Kerman University of Medical Sciences International Journal of Health Policy and Management 2322-5939 5 7 2016 07 01 Defining Pathways and Trade-offs Toward Universal Health Coverage; Comment on “Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage” 445 447 3200 10.15171/ijhpm.2016.57 EN Stéphane Verguet Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA Journal Article 2016 03 13 The World Health Organization’s (WHO’s) World Health Report 2010, “Health systems financing, the path to universal coverage,” promoted universal health coverage (UHC) as an aspirational objective for country health systems. Yet, in addition to the dimensions of services and coverage, distribution of coverage in the population, and financial risk protection highlighted by the report, the consideration of the budget constraint should be further strengthened in the ensuing debate on resource allocation toward UHC. Beyond the substantial financial constraints faced by low- and middle-income countries, additional considerations, such as the geographical context, the underlying country infrastructure, and the architecture of health systems, determine the feasibility, effectiveness, quality and cost of healthcare delivery. Therefore, increased production and use of local evidence tied to the criteria of health benefits, equity, financial risk protection, and costs accompanying health delivery are needed so that to highlight pathways and acceptable trade-offs toward UHC. https://www.ijhpm.com/article_3200_53dd81911401cd5f8d34590095f07b06.pdf