Table 1 Ten indicators for UHC based on the Right to Health [17]
Indicator | Underlying legal principle |
|---|---|
1. Existence of a legal mandate for UHC in the country | Minimum core obligation / progressive realization |
2. Extent of coverage in terms of depth (which services are covered) | Minimum core obligation / progressive realization |
3. Extent of coverage in terms of breadth with attention to equity (who is insured) | Minimum core obligation / progressive realization |
4. Extent of coverage in terms of height with focus on reduction in share of OOPP for health care (what proportion of costs are covered) | Minimum core obligation / progressive realization |
5. Commitment of adequate resources to deliver UHC with focus on percentage of gross national product for healthcare | Minimum core obligation / progressive realization |
6. Cost-effectiveness with attention to equity | Cost-effectiveness / nondiscrimination |
7. International assistance as a percentage of GDP | Shared responsibility |
8. Existence of an international development policy explicitly including specific provisions to promote and protect the right to health | Shared responsibility |
9. Service Availability and Readiness Assessments (SARA)a on participatory decision making | Participatory decision making / nondiscrimination |
10. SARA assessment on prioritization of marginalized groups | Attention to vulnerable and marginalized groups / nondiscrimination |