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Mobilizing resources to achieve Universal Health Coverage: The benefits of working with the communities

Dr Sam Orochi Orach Executive Secretary,

Uganda Catholic Medical Bureau

November 26th 2019

Abstract

This paper speaks to the theme “The Development of Resources and Management of the Resources” for effective delivery of Public Health Services in Africa. The Community itself is a resource that needs to be mobilized and harnessed for its own health. Its resources need to be mobilized, developed and managed for Public Health, especially for achievement of the Universal Health Coverage, and therefore the Sustainable Development agenda. Opportunities as well as challenges of communities in playing the dual roles in health are considered. The slogan “Leave no one behind” in moving towards Universal Health Coverage should consider the community and individuals not only as receivers of Public health services but also as key players in the attraction, planning, and implementing Public Health Services. Therefore they should not only to be effectively reached with services but also be players of various roles including decision making and other processes. For effective contribution to Public Health, especially in the context of UHC, both tangible and non-tangible community resources need to be recognized, mobilized, developed, better managed and leveraged.

 

Introduction

Public health is the science of protecting and improving the health of people and their communities (CDC Foundation)1. Winslow, Charles-Edward Amory (1920)2 defined it as "the science and art of preventing disease, prolonging life and promoting human health through organized efforts and informed choices of society, organizations, public and private, communities and individuals………….”. But rather than approach it as a “science and art” it is here preferably looked at as “Health of the Public” achieved through the above mentioned channels. The World Health Organization (WHO) defines health as a "State of complete physical, mental, and social well being, and not merely the absence of disease or infirmity”. The spiritual life and the physical environment of the community also must be in harmony. The community must also have equitable distribution of resources, have access to education, and respect the environment that in turns creates conditions for good health. From the Alma Ata Declaration of 1978 through the many years since then, one sees changes in the health landscape. But as we move through the Sustainable Development Goal number 3 to “Ensure healthy lives and promote well-being for all at all ages” and the Astana Declaration (2018), the world has largely gone back to the aspiration of “Health for All” of the Alma Ata Declaration which “embraced the principles of social justice, equity, self-reliance, appropriate technology, decentralization, community involvement, intersectoral collaboration, and affordable cost” (Wessex Global Health Network).

 

Read full article.......

Also access presentation at the 2nd International Conference Africa Institute for Public Health Professionals –Kampala on Uganda Mobilizing resources to achieve Universal Health Coverage...by Dr Sam Orochi Orach, Executive Secretary,  Uganda Catholic Medical Bureau -UCMB. November 2019 

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