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Universal Health Coverage Measurement in a Lower-Middle-Income Context: A Senegalese Case Study

Justin Tine, Sophie Faye, Sharon Nakhimovsky, and Laurel Hatt


June 30, 2015
USAID’s Health Finance and Governance (HFG) project will help to improve health in developing countries by expanding people’s access to health care. Led by Abt Associates, the project team will work with partner countries to increase their domestic resources for health, manage those precious resources more effectively, and make wise purchasing decisions. 

The concept of universal health coverage (UHC) – a health system where everyone has access to the services they need and can take advantage of them without risk of financial impoverishment – has been espoused by countries across income levels and in all regions of the world. To advance the global discussion on the availability, feasibility, and relevance of various candidate indicators for UHC measurement, the HFG project conducted a case study in Senegal. The objective was to gather the views of the stakeholders on the ground, and those of other partners, regarding the relevance of the WHO indicators and stakeholders’ preferences for particular indicators, as well as to analyze the country’s capacity to provide the information.