WHO South-East Asia Journal of Public Health
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REVIEW
Year : 2014  |  Volume : 3  |  Issue : 3  |  Page : 213-218

Universal health coverage reforms: implications for the distribution of the health workforce in low-and middle-income countriess


1 Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Australia; Institute for International Health and Development, Queen Margaret University, Edinburgh, United Kingdom of Great Britain and Northern Ireland
2 Institute for International Health and Development, Queen Margaret University, Edinburgh, United Kingdom of Great Britain and Northern Ireland

Correspondence Address:
Ijeoma Edoka
Institute for International Health and Development, Queen Margaret University, Edinburgh EH21 6UU
United Kingdom of Great Britain and Northern Ireland
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DOI: 10.4103/2224-3151.206743

PMID: 28612805

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To achieve universal health coverage (UHC), a range of health-financing reforms, including removal of user fees and the expansion of social health insurance, have been implemented in many countries. While the focus of much research and discussion on UHC has been on the impact of health-financing reforms on population coverage, health-service utilization and out-of-pocket payments, the implications of such reforms for the distribution and performance of the health workforce have often been overlooked. Shortages and geographical imbalances in the distribution of skilled health workers persist in many low- and middle-income countries, posing a threat to achieving UHC. This paper suggests that there are risks associated with health-financing reforms, for the geographical distribution and performance of the health workforce. These risks require greater attention if poor and rural populations are to benefit from expanded financial protection.


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