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Article ; Online: Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage.

Lal, Arush / Erondu, Ngozi A / Heymann, David L / Gitahi, Githinji / Yates, Robert

Lancet (London, England)

2020  Volume 397, Issue 10268, Page(s) 61–67

Abstract: ... to global health policy-global health security and universal health coverage-important lessons can be drawn ... stronger investments in universal health coverage, and integrated investments in global health security and ... universal health coverage) in their response to the ongoing COVID-19 pandemic and synthesises four essential ...

Abstract The COVID-19 pandemic has placed enormous strain on countries around the world, exposing long-standing gaps in public health and exacerbating chronic inequities. Although research and analyses have attempted to draw important lessons on how to strengthen pandemic preparedness and response, few have examined the effect that fragmented governance for health has had on effectively mitigating the crisis. By assessing the ability of health systems to manage COVID-19 from the perspective of two key approaches to global health policy-global health security and universal health coverage-important lessons can be drawn for how to align varied priorities and objectives in strengthening health systems. This Health Policy paper compares three types of health systems (ie, with stronger investments in global health security, stronger investments in universal health coverage, and integrated investments in global health security and universal health coverage) in their response to the ongoing COVID-19 pandemic and synthesises four essential recommendations (ie, integration, financing, resilience, and equity) to reimagine governance, policies, and investments for better health towards a more sustainable future.
MeSH term(s) COVID-19/epidemiology ; COVID-19/therapy ; Delivery of Health Care/organization & administration ; Global Health ; Humans ; Universal Health Insurance
Language English
Publishing date 2020-12-01
Publishing country England
Document type Journal Article ; Review
ZDB-ID 3306-6
ISSN 1474-547X ; 0023-7507 ; 0140-6736
ISSN (online) 1474-547X
ISSN 0023-7507 ; 0140-6736
DOI 10.1016/S0140-6736(20)32228-5
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