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

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    Publication Date
    2021-01-02
    Authors
    Lal, Arush
    Erundo, Ngozi
    Heymann, David
    Gitahi, Githinji
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    (4 total)
    Editor
    Yates, Robert
    Type
    Article, Journal
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    Citation

    Lal A, Erondu NA, Heymann DL, Gitahi G, Yates R. Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage. Lancet. 2021 Jan 2;397(10268):61-67. doi: 10.1016/S0140-6736(20)32228-5. Epub 2020 Dec 1. PMID: 33275906; PMCID: PMC7834479.

    Abstract/Overview

    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.

    Subject/Keywords
    Health Systems; COVID-19; Global Health Security; Universal Health Coverage
    Publisher
    Lancet
    Permalink
    https://repository.amref.ac.ke/handle/123456789/328
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    • General - GEN [355]

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