@article{23328,
  author = {Prabhakaran Dorairaj and Bhutta Zulfiqar and Patel Vikram and Wu Yangfeng and Watkins David and Kruk Margaret and Patton George and Jamison Dean and Alwan Ala and Mock Charles and Nugent Rachel and Adeyi Olusoji and Anand Shuchi and Atun Rifat and Bertozzi Stefano and Binagwaho Agnes and Black Robert and Blecher Mark and Bloom Barry and Brouwer Elizabeth and Bundy Donald and Chisholm Dan and Cieza Alarcos and Cullen Mark and Danforth Kristen and de Silva Nilanthi and Debas Haile and Donkor Peter and Dua Tarun and Fleming Kenneth and Gallivan Mark and Garcia Patricia and Gawande Atul and Gaziano Thomas and Gelband Hellen and Glass Roger and Glassman Amanda and Gray Glenda and Habte Demissie and Holmes King and Horton Susan and Hutton Guy and Jha Prabhat and Knaul Felicia and Kobusingye Olive and Krakauer Eric and Lachmann Peter and Laxminarayan Ramanan and Levin Carol and Looi Lai and Madhav Nita and Mahmoud Adel and Mbanya Jean and Measham Anthony and Medina-Mora María and Medlin Carol and Mills Anne and Mills Jody-Anne and Montoya Jaime and Norheim Ole and Olson Zachary and Omokhodion Folashade and Oppenheim Ben and Ord Toby and Peabody John and Qi Jinyuan and Reynolds Teri and Ruacan Sevket and Sankaranarayanan Rengaswamy and Sepúlveda Jaime and Skolnik Richard and Smith Kirk and Temmerman Marleen and Tollman Stephen and Verguet Stéphane and Walker Damian and Walker Neff and Zhao Kun},
  title = {Universal health coverage and intersectoral action for health: key messages from Disease Control Priorities, 3rd edition.},
  abstract = {<p>
The World Bank is publishing nine volumes of Disease Control Priorities, 3rd edition (DCP3) between 2015 and 2018. Volume 9, Improving Health and Reducing Poverty, summarises the main messages from all the volumes and contains cross-cutting analyses. This Review draws on all nine volumes to convey conclusions. The analysis in DCP3 is built around 21 essential packages that were developed in the nine volumes. Each essential package addresses the concerns of a major professional community (eg, child health or surgery) and contains a mix of intersectoral policies and health-sector interventions. 71 intersectoral prevention policies were identified in total, 29 of which are priorities for early introduction. Interventions within the health sector were grouped onto five platforms (population based, community level, health centre, first-level hospital, and referral hospital). DCP3 defines a model concept of essential universal health coverage (EUHC) with 218 interventions that provides a starting point for country-specific analysis of priorities. Assuming steady-state implementation by 2030, EUHC in lower-middle-income countries would reduce premature deaths by an estimated 4·2 million per year. Estimated total costs prove substantial: about 9·1% of (current) gross national income (GNI) in low-income countries and 5·2% of GNI in lower-middle-income countries. Financing provision of continuing intervention against chronic conditions accounts for about half of estimated incremental costs. For lower-middle-income countries, the mortality reduction from implementing the EUHC can only reach about half the mortality reduction in non-communicable diseases called for by the Sustainable Development Goals. Full achievement will require increased investment or sustained intersectoral action, and actions by finance ministries to tax smoking and polluting emissions and to reduce or eliminate (often large) subsidies on fossil fuels appear of central importance. DCP3 is intended to be a model starting point for analyses at the country level, but country-specific cost structures, epidemiological needs, and national priorities will generally lead to definitions of EUHC that differ from country to country and from the model in this Review. DCP3 is particularly relevant as achievement of EUHC relies increasingly on greater domestic finance, with global developmental assistance in health focusing more on global public goods. In addition to assessing effects on mortality, DCP3 looked at outcomes of EUHC not encompassed by the disability-adjusted life-year metric and related cost-effectiveness analyses. The other objectives included financial protection (potentially better provided upstream by keeping people out of the hospital rather than downstream by paying their hospital bills for them), stillbirths averted, palliative care, contraception, and child physical and intellectual growth. The first 1000 days after conception are highly important for child development, but the next 7000 days are likewise important and often neglected.
</p>
},
  year = {2018},
  journal = {Lancet},
  volume = {391},
  pages = {1108-1120},
  issn = {1474-547X},
  doi = {10.1016/S0140-6736(17)32906-9},
  language = {eng},
}