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Accelerating the Pace toward Universal Health Care for Sustainable Development Goals: Lessons and Perspectives from Frontline Implementers

A special issue of Sustainability (ISSN 2071-1050). This special issue belongs to the section "Health, Well-Being and Sustainability".

Deadline for manuscript submissions: closed (30 June 2021) | Viewed by 3059

Special Issue Editors


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Guest Editor
Global Health, University of Global Health Equity, 6955 Kigali, Rwanda
Interests: health systems strengthening; global health; quality improvement

E-Mail Website
Guest Editor
Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA 02115, USA
Interests: health systems strengthening; global health; quality improvement

Special Issue Information

Dear Colleagues,

Since the Alma Ata declaration in 1978, reaching Universal Health Coverage (UHC) has been a common desire for countries and health agencies. Remarkable investments have been deployed to increase the workforce, build health facilities, and ensure access to health services. Despite these efforts, over half of the world’s population still do not have access to health services. Further, poor quality of care worsens service utilization and limits the overall interaction with the health systems. Persistent UHC gaps reflect the need for a proactive theory of change and evidence-based interventions.

The twenty-first century has been marked by profound disparities, political instabilities, and the emergence of widespread outbreaks and pandemics. Achieving UHC requires innovative programs to deliver high-quality care and enhance the resiilience of health systems.

As a universal consensus, UHC implies that all individuals receive the health services they need without suffering financial hardship. In this regard, many countries have developed creative health financing strategies and established solid public–private partnerships to support the UHC agenda. This collaboration has led to remarkable improvements in population health outcomes. However, there is a need to capture and share scalable interventions that were proven effective to address the unmet UHC needs.

This Special Issue aims at disseminating lessons and perspectives from frontline implementers on effective interventions to accelerate the pace toward UHC’s core domains including financial risk protection, access to quality essential health care services, and access to safe, effective, quality and affordable essential medicines and vaccines for all. 

Prof. Dr. Sheila Davis
Dr. Anatole Manzi
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Sustainability is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • universal health care
  • quality of care
  • health systems
  • sustainable development goals

Published Papers (1 paper)

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Research

13 pages, 237 KiB  
Article
Implementing Cancer Care in Rwanda: Capacity Building for Treatment and Scale-Up
by Paul H. Park, Cyprien Shyirambere, Fred Kateera, Neil Gupta, Christian Rusangwa, Joia Mukherjee, Alex Coutinho, Leslie Lehmann, Lori Buswell, Lawrence N. Shulman, Joel M. Mubiligi, Francois Uwinkindi and Lisa R. Hirschhorn
Sustainability 2021, 13(13), 7216; https://0-doi-org.brum.beds.ac.uk/10.3390/su13137216 - 28 Jun 2021
Cited by 1 | Viewed by 2494
Abstract
Background: The majority of countries in sub-Saharan Africa are ill-prepared to address the rising burden of cancer. While some have been able to establish a single cancer referral center, few have been able to scale-up services nationally towards universal health coverage. The literature [...] Read more.
Background: The majority of countries in sub-Saharan Africa are ill-prepared to address the rising burden of cancer. While some have been able to establish a single cancer referral center, few have been able to scale-up services nationally towards universal health coverage. The literature lacks a step-wise implementation approach for resource-limited countries to move beyond a single-facility implementation strategy and implement a national cancer strategy to expand effective coverage. Methods: We applied an implementation science framework, which describes a four-phase approach: Exploration, Preparation, Implementation, and Sustainment (EPIS). Through this framework, we describe Rwanda’s approach to establish not just a single cancer center, but a national cancer program. Results: By applying EPIS to Rwanda’s implementation approach, we analyzed and identified the implementation strategies and factors, which informed processes of each phase to establish foundational cancer delivery components, including trained staff, diagnostic technology, essential medicines, and medical informatics. These cancer delivery components allowed for the implementation of Rwanda’s first cancer center, while simultaneously serving as the nidus for capacity building of foundational components for future cancer centers. Conclusion: This “progressive scaling” approach ensured that initial investments in the country’s first cancer center was a step toward establishing future cancer centers in the country. Full article
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