The inclusion of sexual and reproductive health services within universal health care through intentional design.
The inclusion of sexual and reproductive health services within universal health care through intentional design.
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DOI：
10.1080/26410397.2020.1799589
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发表时间：
2020-12
影响因子：
6
通讯作者：
Bellows B
中科院分区：
文献类型：
--
作者：
Appleford G;RamaRao S;Bellows B
在本文中，我们认为，如何将性健康和生殖健康（SRH）服务纳入全民健康覆盖和卫生筹资事项，这对普遍性和公平性有影响。这是一个权利问题，因为妇女面临不同的健康风险，包括意外怀孕。传统的垂直性健康和生殖健康服务如何在全民健康覆盖下得到补偿也很重要，应平衡效率激励措施和适当提供的激励措施，采用基于权利的办法，以用户为中心提供护理，从而降低次优结果的风险。这表明，在设计全民健康覆盖一揽子福利时，性健康和生殖健康社区需要倡导的不仅仅是简单的“纳入性健康和生殖健康”。本文介绍了一种实用的方法，将性健康和生殖健康护理的质量纳入全民健康覆盖议程使用的框架称为“5Ps”。该框架强调“系统”和“设计”透镜作为质量的重要步骤。该框架可适用于从卫生系统到个人用户的不同规模。它还关注旨在促进全民健康覆盖的筹资和资源政策如何支持或破坏对性健康和生殖健康及权利的尊重、保护和实现。该框架最初是以提供高质量的计划生育服务为具体重点而制定的。在本文中，我们将其扩展到其他SRH服务。
In this paper, we argue that how sexual and reproductive health (SRH) services are included in UHC and health financing matters, and that this has implications for universality and equity. This is a matter of rights, given the differential health risks that women face, including unwanted pregnancy. How traditional vertical SRH services are compensated under UHC also matters and should balance incentives for efficiency with incentives for appropriate provision using the rights-based approach to user-centred care so that risks of sub-optimal outcomes are mitigated. This suggests that as UHC benefits packages are designed, there is need for the SRH community to advocate for more than simple “SRH inclusion”. This paper describes a practical approach to integrate quality of SRH care within the UHC agenda using a framework called the “5Ps”. The framework emphasises a “systems” and “design” lens as important steps to quality. The framework can be applied at different scales, from the health system to the individual user level. It also pays attention to how financing and resource policies intended to promote UHC may support or undermine the respect, protection and fulfilment of SRH and rights. The framework was originally developed with a specific emphasis on quality provision of family planning. In this paper, we have extended it to cover other SRH services.
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影响因子：
2.1
作者：
Bellows B;Bulaya C;Inambwae S;Lissner CL;Ali M;Bajracharya A
通讯作者：
Bajracharya A
影响因子：
2.1
作者：
Jain, Anrudh K.;Winfrey, William
通讯作者：
Winfrey, William
影响因子：
4
作者：
Fagan, Thomas;Dutta, Arin;Klein, Kate
通讯作者：
Klein, Kate
影响因子：
2.1
作者：
BRUCE, J
通讯作者：
BRUCE, J
影响因子：
2.7
作者：
Mozumdar, Arupendra;Aruldas, Kumudha;Reichenbach, Laura
通讯作者：
Reichenbach, Laura