage, and application of academic knowledge in practice. This will ensure that digital innovations increase access to care for everyone, leading towards digital health for all.
Article
Public, Environmental & Occupational Health
Anant Jani, Sindhu Ravishankar, Naresh Kumar, J. Vimitha, Soleil Shah, Anees Pari, C. Ramasubramaniam
Summary: This qualitative study in Tamil Nadu, India, identified three key areas influencing care-seeking behavior for mental illness: views on causes of mental illness, stigma and discrimination, and broader factors influencing decision-making. These contextual factors can be used to design and implement approaches to address treatment gaps in India.
JOURNAL OF PUBLIC HEALTH
(2021)
Article
Public, Environmental & Occupational Health
Anuja Jayaraman, Armida Fernandez
Summary: The role of civil society in primary health care delivery is well-established. During the pandemic, civil society not only helped vulnerable populations mitigate challenges but also filled gaps in India's health care system. This paper aims to strengthen primary health care and achieve universal health coverage from the perspective of civil society. Civil society organizations connect with hard-to-reach populations, build capacity of frontline staff, recommend attitude and motivation changes, fill gaps in the system, and refer people to appropriate health facilities.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Medicine, General & Internal
Dominika Bhatia, Sujata Mishra, Abirami Kirubarajan, Bernice Yanful, Sara Allin, Erica Di Ruggiero
Summary: This study conducted a scoping overview of reviews to characterize the understanding of financial risk protection as an indicator of universal health coverage under Sustainable Development Goal 3. The main interventions identified for achieving FRP included pooling arrangements, expansion of insurance coverage, and financial incentives, while evidence gaps exist in terms of effectiveness, cost-effectiveness, and equity implications of efforts aimed at increasing FRP.
Article
Public, Environmental & Occupational Health
Chandrakant Lahariya, Krushna Chandra Sahoo, T. Sundararaman, Shankar Prinja, Kavitha Rajsekhar, Sanghamitra Pati
Summary: In India, there is a renewed focus on Universal Health Coverage (UHC) and Health Technology Assessment (HTA) as an important tool for advancing UHC. The development and application of HTA in India, including capacity building and establishment of institutional mechanisms, are emphasized. Lessons learned and future steps are discussed within the context of utilizing HTA approach in the Ayushman Bharat program. The importance of selecting and implementing effective technologies and interventions within national health systems, given limited resources, highlights the need for enhanced national capacity, information exchange, and collaborative approaches.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Public, Environmental & Occupational Health
Agnes Soucat, Ajay Tandon, Eduardo Gonzales Pier
Summary: Essential packages of health services (EPHS) have the potential to contribute to universal health coverage (UHC) financing through various pathways. However, the mechanisms to achieve desired outcomes are often unclear. Although using EPHS to directly leverage funds for health has had limited success, EPHS can indirectly increase revenue through fiscal measures. Improved dialogue between health policy-makers and public finance authorities can help communicate the value of additional public spending connected to UHC indicators. EPHS development exercises have been more successful in advancing resource pooling across different schemes and improving strategic purchasing activities.
Article
Public, Environmental & Occupational Health
Angela Chaudhuri, Nilakshi Biswas, Shiv Kumar, Asha Jyothi, Ranjani Gopinath, Nachiket Mor, Preethi John, Thelma Narayan, Mirai Chatterjee, Vikram Patel
Summary: The Theory of Change approach is being used by the Lancet Citizens' Commission to develop a roadmap for achieving Universal Healthcare in India. The Commission is organized into five workstreams, and a series of workshops were conducted to create a sectoral Theory of Change for UHC. The workshops involved diverse stakeholders and resulted in key consensus points and paradigm shifts.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Medicine, General & Internal
Linda Richter Sundberg, Monica Christianson, Maria Wiklund, Anna-Karin Hurtig, Isabel Goicolea
Summary: This study focuses on strengthening first-line mental healthcare services for youth in Sweden, particularly through analyzing the integration of mental healthcare within youth clinics using a health policy and systems approach. The study includes a formative realist evaluation and concept mapping study to identify effective strategies for integration and improvement.
