PROGRESS OF KHYBER PAKHTUNKHWA (PAKISTAN) TOWARDS UNIVERSAL HEALTH COVERAGE

Authors

  • Ayaz Ayub
  • Raheel Shahab Khan
  • Sheeraz Ahmad Khan
  • Hamid Hussain
  • Afshan Tabassum
  • Jawad Ahmed Shehzad
  • Syeda Sonia Shah

Abstract

Background: Khyber Pakhtunkhwa (KP) launched its flagship Social health protection initiative (SHPI), named Sehat Sahulat Program (SSP). SSP envisions to improve access to healthcare for poorest of the poor and contribute towards achieving Universal Health Coverage (UHC). Current study was undertaken to analyze SSP in context of UHC framework i.e. to see as to (i) who is covered, (ii) what services are covered, and (iii) what extent of financial protection is conferred. Methods: We conducted thorough archival research. Official documents studied were concept paper(s), approved planning commission documents (PC-1 forms) and signed agreement(s) between government of KP and the insurance firm. Results: SSP enrolled poorest 51% of province’ population i.e. 14.4 million people. It covers for all secondary and limited tertiary services. Maximum expenditure limit per family per year is Rs.540, 000/-. Government pays a premium of Rs.1549/- per year per household to 3rd party (insurance firm) which ensures services through a mix of public-private providers. Conclusion: The breadth, depth and height of SSP are significant. It is a phenomenal progress towards achieving UHC.Keywords: Universal Health coverage; healthcare financing; Health insurance; social health protection.

References

KP Health Department. Social Health Protection Initiative For Kpk. [Internet]. [cited 2016 Nov 13]. Available from: http://www.healthkp.gov.pk/index.php/social-health-protection-initiative-for-kpk/

Government of Khyber Pakhtunkhwa Finance Department. White paper 2015-2016. [Internet]. [cited 2016 Nov 17]. Available from: http://www.kcci.com.pk/Rnd/wp-content/uploads/2017/07/White-Paper-2015-16-1.pdf

Khyber Pakthtunkhwa in Figures 2015. Bureau of Statistics. [Internet]. 2016 [cited 2016 Nov 17]. Available from: http://kp.gov.pk/uploads/2016/04/2015.PDF

Health Department KPK. Health Facilities. [Internet]. 2016 [cited 2016 Nov 17]. Available from: http://www.healthkp.gov.pk/healthstatistics.asp

National Health Accounts Pakistan 2011-12. Pakistan Bureau of Statistics [Internet]. Pakistan Bureaue of Statistics. [cited 2016 Nov 17]. Available from: http://www.pbs.gov.pk/content/national-health-accounts-pakistan-2011-12

WHO. Sustainable Health Financing, Universal Coverage and Social Health Insurance. WHA Resolution; Fifty-eighth World Health Assembly, 2005 [Internet]. [cited 2016 Nov 17]. Available from: http://apps.who.int/medicinedocs/en/d/Js21475en/

O’Connell T, Rasanathan K, Chopra M. What does universal health coverage mean? Lancet 2014;383(9913):277–9.

National Assembly Pakistan. The Constitution of the Islamic Republic of Pakistan, 2012. [Internet]. [cited 2016 Nov 17]. Available from: http://na.gov.pk/uploads/documents/1333523681_951.pdf

Sachs JD. Achieving universal health coverage in low-income settings. Lancet 2012;380(9845):944–7.

Hilights Pakistan Economic Survey 2014-2015; Economic Adviser’s Wing, Finance Division, Government of Pakistan, Islamabad. [Internet]. [cited 2016 Nov 17]. Available from: http://www.finance.gov.pk/survey/chapters_15/Highlights.pdf

Abuja declaration on HIV/AIDS, tuberculosis and other related infectious diseases. [Internet]. 2001 [cited 2016 Nov 17]. Available from: http://www.un.org/ga/aids/pdf/abuja_declaration.pdf

Arrow KJ. Uncertainty and the welfare economics of medical care; 1963. Bull World Health Organ 2004;82(2):141–9.

Demombynes G, Trommlerova SK. What has driven the decline of infant mortality in Kenya in the 2000s? Econ Hum Biol 2016;21:17–32.

Nishtar Sania. The taxonomy within FoDP [Internet]. The New International. 2013 [cited 2016 Nov 17]. Available from: http://www.heartfile.org/13/

Nishtar S, Bile KM. The public-private niche in health--opportunities for the Friends of Democratic Pakistan. J Pak Med Assoc 2010;60(5):333–4.

Published

2018-06-18

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