Three case studies in making fair choices on the path to universal health coverage

Alex Voorhoeve, Tessa Tan Torres Edejer, Lydia Kapiriri, Ole F. Norheim, James Snowden, Olivier Basenya, Dorjsuren Bayarsaikhan, Ikram Chentaf, Nir Eyal, Amanda Folsom, Rozita Halina Tun Hussein, Cristian Morales, Florian Ostmann, Trygve Ottersen, Phusit Prakongsai, