How to achieve universal coverage and adequate benefit levels in - PowerPoint PPT Presentation

International Labour Office How to achieve universal coverage and adequate benefit levels in health care? Tripartite Meeting of Experts on Strategies for the Extension of Social Security Coverage Geneva, 2-4 September 2009 Xenia Scheil-Adlung Social Security Department International Labour Office The ILO Campaign on Social Security and Coverage for All 1

Structure of the presentation International Labour Office � What is universal coverage in social health protection? � The unfulfilled promise: Global deficits in social health protection � How to achieve universal access? � Is universal coverage in health achievable in an acceptable time frame? � Conclusions The ILO Campaign on Social Security and Coverage for All 2

What is universal coverage in social International Labour health protection? Office The ILO Campaign on Social Security and Coverage for All 3

The unfulfilled promise: International Labour Global deficits in social health protection Office DEFICIT IN FORMAL COVERAGE DEFICIT IN FORMAL COVERAGE Percentage of uncovered population Percentage of uncovered population 100 100 80 80 60 60 HEALTH STATUS HEALTH STATUS DEFICITS IN AVAILABILITY DEFICITS IN AVAILABILITY Maternal mortality ratio Maternal mortality ratio AND QUALITY: AND QUALITY: 40 40 per 10.000 live births per 10.000 live births Gaps in health workforce Gaps in health workforce 20 20 0 0 DEFICITS IN AVAILABILITY DEFICITS IN AVAILABILITY DEFICITS IN DEFICITS IN AND QUALITY AND QUALITY AFFORDABILITY AND AFFORDABILITY AND Relative deficit in per capita Relative deficit in per capita FINANCIAL PROTECTION FINANCIAL PROTECTION health spending compared to health spending compared to Out-of-pocket payments Out-of-pocket payments low vulnerability countries low vulnerability countries VERY high vulnerability of countries VERY high vulnerability of countries High vulnerability High vulnerability Medium vulnerability Medium vulnerability Low vulnerability Low vulnerability VERY Low level of vulnerability VERY Low level of vulnerability The ILO Campaign on Social Security and Coverage for All 4

How to achieve universal access? International Labour Office The ILO Campaign on Social Security and Coverage for All 5

Is universal coverage in health International Labour achievable in an acceptable time frame? Office 100 90 Germany 80 France 70 Korea Coverage 60 Thailand 50 Luxemburg 40 Canada 30 Mexico 20 Austria 10 Ghana 0 (estimate) 1920 1950 1980/1990 2007 Year The ILO Campaign on Social Security and Coverage for All 6

Conclusions International Labour Office The ILO Campaign on Social Security and Coverage for All 7