Territorial Disparities and Health Inequities in Morocco| Book Publisher International

 Territorial disparities and health inequities persist and present a significant challenge for governments and policymakers despite the adoption of various initiatives and action plans aimed either directly or indirectly at reducing inequalities in Morocco. In particular, SDG3—"Ensure healthy lives and promote well-being for all at all ages"—and SDG4—"Leave no one behind"—are among the 17 Sustainable Development Goals (SDG) that Morocco is committed to achieving. The nation is heading in this direction toward universal health coverage (UHC), with the goal of providing coverage to the majority of its citizens. However, addressing socioeconomic determinants of health in order to lessen health inequities continues to be a major obstacle. According to a recent study, 23 out of 40 health indicators are linked to serious health injustice, and Morocco's Health Information System (HIS) is currently being developed. This book's first chapter examines the health information system in Morocco, and the remaining three chapters discuss various aspects of health inequities there, highlighting the enormous gaps and large disparities seen in terms of milieu of residence (rural-urban), wealth quintiles, educational attainment, and geographic regions. The comparison is based on important health indicators, such as newborn and maternal death rates, illiteracy rates, individuals with disabilities, teenage pregnancy and childbearing, and others.

Author(s) Details:

Abdesslam Boutayeb,
Laboratory of Stochastic and Deterministic Modelling, Faculty of Sciences, University Mohamed Premier, Oujda, Morocco.

Please see the link here: https://stm.bookpi.org/TDHIM/article/view/8197

Qualitative Analysis of Free Reproductive and Maternal Health Care and Its Implications for Universal Health Coverage in Kenya | Chapter 09 | Emerging Trends in Disease and Health Research Vol. 6

 Universal health coverage and equity are the primary goals of any health-care system in the world. As a result, Kenya's government has made improving reproductive, maternal, child, and adolescent health (RMCAH) outcomes a top priority. The government of Kenya's 'Linda Mama' project intends to increase access, equity, and coverage of RMCAH services utilising tax revenues that go directly from the NHIF to the bank accounts of individual healthcare facilities. Antenatal care, delivery services, postnatal care, emergency referrals, conditions and difficulties throughout pregnancy, and infant care are all included in the initiative's benefit packages, which follow national norms. In actuality, several of these services are not provided by health care facilities. Furthermore, the implementation has encountered a number of difficulties that have harmed the country's capacity to achieve the planned goals. High catastrophic health expenses, limited geographic access, bureaucracy in getting money by public facilities, unpredictability, and delays in disbursement of funds are only a few examples. Other issues include low payment rates, a complex claim process caused by a lack of training, and poorly developed hardware for filing claims in the public sector. In order to adequately address important social determinants of RMCAH such as education, sociocultural factors, nutrition and food security, housing, communication, transportation, access to safe water, sanitation, and hygiene, achieving UHC in this area requires a multi-sectoral strategy.

Author(S) Details

C. T. Okech
Chandaria School of Business, United States International University (USIU), Kenya.

B. O. Awuonda
Department of Paediatrics & Child Health, School of Medicine, Maseno University, Kenya.

View Book:- https://stm.bookpi.org/ETDHR-V6/article/view/6421

Universal Health Coverage and Its Impact on Equity on Health Care in Kenya | Chapter 11 | Emerging Trends in Disease and Health Research Vol. 2

 As indicated by many legislative initiatives and changes, Kenya, like many other international economies, adopted and implemented universal health care. A critical evaluation of the different programmes that the government has launched over the years to achieve Universal Health Care and how this has influenced health equity is presented in this chapter. Primary and secondary data were gathered to achieve this. Primary data was collected through in-depth interviews with various stakeholders involved in UHC, including policymakers, implementers, researchers, and health service providers. Secondary data was largely collected through critical review of policy documents and commissioned studies by Ministry of Health and Development partners. Political commitment to UHC; insufficient financial solidarity; dysfunctional health-care management; disruption by COVID 19; absence of continuing medical training; supply-side rigidities that contribute to stock-outs; and decaying health-care infrastructure are among the key findings. Other findings include, among others, NHIF's poor governance combined with insufficient skilled labour, excessive operational costs, low capitation, and investment in non-priority expenditures. Various recommendations are made in place of these, including the promotion of solidarity in health care financing that is reliable and cost-effective to collect; political will to increase commitment to devolution of health care, including involvement of various stakeholders at both the county and national levels; investment in health infrastructure and human resource training; revamping NHIF into a full-fledged social health insurance scheme, and enhancing NHIF capacity.

Author(S) Details

Timothy C. Okech
United States International University Africa, Kenya.

Steve L. Lelegwe
National Assembly, Kenya.

View Book:- https://stm.bookpi.org/ETDHR-V2/article/view/5574

Analyses of Health Care Reforms in Uganda and Its Impact on Health Equity | Chapter 3 | Issues and Development in Health Research Vol. 7

 Over the years, the Ugandan government, in conjunction with key stakeholders, has begun to implement health policy reforms targeted at improving health care equity. These include expanding access to health care, improving quality of care, improving health-care delivery efficiency, and lowering catastrophic health-care costs. The analysis' goal was to compile a summary of the numerous health reforms that have been implemented and how they have impacted health equity in the country. This research is based on an examination of both published and unpublished papers from the Ugandan government, multilateral organisation reports such as the World Bank and the World Health Organization, and government and development partner commissioned studies. Inequities due to a lack of medications and other pharmaceutical supplies, quality concerns, and a lack of high-impact therapies are among the results. Other findings include the existence of under-the-table payments, unsustainable out-of-pocket payments that contribute to high rates of catastrophic health spending, dilapidated health infrastructure in many parts of the country, low morale among health personnel, and low government spending on health care. However, the reforms have resulted in enhanced efficiency advantages in terms of increasing use of lower-level government facilities, such as health centres, and decreased usage of hospital services. Increased investment in the health sector is recommended, as well as methodical development and implementation of policies including all key players, as well as boosting the supply of vital drugs, renovating health infrastructure, and providing incentives to health workers. Supporting the operations of community health insurance and other pre-payment schemes designed to protect the poor from catastrophic health-care costs is another recommendation. Similarly, political commitment to raising government spending on health care in line with the Abuja Declaration of 2001, as well as measures targeted at improving health care delivery efficiency, is suggested.

Author(S) Details

Timothy C. Okech
Chandaria School of Business, United States International University, Africa.

View Book:- https://stm.bookpi.org/IDHR-V7/article/view/4806