Review
Medicine, General & Internal
Oluwasegun Jko Ogundele, Shaza Fadel, Paula Braitstein, Erica Di Ruggiero
Summary: This study aims to understand how sustainable financing and equitable immunisation are conceptualised by health actors like Gavi, and government-related entities in low-income and middle-income countries (LMICs), and how financing mechanisms can affect universal coverage of vaccines. A scoping review will be conducted on both peer-reviewed and grey literature focusing on implementation research of pneumococcal conjugate and rotavirus vaccination interventions.
Article
Biochemistry & Molecular Biology
Stephane Verguet, Alemayehu Hailu, Getachew Teshome Eregata, Solomon Tessema Memirie, Kjell Arne Johansson, Ole Frithjof Norheim
Summary: All countries worldwide have signed up to the United Nations Sustainable Development Goals and committed to the objective of achieving universal health coverage. Getting there will require understanding how packages of essential health services can be developed in resource-constrained settings and how experts and the public can make decisions about which health services should be provided free of charge.
Review
Public, Environmental & Occupational Health
Sandhya Venkateswaran, Shruti Slaria, Sampriti Mukherjee
Summary: There is vast variation in public investments, health outcomes, and progress toward universal health coverage across countries. Economic status and knowledge on solutions do not determine health improvements. The extent of political prioritization of healthcare plays a crucial role in achieving universal health coverage. Political motivation is driven by a regime's need for legitimacy, political ideology, or external factors. Greater citizen participation can shift the source of legitimacy for leaders.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Pediatrics
Chandrakant Lahariya, Renu Paruthi, Madhulekha Bhattacharya
INDIAN JOURNAL OF PEDIATRICS
(2016)
Editorial Material
Pediatrics
Chandrakant Lahariya
Editorial Material
Infectious Diseases
Chandrakant Lahariya, Nata Menabde
LANCET INFECTIOUS DISEASES
(2015)
Editorial Material
Pediatrics
Chandrakant Lahariya
INDIAN JOURNAL OF PEDIATRICS
(2017)
Article
Immunology
Clare L. Cutland, Eve M. Lackritz, Tamala Mallett-Moore, Azucena Bardaji, Ravichandran Chandrasekaran, Chandrakant Lahariya, Muhammed Imran Nisar, Milagritos D. Tapia, Jayani Pathirana, Sonali Kochhar, Flor M. Munoz
Editorial Material
Medicine, General & Internal
C. Lahariya
JOURNAL OF POSTGRADUATE MEDICINE
(2018)
Editorial Material
Pediatrics
Joseph L. Mathew, Chandrakant Lahariya, Bhavneet Bharti
Article
Pediatrics
Chandrakant Lahariya
Article
Economics
Pankaj Bahuguna, Shankar Prinja, Chandrakant Lahariya, Radha Krishan Dhiman, Madhumita Prem Kumar, Vineeta Sharma, Arun Kumar Aggarwal, Rajesh Bhaskar, Hilde De Graeve, Henk Bekedam
APPLIED HEALTH ECONOMICS AND HEALTH POLICY
(2020)
Article
Biotechnology & Applied Microbiology
Chandrakant Lahariya, Pankaj Bhardwaj
HUMAN VACCINES & IMMUNOTHERAPEUTICS
(2020)
Review
Pediatrics
Chandrakant Lahariya
INDIAN JOURNAL OF PEDIATRICS
(2020)
Article
Public, Environmental & Occupational Health
Chandrakant Lahariya, Sanjay Gupta, Gaurav Kumar, Hilde De Graeve, Inder Parkash, Jayanta K. Das
INDIAN JOURNAL OF PUBLIC HEALTH
(2020)
Article
Public, Environmental & Occupational Health
Tanisha Agrawal, Shubhro Bhattacharya, Chandrakant Lahariya
INDIAN JOURNAL OF COMMUNITY MEDICINE
(2020)
Article
Health Policy & Services
Chandrakant Lahariya, Sadhana Bhagwat, Priyanka Saksena, Reuben Samuel
JOURNAL OF HEALTH MANAGEMENT
(2016)
