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Jaca A, Malinga T, Iwu-Jaja CJ, et al. Strengthening the Health System as a Strategy to Achieving a Universal Health Coverage in Underprivileged Communities in Africa: A Scoping Review. Int J Environ Res Public Health. 2022;19(1)doi: 10.3390/ijerph19010587.
Jaca, A., Malinga, T., Iwu-Jaja, C. J., Nnaji, C. A., Okeibunor, J. C., Kamuya, D., & Wiysonge, C. S. (2022). Strengthening the Health System as a Strategy to Achieving a Universal Health Coverage in Underprivileged Communities in Africa: A Scoping Review. International journal of environmental research and public health, 19(1), . https://doi.org/10.3390/ijerph19010587
Jaca, Anelisa, et al. "Strengthening the Health System as a Strategy to Achieving a Universal Health Coverage in Underprivileged Communities in Africa: A Scoping Review." International journal of environmental research and public health vol. 19,1 (2022). doi: https://doi.org/10.3390/ijerph19010587
Jaca A, Malinga T, Iwu-Jaja CJ, Nnaji CA, Okeibunor JC, Kamuya D, Wiysonge CS. Strengthening the Health System as a Strategy to Achieving a Universal Health Coverage in Underprivileged Communities in Africa: A Scoping Review. Int J Environ Res Public Health. 2022 Jan 05;19(1). doi: 10.3390/ijerph19010587. PMID: 35010844.
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Int J Environ Res Public Health. 2022 Jan 05;19(1). doi: 10.3390/ijerph19010587.

Strengthening the Health System as a Strategy to Achieving a Universal Health Coverage in Underprivileged Communities in Africa: A Scoping Review.

International journal of environmental research and public health

Anelisa Jaca, Thobile Malinga, Chinwe Juliana Iwu-Jaja, Chukwudi Arnest Nnaji, Joseph Chukwudi Okeibunor, Dorcas Kamuya, Charles Shey Wiysonge

Affiliations

  1. Cochrane South Africa, South African Medical Research Council, Cape Town 8000, South Africa.
  2. Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town 8000, South Africa.
  3. School of Public Health and Family Medicine, University of Cape Town, Cape Town 8000, South Africa.
  4. World Health Organization Regional Office for Africa, Brazzaville, Congo.
  5. Department of Health Systems and Research Ethics, KEMRI-Wellcome Trust Research Programme, Nairobi 43640-00100, Kenya.
  6. Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town 8000, South Africa.

PMID: 35010844 DOI: 10.3390/ijerph19010587

Abstract

Universal health coverage (UHC) is defined as people having access to quality healthcare services (e.g., treatment, rehabilitation, and palliative care) they need, irrespective of their financial status. Access to quality healthcare services continues to be a challenge for many people in low- and middle-income countries (LMICs). The aim of this study was to conduct a scoping review to map out the health system strengthening strategies that can be used to attain universal health coverage in Africa. We conducted a scoping review and qualitatively synthesized existing evidence from studies carried out in Africa. We included studies that reported interventions to strengthen the health system, e.g., financial support, increasing work force, improving leadership capacity in health facilities, and developing and upgrading infrastructure of primary healthcare facilities. Outcome measures included health facility infrastructures, access to medicines, and sources of financial support. A total of 34 studies conducted met our inclusion criteria. Health financing and developing health infrastructure were the most reported interventions toward achieving UHC. Our results suggest that strengthening the health system, namely, through health financing, developing, and improving the health infrastructure, can play an important role in reaching UHC in the African context.

Keywords: African countries; health systems; low- and middle-income countries; universal health coverage

Publication Types

Grant support