Who Needs Big Health Sector Reforms Anyway? : Seychelles' Road to UHC Provides Lessons for Sub-Saharan Africa and Island Nations

The road to universal health coverage (UHC) needs not be driven by big reforms that include the initiation of health insurance, provider–funder separation, results-based financing, or other large health sector reforms advocated in many countries in sub-Saharan Africa and elsewhere. The Seychelles ex...

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Main Authors:	Workie, Netsanet Walelign, Shroff, Emelyn, Yazbeck, Abdo S., Nguyen, Son Nam, Karamagi, Humphrey
Format:	Journal Article
Published:	Taylor and Francis 2019
Subjects:	ACCESS TO SERVICES POLITICAL COMMITMENT PRIMARY HEALTH CARE PUBLIC HEALTH UNIVERSAL HEALTH COVERAGE ACCOUNTABILITY VOICE HEALTH SYSTEM REFORM
Online Access:	http://hdl.handle.net/10986/31148

id	okr-10986-31148
recordtype	oai_dc
spelling	okr-10986-311482021-05-25T10:54:36Z Who Needs Big Health Sector Reforms Anyway? : Seychelles' Road to UHC Provides Lessons for Sub-Saharan Africa and Island Nations Workie, Netsanet Walelign Shroff, Emelyn Yazbeck, Abdo S. Nguyen, Son Nam Karamagi, Humphrey ACCESS TO SERVICES POLITICAL COMMITMENT PRIMARY HEALTH CARE PUBLIC HEALTH UNIVERSAL HEALTH COVERAGE ACCOUNTABILITY VOICE HEALTH SYSTEM REFORM The road to universal health coverage (UHC) needs not be driven by big reforms that include the initiation of health insurance, provider–funder separation, results-based financing, or other large health sector reforms advocated in many countries in sub-Saharan Africa and elsewhere. The Seychelles experience, documented through a series of analytical products like public expenditure reviews and supporting surveys with assistance from the World Bank and World Health Organization (WHO), shows an alternative, more incremental reform road to UHC, with important lessons to the region and other small-population or island nations. Done well, in some countries, a basic supply-side funded, publicly owned and operated, and integrated health system can produce excellent health outcomes in a cost-effective and sustainable way. The article traces some of the factors that facilitated this success in the Seychelles, including high political commitment, strong voice and a downward accountability culture, strong public health functions, and an impressive investment in primary health care. These factors help explain past successes and also provide a good basis for adaptation of health systems to dramatic shifts in the epidemiological and demographic transitions, disease outbreaks, and rising public expectation and demand for high quality of care. Once again, how the Seychelles responds can show the way for other countries in the region and elsewhere regardless of the types of reforms countries engage in. 2019-01-11T20:09:33Z 2019-01-11T20:09:33Z 2018-11-06 Journal Article Health Systems & Reform 2328-8604 http://hdl.handle.net/10986/31148 CC BY 4.0 http://creativecommons.org/licenses/by/4.0 World Bank Taylor and Francis Publications & Research :: Journal Article Publications & Research Seychelles
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
topic	ACCESS TO SERVICES POLITICAL COMMITMENT PRIMARY HEALTH CARE PUBLIC HEALTH UNIVERSAL HEALTH COVERAGE ACCOUNTABILITY VOICE HEALTH SYSTEM REFORM
spellingShingle	ACCESS TO SERVICES POLITICAL COMMITMENT PRIMARY HEALTH CARE PUBLIC HEALTH UNIVERSAL HEALTH COVERAGE ACCOUNTABILITY VOICE HEALTH SYSTEM REFORM Workie, Netsanet Walelign Shroff, Emelyn Yazbeck, Abdo S. Nguyen, Son Nam Karamagi, Humphrey Who Needs Big Health Sector Reforms Anyway? : Seychelles' Road to UHC Provides Lessons for Sub-Saharan Africa and Island Nations
geographic_facet	Seychelles
description	The road to universal health coverage (UHC) needs not be driven by big reforms that include the initiation of health insurance, provider–funder separation, results-based financing, or other large health sector reforms advocated in many countries in sub-Saharan Africa and elsewhere. The Seychelles experience, documented through a series of analytical products like public expenditure reviews and supporting surveys with assistance from the World Bank and World Health Organization (WHO), shows an alternative, more incremental reform road to UHC, with important lessons to the region and other small-population or island nations. Done well, in some countries, a basic supply-side funded, publicly owned and operated, and integrated health system can produce excellent health outcomes in a cost-effective and sustainable way. The article traces some of the factors that facilitated this success in the Seychelles, including high political commitment, strong voice and a downward accountability culture, strong public health functions, and an impressive investment in primary health care. These factors help explain past successes and also provide a good basis for adaptation of health systems to dramatic shifts in the epidemiological and demographic transitions, disease outbreaks, and rising public expectation and demand for high quality of care. Once again, how the Seychelles responds can show the way for other countries in the region and elsewhere regardless of the types of reforms countries engage in.
format	Journal Article
author	Workie, Netsanet Walelign Shroff, Emelyn Yazbeck, Abdo S. Nguyen, Son Nam Karamagi, Humphrey
author_facet	Workie, Netsanet Walelign Shroff, Emelyn Yazbeck, Abdo S. Nguyen, Son Nam Karamagi, Humphrey
author_sort	Workie, Netsanet Walelign
title	Who Needs Big Health Sector Reforms Anyway? : Seychelles' Road to UHC Provides Lessons for Sub-Saharan Africa and Island Nations
title_short	Who Needs Big Health Sector Reforms Anyway? : Seychelles' Road to UHC Provides Lessons for Sub-Saharan Africa and Island Nations
title_full	Who Needs Big Health Sector Reforms Anyway? : Seychelles' Road to UHC Provides Lessons for Sub-Saharan Africa and Island Nations
title_fullStr	Who Needs Big Health Sector Reforms Anyway? : Seychelles' Road to UHC Provides Lessons for Sub-Saharan Africa and Island Nations
title_full_unstemmed	Who Needs Big Health Sector Reforms Anyway? : Seychelles' Road to UHC Provides Lessons for Sub-Saharan Africa and Island Nations
title_sort	who needs big health sector reforms anyway? : seychelles' road to uhc provides lessons for sub-saharan africa and island nations
publisher	Taylor and Francis
publishDate	2019
url	http://hdl.handle.net/10986/31148
_version_	1764473650996576256

Who Needs Big Health Sector Reforms Anyway? : Seychelles' Road to UHC Provides Lessons for Sub-Saharan Africa and Island Nations

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