{"id":987496235,"date":"2022-12-26T10:04:53","date_gmt":"2022-12-26T09:04:53","guid":{"rendered":"https:\/\/uat.p4h.world\/resources-tools\/uhc-monitoring\/"},"modified":"2023-05-14T14:16:48","modified_gmt":"2023-05-14T13:16:48","slug":"frameworks-references","status":"publish","type":"page","link":"https:\/\/uat.p4h.world\/en\/resources-tools\/frameworks-references\/","title":{"rendered":"Frameworks and References"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Section&#8221; _builder_version=&#8221;4.19.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;Spacer&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; display_conditions=&#8221;W10=&#8221; custom_padding=&#8221;0px|0px|10px|0px|false|false&#8221; global_module=&#8221;987504603&#8243; saved_tabs=&#8221;all&#8221; collapsed=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.19.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px|15px|0px|15px|false|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.20.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][ba_gradient_heading title=&#8221;Social health protection and health financing frameworks and references &#8221; html_tag=&#8221;h2&#8243; primary_color=&#8221;#EA3A32&#8243; secondary_color=&#8221;#EA3A32&#8243; admin_label=&#8221;Section  Red Title&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;40px&#8221; custom_margin=&#8221;0px|0px|0px|0px|false|false&#8221; custom_padding=&#8221;0px|0px|10px|0px|false|false&#8221; custom_css_main_element=&#8221;margin-bottom: 0 !important;&#8221; global_colors_info=&#8221;{}&#8221;][\/ba_gradient_heading][ba_gradient_heading title=&#8221;Some key vocabulary&#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221; HEADING Some key vocabulary&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;32px&#8221; title_line_height=&#8221;1em&#8221; custom_margin=&#8221;10px|0px|10px|0px|false|false&#8221; custom_padding=&#8221;0px|0px|0px|0px|false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/ba_gradient_heading][et_pb_text _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">A health financing (HF) framework is determined by four health financing system functions: <\/span><a href=\"https:\/\/www.who.int\/activities\/raising-revenues-for--health\"><span style=\"font-weight: 400;\">revenue raising<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.who.int\/activities\/pooling\"><span style=\"font-weight: 400;\">pooling<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.who.int\/activities\/making-purchasing-more-strategic\"><span style=\"font-weight: 400;\">purchasing<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.who.int\/teams\/health-systems-governance-and-financing\/health-financing\/policy\/benefit-design\"><span style=\"font-weight: 400;\">benefit design<\/span><\/a><span style=\"font-weight: 400;\">. An HF framework helps to define country specific HF arrangements, governance and reform <\/span><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/254757\"><span style=\"font-weight: 400;\">policies and strategies<\/span><\/a><span style=\"font-weight: 400;\"> that can advance universal health coverage (UHC). Embedded in the health financing <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3738310\/pdf\/BLT.12.113985.pdf\/\"><span style=\"font-weight: 400;\">framework of the World Health Organization<\/span><\/a><span style=\"font-weight: 400;\"> is the belief that advancing equity in delivery of health services people need requires\u00a0 financial protection and service of sufficient quality. These requirements drive HF reforms in countries to improve equity in the distribution of health system resources, efficiency, transparency and accountability. <\/span><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">UHC is an overarching goal: to strengthen health systems and SHP to ensure that all people access health care services without financial hardship or income insecurity in case of sickness. The objectives, functions and principles of SHP are grounded in <\/span><a href=\"https:\/\/socialprotection-humanrights.org\/social-security-standards-of-the-international-labour-organization\/\"><span style=\"font-weight: 400;\">international social security standards<\/span><\/a><span style=\"font-weight: 400;\"> developed by the International Labour Organization.\u00a0\u00a0<\/span><\/p>\n<p>[\/et_pb_text][ba_gradient_heading title=&#8221;Global goods that facilitate collaborations&#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221; HEADING Global goods that facilitate collaborations&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;32px&#8221; title_line_height=&#8221;1em&#8221; custom_margin=&#8221;10px|0px|10px|0px|false|false&#8221; custom_padding=&#8221;0px|0px|0px|0px|false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/ba_gradient_heading][et_pb_text _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Developing and implementing SHP and HF frameworks furthers national reforms. Frameworks help countries provide comprehensive health services of sufficient quality to all while assuring financial protection for those who need it. The P4H Network supports the twin goals countries have to develop and implement frameworks by facilitating the exchange of knowledge, sharing best practices and country experiences, facilitating dialogues, organizing events at global, regional, and country levels, and promoting partnerships across different sectors engaged in SHP and HF reforms to advance UHC.