By J C Suresh
TORONTO | WASHINGTON | 25 April 2024 (IDN) — The World Bank Group has announced an ambitious plan to support countries in delivering quality, affordable health services to 1.5 billion people by 2030. This is part of a larger global effort to provide a basic standard of care through every stage of a person’s life—infancy, childhood, adolescence, and adulthood.
World Bank Group president Ajay Banga announced the grand plan at the World Bank Group Spring Meetings public event, “Transforming Challenge into Action: Expanding Health Coverage for All”.
A press release on 18 April referred to three core elements of the strategy to reach 1.5 billion people:
- Expanding focus from maternal and child health to include coverage throughout a person’s lifetime, including non-communicable diseases.
- Expanding operations to hard-to-reach areas, including remote villages, cities, and countries.
- Working with governments to cut unnecessary fees and other financial barriers to health care.
The announcement does not spring a surprise. For decades, the World Bank Group has helped provide health services for women and children in more than 100 countries. A focused effort to become faster, work better with partners, and bring in the private sector has enabled the 80-year-old institution to pursue greater scale and impact.
“Providing a basic standard of care for people throughout their lives is critical for development,” said Banga. “This ambition won’t be realized with a solo effort. It will require partners, a coalition of public and private sector, working together to expand access to health care services.”
Around 2 billion people face severe financial hardship when paying for health services. Intertwined challenges, such as climate change, pandemics, conflicts, societal aging, and a projected shortfall of 10 million health-care workers by 2030, exacerbate the cycle of poverty and inequality.
The World Bank Group will combine financing, knowledge, and partnerships to address this challenge, said the press release.
“We’ve got to fix what is a fundamental requirement for human existence in the form of health care and we have to make it available at a price that’s affordable,” said Banga during a fireside chat with Dr Tedros Adhanom Ghebreyesus, Director-General, World Health Organization (WHO).
“Widen the aperture”
Banga said the new plan would “widen the aperture” of the Bank’s priorities from maternal and child health services to the health needs of people over their lifetimes, a move that also responds to rapidly aging populations, the surge in chronic diseases and the associated health care costs.
Dr Tedros emphasized that 4.5 billion people lack access to health services and more than 2 billion face financial hardship when paying for services they need. This is compounded by a range of growing risks such as climate change, pandemics, fragility, and conflicts.
Calling service coverage and financing the biggest challenges, Dr. Tedros warned the world is off track for reaching the Sustainable Development Goals (SDGs). Focusing on mothers and children, and strong primary health care, can cut mortality in many countries, he said. The investment in health is a political choice, Dr. Tedros said, and the WHO and other partners stand ready to help countries achieve their goals.
For decades, the World Bank Group has helped provide health services for women and children in more than 100 countries. This new target is part of a larger global effort to provide a basic standard of care through every stage of a person’s life—infancy, childhood, adolescence, and adulthood. The goal to deliver quality, affordable health services to 1.5 billion people by 2030 is an example of the commitment to become more impact-oriented and is the by-product of a concerted effort to build a better bank amid the growing number of global challenges facing people and planet.
Japan announces Universal Health Care
Following the fireside, Shun’ichi Suzuki, Minister of Finance, Japan announced his country’s establishment of a Universal Health Care (UHC) Knowledge Hub to enhance health and finance ministries’ capacity, an initiative also supported by the Bank and WHO.
Two separate panel discussions ensued with country and civil society leaders discussing what it will take to build resilient health systems, expand coverage and improve the health of people—especially the most vulnerable—so that countries can thrive.
Dr Muhammad Pate, Minister of Health, Nigeria echoed the importance of political will and spoke about Nigeria’s reforms and the plan to expand quality basic health care to citizens in an affordable way, enabled by technology, a skilled workforce and geared toward improving concrete outcomes.
“On our path to UHC, these reforms are getting us closer to saving more lives, reducing physical and financial pain, producing health, and we do it for all Nigerians, so that we don’t leave anyone behind,” Dr Pate said.
As finance minister of Indonesia, Sri Mulyani Indrawati said her country’s decision to invest in health is also an economic decision, since health is a cornerstone of human capital, in turn a cornerstone of inclusive economic growth.
“Universal health access is costly, but the rate of return is very high,” Indrawati said.
“We are living in fragile times; it’s easy to give up hope, but there’s a lot to be hopeful for,” said Senait Fisseha, Vice President of Global Programs, Susan Thompson Buffett Foundation. “We need to keep investing in a way that allows governments a country-led process, to achieve universal health coverage for all.”
Dr Fisseha highlighted the importance of developing health systems with primary health care and integrated delivery as the focus instead of the disconnected “vertical programming” that exists in many developing countries. Investing in universal health coverage also serves to reach more women at scale, improving gender equity.
Mohamed Maait Minister of Finance, Egypt shared in detail how his country revamped the health system so that citizens can obtain health services where they prefer, thereby enabling competition between public and private providers that keeps service quality high. Lamia Tazi, CEO, Sothema, a pharmaceutical company in Morocco, spoke of the importance of creating a local R&D ecosystem and local manufacturing that assists in high quality and low costs.
On the challenge of financing, a theme that all panelists returned to multiple times, Joanne Carter, Executive Director of RESULTS, called on the international community and donors to support a strong IDA replenishment and more grant and concessional funding for poor countries, while also ensuring the financing reaches the most marginalized through strong primary care as the foundation.
Carter lauded the work of the Global Financing Facility for Women, Children and Adolescents (GFF), a global partnership housed at the World Bank for its focus on primary health care and said the fund could play a key role in crowding in more funding for health.
“We need donors to do their part,” Carter said. “Doubling our ambition and reaching the 1.5 billion people with services won’t be possible without the funding to match it.” [IDN-InDepthNews]
YotTube screenshot of “Transforming Challenge into Action: Expanding Health Coverage for All” event of the World Bank Group 2024 Spring Meetings.
IDN is the flagship agency of the Non-profit International Press Syndicate.
