http:\/\/www.corresponsalesclave.org\/2020\/01\/el-conteo-regresivo-de-cus.html<\/a><\/p>\n\n\n\n\nDuring\nthe high-level meeting in September 2019, the member states of the\nUnited Nations System committed themselves, among other things, to\nreaching one billion people in the world with Health Coverage by\n2030. Much work needs to be done in the next ten years with a public\nand private partnership to reach this ambitious table. Civil society\nworking on health, development and human rights issues should\ninfluence and pressure our governments to achieve it. At the end of\nthe day, the States, represented by their governments, are ultimately\nresponsible for the health coverage of the population, not only from\nthe perspective of the public health dimension but also from the\nright to health.<\/p>\n\n\n\n
\nHow\ndo we achieve the commitments?<\/strong><\/p>\n\n\n\n\nLeadership\nof the health authority<\/strong>:\nThe only way we can significantly expand access to health is by\nstrengthening all health systems, at all levels. There are health\nproblems that require special considerations due to their low\nprevalence and high cost. Health portfolios, with the accompaniment\nand monitoring of civil society and the local and regional technical\nassistance of the United Nations System through their specialized\nagencies must face these challenges. Without a robust and resilient\nhealth system, with the lack of a medium and long-term perspective,\nfocused on costly strategic and operational plans, none of this will\nbe viable.<\/p>\n\n\n\n\nRecursos\ndom\u00e9sticos:<\/strong> La\nmayor\u00eda de los pa\u00edses del mundo, a\u00fan aquellos categorizados como\nen v\u00edas de desarrollo y de renta medias y bajas, cuentan en su pa\u00eds\ncon los recursos financieros necesario para lograr la CUS. El\nproblema es que la salud no es una prioridad y la asignaci\u00f3n de\nfondos locales se realizan en otras \u00e1reas, muchas no prioritarias.\nLa gesti\u00f3n de grandes sumas de recursos p\u00fablicos dom\u00e9sticos son\nfuente de hechos de corrupci\u00f3n, un problema sist\u00e9mico en el mundo.\nLa corrupci\u00f3n mata. Cuando las obras se sobre-presupuestan, se\nfacturan y no se concluyen o se realizan con subest\u00e1ndares de\ncalidad, esto cuesta miles de vidas.<\/p>\n\n\n\n\nDomestic\nresources<\/strong>:\nMost countries in the world, even those classified as middle and low\nincome and as developing states, have the financial resources\nnecessary to achieve the UHC. The problem is that health is not a\npriority and the allocation of local funds is oriented to other\nareas, many of which are not priority areas. The management of large\nsums of domestic public resources represent a source for corruption,\na world-wide systemic problem. Corruption kills. When the works are\nover-budgeted, billed and not completed or carried out with quality\nsub -standards, this costs thousands of lives.<\/p>\n\n\n\n\nLas\npersonas que afrontan un problema de salud y sus familias no deben,\nni pueden afrontar los gastos sanitarios de sus bolsillos.\nMillones de personas afrontan gastos catastr\u00f3ficos para sus familias\npara tratar una enfermedad. Esto genera, no s\u00f3lo que muchas personas\nse vean obligadas a abandonar el tratamiento, sino que aumenta\nseveramente la vulnerabilidad de los grupos familiares. Por ello,\nmucha gente recurre al centro de salud cuando ya es muy tarde y llega\na un diagn\u00f3stico tard\u00edo. Los medicamentos y los insumos son bienes\np\u00fablicos y deben ser asequibles para las y los usuarios, como para\nlos Estados.<\/p>\n\n\n\n
\nPeople\nfacing a health problem and their families should not, nor can they\nafford the health costs of their pockets. Millions of people face\ncatastrophic expenses for their families to treat a disease. This\ngenerates, not only that many people are forced to abandon treatment,\nbut also severely increases the vulnerability of family groups.\nTherefore, many people turn to the health center when it is too late\nand reaches a late diagnosis. Medicines and supplies are public goods\nand must be affordable for users, as well as for the States.<\/p>\n\n\n\n
