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Progress Towards Universal Health Coverage in BRICS: Translating Economic Growth into Better Health

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dc.contributor.authorRao, Krishna D.
dc.contributor.authorPetrosyan, Varduhi
dc.contributor.authorCorreia Araujo, Edson
dc.contributor.authorMcIntyre, Diane
dc.date.accessioned2015-12-04T17:34:26Z
dc.date.available2015-12-04T17:34:26Z
dc.date.issued2014-06
dc.description.abstractBrazil, the Russian Federation, India, China and South Africa – the countries known as BRICS – represent some of the world’s fastest growing large economies and nearly 40% of the world’s population. Over the last two decades, BRICS have undertaken health-system reforms to make progress towards universal health coverage. This paper discusses three key aspects of these reforms: the role of government in financing health; the underlying motivation behind the reforms; and the value of the lessons learnt for non-BRICS countries. Although national governments have played a prominent role in the reforms, private financing constitutes a major share of health spending in BRICS. There is a reliance on direct expenditures in China and India and a substantial presence of private insurance in Brazil and South Africa. The Brazilian health reforms resulted from a political movement that made health a constitutional right, whereas those in China, India, the Russian Federation and South Africa were an attempt to improve the performance of the public system and reduce inequities in access. The move towards universal health coverage has been slow. In China and India, the reforms have not adequately addressed the issue of out-of-pocket payments. Negotiations between national and subnational entities have often been challenging but Brazil has been able to achieve good coordination between federal and state entities via a constitutional delineation of responsibility. In the Russian Federation, poor coordination has led to the fragmented pooling and inefficient use of resources. In mixed health systems it is essential to harness both public and private sector resources.en
dc.identifier.citationBulletin of the World Health Organization
dc.identifier.doi10.1596/23220
dc.identifier.urihttps://hdl.handle.net/10986/23220
dc.language.isoen_US
dc.publisherWorld Health Organization
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectuniversal health coverage
dc.subjecthealth insurance
dc.subjectBRICS
dc.titleProgress Towards Universal Health Coverage in BRICSen
dc.title.subtitleTranslating Economic Growth into Better Healthen
dc.typeJournal Articleen
dc.typeArticle de journalfr
dc.typeArtículo de revistaes
dspace.entity.typePublication
okr.date.disclosure2015-12-04
okr.date.doiregistration2025-05-06T11:31:57.013499Z
okr.doctypePublications & Research::Journal Article
okr.doctypePublications & Research
okr.externalcontentExternal Content
okr.guid286011468186243184
okr.identifier.doi10.2471/BLT.13.127951
okr.identifier.report102474
okr.journal.nbpages429-35
okr.language.supporteden
okr.peerreviewAcademic Peer Review
okr.relation.associatedurlhttp://www.who.int/bulletin/volumes/92/6/13-127951/en/
okr.topicHealth, Nutrition and Population::Health Insurance
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.unitHealth, Nutrition, and Population, Human Development Network
okr.volume92(6)
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