Global Health Ethics Unit, Health Systems and Innovation Cluster, World Health Organization (WHO), Geneva, Switzerland
This article provides a commentary to Ole Norheim’ s editorial entitled “Ethical perspective: Five unacceptable trade-offs on the path to universal health coverage.” It reinforces its message that an inclusive, participatory process is essential for ethical decision-making and underlines the crucial importance of good governance in setting fair priorities in healthcare. Solidarity on both national and international levels is needed to make progress towards the goal of universal health coverage (UHC).
ter Meulen R, Arts W, Muffels R, eds. Solidarity in Health and Social Care in Europe. Dordrecht: Kluwer Academic Publishers; 2001.
Kieny MP, Evans DB, Gerard Schmets G, Kadandale S. Health-system resilience: reflections on the Ebola crisis in western Africa. Bull World Health Organ. 2014;92:850. doi:10.2471/BLT.14.149278
World Health Organization (WHO). Addressing ethical issues in pandemic influenza planning: Discussion papers. Geneva: WHO; 2008.
World Health Organization (WHO). WHO global strategy on integrated people-centred health services 2016-2026. Placing people and communities at the centre of health services. Geneva: WHO; 2015.
Barbazza E, Tello J. A review of health governance: definitions, dimensions and tools to govern. Health Policy. 2014;116:1-11. doi:10.1016/j.healthpol.2014.01.007
Dan Chisholm D, Evans DB. Improving health system efficiency as a means of moving towards universal coverage. Geneva: WHO; 2010
World Health Organization (WHO). The world health report 2010. Health systems financing: the path to universal coverage. Geneva: WHO; 2010.
Gupta S, Davoodi H, Tiongron E. Corruption and the provision of health care and education services. International Monetary Fund Working Paper 00/116, Appendix Table 9, p.27. Washington DC: International Monetary Fund; 2000. www.imf.org/external/pubs/ft/wp/2000/wp00116.pdf. Accessed March 15, 2016.
World Health Assembly. WHA64.9. Sustainable health financing structures and universal coverage. Geneva: WHO; 2011.
Siddiqi S, Masud TI, Nishtar S, et al. Framework for assessing governance in the health system in developing countries: gateway to good governance. Health Policy. 2008;90:13-25. doi:10.1016/j.healthpol.2008.08.005