\nLa\n\u00faltima milla primero:<\/strong> En\ntodos los sistemas de salud, existe una diversidad de poblaciones que\nno acceden a ellos por sus diversas y complejas vulnerabilidades y\naspectos estructurales, son quienes han sido tradicionalmente dejadas\npor detr\u00e1s. La CUS y los resultados en control de muchas\nenfermedades solo ser\u00e1n posibles asegurando el acceso de aquellas\npersonas m\u00e1s marginadas. Debemos cambiar el paradigma de los\nservicios primarios de salud receptivos y pasivos, sacando los\ncentros y servicios de salud a las calles y comunidades con la\nprevenci\u00f3n, diagn\u00f3stico y tratamiento oportuno. Por ejemplo, muchos\nde los pa\u00edses, m\u00e1s all\u00e1 de su desarrollo, en los sistemas de CUS o\naseguramiento universal \u00fanico, no incluyen en forma adecuada la\nsalud mental, la nutrici\u00f3n en cada etapa de la vida, la salud\ndental, entre otras. As\u00ed tampoco las consideradas enfermedades\nraras, muchas de dif\u00edcil diagn\u00f3stico y complejo tratamiento. Estas\npersonas rezagadas deben ser priorizadas y encabezar las poblaciones\nprioritarias.<\/p>\n\n\n\n\nThe\nlast mile first: In all health systems, there is a diversity of\npopulations that do not access them due to their diverse and complex\nvulnerabilities and structural aspects, they have been traditionally\nleft behind. The CUS and the results in control of many diseases will\nonly be possible by ensuring the access of those most marginalized.\nWe must change the paradigm of receptive and passive primary health\nservices, bringing health centers and services to the streets and\ncommunities with prevention, diagnosis and timely treatment. For\nexample, many of the countries, beyond their development, in the CUS\nor single universal insurance systems, do not adequately include\nmental health, nutrition at each stage of life, dental health, among\nothers. Nor are those considered rare diseases, many difficult to\ndiagnose and complex treatment. These lagging people should be\nprioritized and lead the priority populations.<\/p>\n\n\n\n
\nLa\ncooperaci\u00f3n internacional:<\/strong> Aquellos\npa\u00edses en situaci\u00f3n de extrema pobreza o que afrontan crisis\npol\u00edticas y sanitarias siempre depender\u00e1n de la Cooperaci\u00f3n\nInternacional para el Desarrollo, con los recursos de los donantes\ninternacionales. Podr\u00edamos asumir que las organizaciones de la\nsociedad civil que trabajan con poblaciones discriminadas y\ncriminalizadas no acceder\u00e1n a recursos dom\u00e9sticos con facilidad.\nLas Agencias T\u00e9cnicas de las Naciones Unidad deben acompa\u00f1ar el\ndesarrollo de la capacidad t\u00e9cnica local, asegurando el\nfortalecimiento de los sistemas y no las codependencias. El Sistema\nde NN.UU. debe profundizar su trabajo de proveer el conocimiento\ncient\u00edfico, basado en las evidencias, que informen las decisiones\nprogram\u00e1ticas. Doce agencias e instituciones se han comprometido en\nel Plan Mundial de Acci\u00f3n, falta asegurar la significativa\nparticipaci\u00f3n de las sociedades civiles, acad\u00e9micas y cient\u00edficas.<\/p>\n\n\n\n\nInternational\ncooperation: Those countries in a situation of extreme poverty or\nfacing political and health crises will always depend on\nInternational Development Cooperation, with the resources of\ninternational donors. We could assume that civil society\norganizations that work with discriminated and criminalized\npopulations will not easily access domestic resources. The Technical\nAgencies of the United Nations must accompany the development of\nlocal technical capacity, ensuring the strengthening of systems and\nnot codependencies. The UN System must deepen its work of providing\nevidence-based scientific knowledge that informs programmatic\ndecisions. Twelve agencies and institutions have committed themselves\nto the Global Plan of Action, it is necessary to ensure the\nsignificant participation of civil, academic and scientific\nsocieties.<\/p>\n\n\n\n
\nLa\ncobertura no ser\u00e1 universal si no promueve el acceso o, en otras\npalabras, no hay cobertura sin acceso. Para promover la prevenci\u00f3n y\nel acceso se requiere de la participaci\u00f3n de otros ministerios como\nEducaci\u00f3n, Econom\u00eda, Trabajo y Acci\u00f3n Social. No est\u00e1 de m\u00e1s\nponer el \u00e9nfasis que la CUS refiere al amplio y diverso espectro de\ntemas de salud, transmisibles y no transmisibles, cr\u00f3nicos, agudos y\nde progresi\u00f3n, conocidas y raras, de baja y alta inversi\u00f3n para el\ndiagn\u00f3stico y tratamiento. Por ello, urge conformar coaliciones\namplias y diversas en salud de organizaciones de la sociedad civil,\ndonde se pueden coordinar las acciones de incidencia y vigilancia\ncomunitaria, unir fuerzas, coordinar y aprender mutuamente.<\/p>\n\n\n\n
