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Failure to access and apply reliable healthcare information is a leading cause of preventable death and suffering worldwide. HIFA (... Information For All) is a global social movement to improve the availability and use of reliable healthcare information and reduce the harms of misinformation. It has more than 20,000 members (health workers, librarians, publishers, researchers, policymakers...) and works closely with the World Health Organization. accessed 30.07.2021 more
Inequality of access to palliative care and symptom relief is one of the greatest disparities in global ... care (1). Currently, there is avoidable suffering on a massive scale due to lack of access to palliative care and symptom relief in low- and middle-income countries (LMICs) (1). Yet basic palliative care that can prevent or relieve most suffering due to serious or life-threatening health conditions can be taught easily to generalist clinicians, can be provided in the community and requires only simple, inexpensive medicines and equipment. For these reasons, the World Health Assembly (WHA) resolved that palliative care is "an ethical responsibility of health systems"(2). Further, most patients who need palliative care are at home and prefer to remain there. Thus, it is imperative that palliative care be provided in the community as part of primary care. This document was written to assist ministries of health and health care planners, implementers and managers to integrate palliative care and symptom control into primary health care (PHC). more
Access to safe blood and blood products is recognized as one of the key requirements for delivery of modern health ... in the journey towards health for all. The foundation of safe and sustainable blood supplies depends on the collection of blood from voluntary non-remunerated and low-risk donors. Data from the WHO Global Database for Blood Safety (GDBS) brings out several inadequacies related to the supply and safety of blood and blood products. These inadequacies include a number of variations in safe blood practices across the world, including the quantity of blood donated (voluntary and replacement types), quality and adequate testing of the donated blood (immunohaematology [IH] and transfusion-transmitted infections [TTIs]), rational use of blood and blood components such as appropriate patient blood management protocols. These variations are very high in countries of the South-East Asian Region and most of them are either low- or middle-income countries (LMICs). more
Achieving universal access to WASH in health care facilities requires political will and strong ... more
Cardiovascular diseases (CVD) represent the highest burden of disease globally. Medicines are a critical intervention used to prevent and treat CVD. This review describes access ... medication for CVD from a health system perspective and strategies that have been used to promote access, including providing medicines at lower cost, improving medication supply, ensuring medicine quality, promoting appropriate use, and managing intellectual property issues. Using key evidence in published and gray literature and systematic reviews, we summarize advances in access to cardiovascular medicines using the 5 health system dimensions of access: availability, affordability, accessibility, acceptability, and quality of medicines. There are multiple barriers to access of CVD medicines, particularly in low- and middle-income countries. Low availability of CVD medicines has been reported in public and private healthcare facilities. When patients lack insurance and pay out of pocket to purchase medicines, medicines can be unaffordable. Accessibility and acceptability are low for medicines used in secondary prevention; increasing use is positively related to country income. Fixed-dose combinations have shown a positive effect on adherence and intermediate outcome measures such as blood pressure and cholesterol. We have a new opportunity to improve access to CVD medicines by using strategies such as efficient procurement of low-cost, quality-assured generic medicines, development of fixed-dose combination medicines, and promotion of adherence through insurance schemes that waive copayment for long-term medications. Monitoring progress at all levels, institutional, regional, national, and international, is vital to identifying gaps in access and implementing adequate policies. more
To test for ethnic discrimination in access to outpatient health ... services, we carry out an email-correspondence study in Germany. We approach 3,224 physician offices in the 79 largest cities in Germany with fictitious appointment requests and randomized patients’ characteristics. We find that patients’ ethnicity, as signaled by distinct Turkish versus Ger- man names, does not affect whether they receive an appointment or wait time. In contrast, patients with private insurance are 31 percent more likely to receive an appointment. Hold- ing a private insurance also increases the likelihood of receiving a response and reduces the wait time. This suggests that physicians use leeway to prioritize privately insured patients to enhance their earnings, but they do not discriminate persons of Turkish origin based on taste. Still, their behavior creates means-based barriers for economically disadvantaged groups. more
This report aims to estimate the economic cost of providing regular access to healthcare for mig... more
This Guide helps all the health care providers in the non- public sector to explore alternative means of ... to contraceptives and skills to determine quantities required and management of stock. Health care providers include community health workers, nurses and midwives, clinical officers and medical doctors. more
The purpose of the landscape analysis is ultimately to facilitate improved engagement of private providers, thereby contributing to universal access... more
The WHO Quality Toolkit: Navigating tools to improve the quality of health services helps easy identification and access ... a wide range of WHO published materials to improve the quality of health services. These tools support the actions described in the Quality health services: a planning guide, which outlines a structured, systems-based approach to improving quality of health services. Whether you work at the facility, sub-national or national level, or in specific communities, you will find resources within the Quality Toolkit to help you carry out essential tasks to improve quality of care more
The Mexican Constitution sets out the basis for access to health care services and the right ... social protection in health for all citizens. The General Health Law establishes that the MoH, together with state governments, is responsibl for the control and eradication of transmissible diseases and must establish the necessary measures to prevent and combat all threats to health. Consequently, the National Health Plan 2019–2024 proposes universal, effective and free access to health care services, including health and epidemiological surveillance for emergencies, for all Mexicans more
Lancet Glob Health 2015; 385: e387–95. Open Access
Background Access to medicines is important for long‐term care of cardiovascular diseases and hypertension. This study provides a cross‐countr... more
Yaya et al. BMC Pregnancy and Childbirth (2018) 18:194 Ensuring equitable access to maternal health ... including antenatal, delivery, postnatal services and fertility control methods, is one of the most critical challenges for public health sector. There are significant disparities in maternal health care indicators across many geographical locations, maternal, economic, sociodemographic factors in many countries in sub-Sahara Africa. In this study, we comparatively explored the utilization level of maternal health care, and examined disparities in the determinants of major maternal health outcomes more
Providing quality, stigma-free services is essential to equitable health care for all and achieving global HIV goals and broader Sustainable Develo... more