\u00a0<\/span><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Low- and middle-income countries often cite lack of good governance as causing scarce government revenue and inadequate levels of public spending on health and SHP, inequity, inefficiency, over-reliance on out-of-pocket payments, and lack of explicitly defined benefits. No single solution or model addresses these challenges. However, SHP and HF frameworks, as well as guiding principles and standards, can help countries effectively address their individual challenges. Some key declarations, conventions, resolutions and reports, guidelines and tools, as well as training opportunities for SHP and HF \u2013 examples of global goods \u2013 can certainly be of use.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;20px||||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; custom_padding=&#8221;10px|0px|0px|0px|false|false&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_accordion _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; toggle_level=&#8221;h3&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_accordion_item title=&#8221;Key Declarations and Conventions&#8221; open=&#8221;on&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; toggle_level=&#8221;h3&#8243;]<\/p>\n<ul>\n<li><a href=\"https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/20383\/WHA58_33-en.pdf;sequence=1\"><span style=\"font-weight: 400;\">WHO Resolution on Sustainable Health Financing, Universal Coverage and Social Health Insurance<\/span><\/a><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">, WHA 58.33, May 2005. It called on Member States to increase prepayment and pooling of resources as basic principles in health financing and social health protection for UHC.<\/span><\/span><\/li>\n<li><a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241564021\"><span style=\"font-weight: 400;\">World Health Report: Health Systems Financing: The Path to Universal Coverage<\/span><\/a><span style=\"font-weight: 400;\">, June 2010. The report outlines how countries can modify their financing systems to move quickly towards universal coverage and to sustain those achievements based on available data and evidence.<\/span><\/li>\n<li><a href=\"https:\/\/www.bing.com\/search?q=ILO+Convention+202&amp;cvid=60d76caa09ad4f958c3ff85d33e57132&amp;aqs=edge..69i57j0l7j69i64j69i11004.13637j0j3&amp;FORM=ANAB01&amp;PC=U531\"><span style=\"font-weight: 400;\">ILO Social Protection Floor Recommendation<\/span><\/a><span style=\"font-weight: 400;\">, No 202, 2012. It guides building of comprehensive social security systems and extending social security coverage by prioritizing the establishment of national floors of social protection accessible to all in need.<\/span><\/li>\n<li><a href=\"https:\/\/sdg.iisd.org\/news\/world-health-assembly-adopts-resolutions-on-universal-health-coverage\/\"><span style=\"font-weight: 400;\">WHO Resolutions on UHC<\/span><\/a><span style=\"font-weight: 400;\">. 2019. Health financing, strengthening health workforces, building sustainable and resilient people-centered health systems, and investing in and strengthening primary health care were set as key priorities. They urged governments to involve in coordinating work across all sectors to achieve UHC with a focus on poor, vulnerable and the marginalized.<\/span><\/li>\n<li><a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789240040618\">Tracking Universal Health Coverage: 2021 Global monitoring report, 2021<\/a>. This is the latest report that tracks and monitors UHC progress with health service coverage and financial protection indicators.<\/li>\n<\/ul>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Key Resolutions and Reports&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<ul>\n<li><a href=\"https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/20383\/WHA58_33-en.pdf;sequence=1\"><span style=\"font-weight: 400;\">WHO Resolution on Sustainable Health Financing, Universal Coverage and Social Health Insurance<\/span><\/a><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">, WHA 58.33, May 2005. It called on Member States to increase prepayment and pooling of resources as basic principles in health financing and social health protection for UHC.<\/span><\/span><\/li>\n<li><a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241564021\"><span style=\"font-weight: 400;\">World Health Report: Health Systems Financing: The Path to Universal Coverage<\/span><\/a><span style=\"font-weight: 400;\">, June 2010. The report outlines how countries can modify their financing systems to move quickly towards universal coverage and to sustain those achievements based on available data and evidence.<\/span><\/li>\n<li><a href=\"https:\/\/www.bing.com\/search?q=ILO+Convention+202&amp;cvid=60d76caa09ad4f958c3ff85d33e57132&amp;aqs=edge..69i57j0l7j69i64j69i11004.13637j0j3&amp;FORM=ANAB01&amp;PC=U531\"><span style=\"font-weight: 400;\">ILO Social Protection Floor Recommendation<\/span><\/a><span style=\"font-weight: 400;\">, No 202, 2012. It guides building of comprehensive social security systems and extending social security coverage by prioritizing the establishment of national floors of social protection accessible to all in need.<\/span><\/li>\n<li><a href=\"https:\/\/sdg.iisd.org\/news\/world-health-assembly-adopts-resolutions-on-universal-health-coverage\/\"><span style=\"font-weight: 400;\">WHO Resolutions on UHC<\/span><\/a><span style=\"font-weight: 400;\">. 2019. Health financing, strengthening health workforces, building sustainable and resilient people-centered health systems, and investing in and strengthening primary health care were set as key priorities. They urged governments to involve in coordinating work across all sectors to achieve UHC with a focus on poor, vulnerable and the marginalized.