\nCoverage\nwill not be universal if it does not promote access or, in other\nwords, there is no coverage without access. To promote prevention and\naccess requires the participation of other ministries such as\nEducation, Economy, Labor and Social Action. Needless to emphasize,\nthe CUS refers to the broad and diverse spectrum of health issues,\ncommunicable and non-communicable, chronic, acute and progressive,\nknown and rare, of low and high investment for diagnosis and\ntreatment. Therefore, it is urgent to form broad and diverse\ncoalitions in health of civil society organizations, where community\nadvocacy and surveillance actions can be coordinated, join forces,\ncoordinate and learn from each other.<\/p>\n\n\n\n
\nSi\nvemos los patrones de comportamiento de los diferentes actores\nsanitarios, incluy\u00e9ndonos, en la \u00faltima d\u00e9cada, parece una utop\u00eda\nret\u00f3rica lograr las metas comprometidas. Existe escepticismo en\nnuestro sector, pero esto es cuesti\u00f3n de la vida o muerte de miles\nde millones de personas, de cuan preparados estemos para el\nsurgimiento potencial de una nueva epidemia y de si es posible\nrealizar la salud como un derecho humano. Es posible, pero no hay\nmucho tiempo, hemos empezado el mes 240 del calendario para cumplir\nlos compromisos. \u00a1No hay tiempo que perder!<\/p>\n\n\n\n
\nTodos\nlos art\u00edculos pueden ser compartidos y publicados siempre que sean\ncitados los datos de la fuente.<\/p>\n\n\n\n
If\nwe see the behavior patterns of the different health actors,\nincluding us, in the last decade, it seems a rhetorical utopia to\nachieve the committed goals. There is skepticism in our sector, but\nthis is a matter of the life or death of billions of people, how\nprepared we are for the potential emergence of a new epidemic and\nwhether it is possible to realize health as a human right. It is\npossible, but there is not much time, we have started month 240 of\nthe calendar to fulfill the commitments. There is no time to lose!<\/p>\n\n\n\n
All articles can be shared and published as long as the source data is cited.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"With the beginning of 2020, we can interpret that the ten-year countdown begins to reach Universal Health Coverage (CUS) in our countries. By: Javier Hourcade Bellocq Source: http:\/\/www.corresponsalesclave.org\/2020\/01\/el-conteo-regresivo-de-cus.html During the high-level meeting in September 2019, the member states of the United Nations System committed themselves, among other things, to reaching one billion people in the […]<\/p>\n","protected":false},"author":1,"featured_media":10152,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[66,74],"tags":[],"anho":[],"autor":[],"publicado_por":[],"palabras_clave":[],"class_list":["post-10154","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-about-response-aids-tb-malaria","category-news"],"acf":[],"_links":{"self":[{"href":"https:\/\/plataformalac.org\/en\/wp-json\/wp\/v2\/posts\/10154","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plataformalac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plataformalac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plataformalac.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/plataformalac.org\/en\/wp-json\/wp\/v2\/comments?post=10154"}],"version-history":[{"count":0,"href":"https:\/\/plataformalac.org\/en\/wp-json\/wp\/v2\/posts\/10154\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/plataformalac.org\/en\/wp-json\/wp\/v2\/media\/10152"}],"wp:attachment":[{"href":"https:\/\/plataformalac.org\/en\/wp-json\/wp\/v2\/media?parent=10154"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plataformalac.org\/en\/wp-json\/wp\/v2\/categories?post=10154"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plataformalac.org\/en\/wp-json\/wp\/v2\/tags?post=10154"},{"taxonomy":"anho","embeddable":true,"href":"https:\/\/plataformalac.org\/en\/wp-json\/wp\/v2\/anho?post=10154"},{"taxonomy":"autor","embeddable":true,"href":"https:\/\/plataformalac.org\/en\/wp-json\/wp\/v2\/autor?post=10154"},{"taxonomy":"publicado_por","embeddable":true,"href":"https:\/\/plataformalac.org\/en\/wp-json\/wp\/v2\/publicado_por?post=10154"},{"taxonomy":"palabras_clave","embeddable":true,"href":"https:\/\/plataformalac.org\/en\/wp-json\/wp\/v2\/palabras_clave?post=10154"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}