Let’s End the Fuzziness in Universal Health Coverage
This Op-Ed first appeared in Global Health Now. The global health community is gathering this week in Astana, Kazakhstan, to mark the 40th anniversary of the 1978 Alma Ata conference on primary health care. This time around, primary health care is being framed through the lens of universal health coverage (UHC). While everyone agrees that UHC is the right aspiration, the term has come to mean all things to all people, a catch-all with multiple proposed interpretations. The problem with this fuzzy language is that, without specificity, UHC risks being an empty promise. What does UHC mean, exactly? The WHO definition is the lodestar: all people have access to needed, effective health services and using these services does not cause financial hardship. But which effective services do we mean? How will they be delivered? And how…
