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The AHAIC 2019 conference scientific tracks stress the importance of addressing barriers in access, quality, financing and accountability by all sectors to ensure that every country in Africa can achieve health for all by 2030.
The SDGs set an ambitious goal to ‘leave no one behind’. For UHC, this means ensuring that everyone, no matter who they are or where they live, has access to quality care without going bankrupt. Beyond access to health services, access also comprises the relevance and effectiveness of services to meet the needs of individuals and communities.
1.1 Addressing cultural, social and age barriers to accessing health services in Africa
1.2 Leveraging technology and innovative models of service delivery to accelerate access
1.3 Strengthening and redesigning primary healthcare centers to deliver integrated, people-centered health services
1.4 Prioritising initiatives that reach vulnerable, hard to reach and migrant populations with essential health services
1.5 Engaging the private sector and forging meaningful Public Private Partnerships for accelerated access to health
1.6 Ensuring access to appropriate, safe elective and emergency surgery at all health facility levels
The quality of healthcare in Africa is frequently compromised due to inadequate funds, poor infrastructure and workforce shortages. To improve quality of care, there is need to strengthen governance, improve supervision and mentoring of providers, develop robust procurement and supply chain models, and scale-up health information systems.
2.1 Enhancing monitoring and models for quality assurance to ensure quality of health services
2.2 Strengthening human resources for health, and health leadership management and governance, to improve capacity for delivering quality health services
2.3 Smart data: Use of health statistics and information systems to inform quality assurance
2.4 Leveraging cutting-edge technology and innovation to enhance quality of care in health facilities
2.5 Ensuring quality of medicines by enhancing pharmacovigilance to curb the spread of counterfeit medicines and medical devices, and antimicrobial resistance
2.6 Achieving patient-centered quality by strengthening non-clinical contributors to quality of health services, including compassion, cleanliness and timeliness
Although public spending for health in Africa has grown rapidly over the last two decades, domestic financing has stalled. By 2014, only four countries had met the 2001 Abuja Declaration target of 15% government spending on health, and the share of government spending allocated to health decreased in about half in all African countries between 2002 and 2014. Establishing mechanisms for sustainable financing is therefore a key pillar of achieving UHC in Africa.
3.1 Expanding financial protection, including for vulnerable populations, by strengthening and scaling innovative insurance models
3.2 Strengthening public-private partnerships and bringing in new stakeholders to design innovative health financing models
3.3 Aligning public financing management systems and health financing policy
3.4 Planning ahead: Addressing the ever-growing health needs of populations and costs of health services
3.5 Cost-effective healthcare: Maximising returns for investment in healthcare and transitioning from passive to strategic purchasing
3.6 Leveraging technology and mobile penetration to scale up financial protection for populations
3.7 Public Financial Management for meaningful impact on health status of communities
Strengthening accountability measures is a critical element in improving health system performance, leadership and return on investment. There is need to redefine the analytic frameworks for accountability in health systems, the roles of various health sector actors in ensuring accountability, and strategies to strengthen accountability, including through community participation.
4.1 Creating a culture of accountability in healthcare: Defining the roles of health sector actors and developing frameworks for accountability in heath service delivery systems
4.2 Accountability in health financing: Enhancing monitoring on returns in healthcare investments
4.3 Looking back: Tracking progress against health commitments made by African leaders
4.4 Social accountability and the “unheard” voice of citizens: Activating communities to demand for the right to health