<\/span><\/li>\n<li><a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789240040618\"><span style=\"font-weight: 400;\">Tracking Universal Health Coverage: 2021 Global monitoring report, 2021<\/span><\/a><span style=\"font-weight: 400;\">. This is the latest report that tracks and monitors UHC progress with health service coverage and financial protection indicators. <\/span><\/li>\n<\/ul>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Key Guidelines and Tools&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.social-protection.org\/gimi\/Standards.action\"><span style=\"font-weight: 400;\">Toolkit on ILO Social Security Standards<\/span><\/a><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">. The Toolkit id developed to raise awareness about ILO social security standards that include medical care and sickness benefit, and their application and impact in national contexts.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.jointlearningnetwork.org\/resources\/assessing-health-provider-payment-systems-a-practical-guide-for-countries-w\/\"><span style=\"font-weight: 400;\">Assessing Health Provider Payment Systems. A practical guide for countries working toward UHC<\/span><\/a><span style=\"font-weight: 400;\">, 2015. It is a practical, step-by-step guide designed to help countries find answers to their provider payment policy questions.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/254757\"><span style=\"font-weight: 400;\">Health Financing Guidance No 3. Developing a National Health Financing Strategy: A Reference Guide<\/span><\/a><span style=\"font-weight: 400;\">, 2017. It provides the framework to analyze and develop a national health financing strategy for UHC.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/uat.p4h.world\/system\/files\/2019-09\/WHO19-01%20health%20financing%20complete%20low%20res%200922.pdf\"><span style=\"font-weight: 400;\">Financing for Universal Coverage: Dos and Don\u2019ts. Health Financing Guidance Note No 9<\/span><\/a><span style=\"font-weight: 400;\">. 2019. This guide aims to build understanding of key issues in financing for UHC.\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.who.int\/teams\/health-systems-governance-and-financing\/health-financing\/diagnostics\/health-financing-progress-matrix\"><span style=\"font-weight: 400;\">Health Financing Progress Matrix<\/span><\/a><span style=\"font-weight: 400;\">. 2020. It guides assessment of country health financing systems with quantitative and qualitative indicators.\u00a0<\/span><\/li>\n<\/ul>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Training courses&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">The WHO offers <\/span><a href=\"https:\/\/www.who.int\/publications\/m\/item\/e-learning-course-on-health-financing-policy-for-universal-health-coverage-(uhc)\"><span style=\"font-weight: 400;\">e-learning course on health financing policy for universal health coverage<\/span><\/a><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"> comprising of 6 modules which cover the core functions of health financial policy as conceptualized by WHO.<\/span><\/span><\/li>\n<li><a href=\"https:\/\/www.itcilo.org\/courses\"><span style=\"font-weight: 400;\">The International Training Centre<\/span><\/a><span style=\"font-weight: 400;\"> of ILO in Turin annually offers e-learning on social health protection- addressing inequities in access to health.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">The World Bank Group opened <\/span><a href=\"https:\/\/www.worldbank.org\/en\/topic\/health\/brief\/flagship-course-on-health-sector-reform-and-sustainable-financing\"><span style=\"font-weight: 400;\">the Health Systems Flagship Program<\/span><\/a><span style=\"font-weight: 400;\"> to facilitate a strategic and systematic approach to health system and health financing reforms for UHC.<\/span><\/li>\n<\/ul>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=&#8221;Spacer&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; display_conditions=&#8221;W10=&#8221; custom_padding=&#8221;0px|0px|10px|0px|false|false&#8221; global_module=&#8221;987504603&#8243; saved_tabs=&#8221;all&#8221; collapsed=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.19.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p><div class=\"et_pb_module ba_gradient_heading ba_gradient_heading_0\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t<h2 class=\"dtq-gradient-heading\">Social health protection and health financing frameworks and references <\/h2>\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module ba_gradient_heading ba_gradient_heading_1\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t<h3 class=\"dtq-gradient-heading\">Some key vocabulary<\/h3>\n\t\t\t\t<\/div>\n\t\t\t<\/div>A health financing (HF) framework is determined by four health&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":987496217,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"acf":[],"_links":{"self":[{"href":"https:\/\/uat.p4h.world\/en\/wp-json\/wp\/v2\/pages\/987496235"}],"collection":[{"href":"https:\/\/uat.p4h.world\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/uat.p4h.world\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/uat.p4h.world\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/uat.p4h.world\/en\/wp-json\/wp\/v2\/comments?post=987496235"}],"version-history":[{"count":0,"href":"https:\/\/uat.p4h.world\/en\/wp-json\/wp\/v2\/pages\/987496235\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/uat.p4h.world\/en\/wp-json\/wp\/v2\/pages\/987496217"}],"wp:attachment":[{"href":"https:\/\/uat.p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987496235"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}