Effective coverage: a metric for monitoring Universal Health Coverage.

A major challenge in monitoring universal health coverage (UHC) is identifying an indicator that can adequately capture the multiple components underlying the UHC initiative. Effective coverage, which unites individual and intervention characteristics into a single metric, offers a direct and flexib...

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Main Authors: Marie Ng, Nancy Fullman, Joseph L Dieleman, Abraham D Flaxman, Christopher J L Murray, Stephen S Lim
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-09-01
Series:PLoS Medicine
Online Access:http://europepmc.org/articles/PMC4171091?pdf=render
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author Marie Ng
Nancy Fullman
Joseph L Dieleman
Abraham D Flaxman
Christopher J L Murray
Stephen S Lim
author_facet Marie Ng
Nancy Fullman
Joseph L Dieleman
Abraham D Flaxman
Christopher J L Murray
Stephen S Lim
author_sort Marie Ng
collection DOAJ
description A major challenge in monitoring universal health coverage (UHC) is identifying an indicator that can adequately capture the multiple components underlying the UHC initiative. Effective coverage, which unites individual and intervention characteristics into a single metric, offers a direct and flexible means to measure health system performance at different levels. We view effective coverage as a relevant and actionable metric for tracking progress towards achieving UHC. In this paper, we review the concept of effective coverage and delineate the three components of the metric - need, use, and quality - using several examples. Further, we explain how the metric can be used for monitoring interventions at both local and global levels. We also discuss the ways that current health information systems can support generating estimates of effective coverage. We conclude by recognizing some of the challenges associated with producing estimates of effective coverage. Despite these challenges, effective coverage is a powerful metric that can provide a more nuanced understanding of whether, and how well, a health system is delivering services to its populations.
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spelling doaj.art-3e031b64fd114e4f956be7d88d7d264f2022-12-21T19:44:21ZengPublic Library of Science (PLoS)PLoS Medicine1549-12771549-16762014-09-01119e100173010.1371/journal.pmed.1001730Effective coverage: a metric for monitoring Universal Health Coverage.Marie NgNancy FullmanJoseph L DielemanAbraham D FlaxmanChristopher J L MurrayStephen S LimA major challenge in monitoring universal health coverage (UHC) is identifying an indicator that can adequately capture the multiple components underlying the UHC initiative. Effective coverage, which unites individual and intervention characteristics into a single metric, offers a direct and flexible means to measure health system performance at different levels. We view effective coverage as a relevant and actionable metric for tracking progress towards achieving UHC. In this paper, we review the concept of effective coverage and delineate the three components of the metric - need, use, and quality - using several examples. Further, we explain how the metric can be used for monitoring interventions at both local and global levels. We also discuss the ways that current health information systems can support generating estimates of effective coverage. We conclude by recognizing some of the challenges associated with producing estimates of effective coverage. Despite these challenges, effective coverage is a powerful metric that can provide a more nuanced understanding of whether, and how well, a health system is delivering services to its populations.http://europepmc.org/articles/PMC4171091?pdf=render
spellingShingle Marie Ng
Nancy Fullman
Joseph L Dieleman
Abraham D Flaxman
Christopher J L Murray
Stephen S Lim
Effective coverage: a metric for monitoring Universal Health Coverage.
PLoS Medicine
title Effective coverage: a metric for monitoring Universal Health Coverage.
title_full Effective coverage: a metric for monitoring Universal Health Coverage.
title_fullStr Effective coverage: a metric for monitoring Universal Health Coverage.
title_full_unstemmed Effective coverage: a metric for monitoring Universal Health Coverage.
title_short Effective coverage: a metric for monitoring Universal Health Coverage.
title_sort effective coverage a metric for monitoring universal health coverage
url http://europepmc.org/articles/PMC4171091?pdf=render
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