Global health security and universal health coverage: understanding convergences and divergences for a synergistic response

Yibeltal Assefa; Peter S. Hill; Charles F. Gilks; Wim Van Damme; Remco van de Pas; Solomon Woldeyohannes; Simon Reid

doi:10.1371/journal.pone.0244555

Global health security and universal health coverage: understanding convergences and divergences for a synergistic response

Yibeltal Assefa, Peter S. Hill, Charles F. Gilks, Wim Van Damme, Remco van de Pas, Solomon Woldeyohannes, Simon Reid

Health Policy

Research output: Contribution to journal › A1: Web of Science-article › peer-review

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Abstract

Background

Global health security (GHS) and universal health coverage (UHC) are key global health agendas which aspire for a healthier and safer world. However, there are tensions between GHS and UHC strategy and implementation. The objective of this study was to assess the relationship between GHS and UHC using two recent quantitative indices.

Methods

We conducted a macro-analysis to determine the presence of relationship between GHS index (GHSI) and UHC index (UHCI). We calculated Pearson's correlation coefficient and the coefficient of determination. Analyses were performed using IBM SPSS Statistics Version 25 with a 95% level of confidence.

Findings

There is a moderate and significant relationship between GHSI and UHCI (r = 0.662, p0.05). The risk of GHS threats a significant and negative correlation with the capacity for GHS (r = -0.604, p

Conclusion

The aspiration for GHS will not be realized without UHC; hence, the tension between these two global health agendas should be transformed into a synergistic solution. We argue that strengthening the health systems, in tandem with the principles of primary health care, and implementing a "One Health" approach will progressively enable countries to achieve both UHC and GHS towards a healthier and safer world that everyone aspires to live in.

Original language	English
Article number	e0244555
Journal	PLoS ONE
Volume	15
Issue number	12
Number of pages	16
ISSN	1932-6203
DOIs	https://doi.org/10.1371/journal.pone.0244555
Publication status	Published - 2020

Keywords

DEMONSTRATION PROJECT
SURVEILLANCE
REGULATIONS
CAPACITY
LESSONS
SYSTEMS
WORLD
EBOLA
CARE

Access to Document

10.1371/journal.pone.0244555Licence: CC BY

2020ponee0244555Final published version, 1.47 MBLicence: CC BY

Cite this

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title = "Global health security and universal health coverage: understanding convergences and divergences for a synergistic response",

abstract = "Background Global health security (GHS) and universal health coverage (UHC) are key global health agendas which aspire for a healthier and safer world. However, there are tensions between GHS and UHC strategy and implementation. The objective of this study was to assess the relationship between GHS and UHC using two recent quantitative indices.MethodsWe conducted a macro-analysis to determine the presence of relationship between GHS index (GHSI) and UHC index (UHCI). We calculated Pearson's correlation coefficient and the coefficient of determination. Analyses were performed using IBM SPSS Statistics Version 25 with a 95% level of confidence.FindingsThere is a moderate and significant relationship between GHSI and UHCI (r = 0.662, p0.05). The risk of GHS threats a significant and negative correlation with the capacity for GHS (r = -0.604, pConclusionThe aspiration for GHS will not be realized without UHC; hence, the tension between these two global health agendas should be transformed into a synergistic solution. We argue that strengthening the health systems, in tandem with the principles of primary health care, and implementing a {"}One Health{"} approach will progressively enable countries to achieve both UHC and GHS towards a healthier and safer world that everyone aspires to live in.",

keywords = "DEMONSTRATION PROJECT, SURVEILLANCE, REGULATIONS, CAPACITY, LESSONS, SYSTEMS, WORLD, EBOLA, CARE",

author = "Yibeltal Assefa and Hill, {Peter S.} and Gilks, {Charles F.} and Damme, {Wim Van} and Pas, {Remco van de} and Solomon Woldeyohannes and Simon Reid",

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T1 - Global health security and universal health coverage: understanding convergences and divergences for a synergistic response

AU - Assefa, Yibeltal

AU - Hill, Peter S.

AU - Gilks, Charles F.

AU - Damme, Wim Van

AU - Pas, Remco van de

AU - Woldeyohannes, Solomon

AU - Reid, Simon

N1 - FTX; DOAJ; (CC BY 4.0)

PY - 2020

Y1 - 2020

N2 - Background Global health security (GHS) and universal health coverage (UHC) are key global health agendas which aspire for a healthier and safer world. However, there are tensions between GHS and UHC strategy and implementation. The objective of this study was to assess the relationship between GHS and UHC using two recent quantitative indices.MethodsWe conducted a macro-analysis to determine the presence of relationship between GHS index (GHSI) and UHC index (UHCI). We calculated Pearson's correlation coefficient and the coefficient of determination. Analyses were performed using IBM SPSS Statistics Version 25 with a 95% level of confidence.FindingsThere is a moderate and significant relationship between GHSI and UHCI (r = 0.662, p0.05). The risk of GHS threats a significant and negative correlation with the capacity for GHS (r = -0.604, pConclusionThe aspiration for GHS will not be realized without UHC; hence, the tension between these two global health agendas should be transformed into a synergistic solution. We argue that strengthening the health systems, in tandem with the principles of primary health care, and implementing a "One Health" approach will progressively enable countries to achieve both UHC and GHS towards a healthier and safer world that everyone aspires to live in.

AB - Background Global health security (GHS) and universal health coverage (UHC) are key global health agendas which aspire for a healthier and safer world. However, there are tensions between GHS and UHC strategy and implementation. The objective of this study was to assess the relationship between GHS and UHC using two recent quantitative indices.MethodsWe conducted a macro-analysis to determine the presence of relationship between GHS index (GHSI) and UHC index (UHCI). We calculated Pearson's correlation coefficient and the coefficient of determination. Analyses were performed using IBM SPSS Statistics Version 25 with a 95% level of confidence.FindingsThere is a moderate and significant relationship between GHSI and UHCI (r = 0.662, p0.05). The risk of GHS threats a significant and negative correlation with the capacity for GHS (r = -0.604, pConclusionThe aspiration for GHS will not be realized without UHC; hence, the tension between these two global health agendas should be transformed into a synergistic solution. We argue that strengthening the health systems, in tandem with the principles of primary health care, and implementing a "One Health" approach will progressively enable countries to achieve both UHC and GHS towards a healthier and safer world that everyone aspires to live in.

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KW - SURVEILLANCE

KW - REGULATIONS

KW - CAPACITY

KW - LESSONS

KW - SYSTEMS

KW - WORLD

KW - EBOLA

KW - CARE

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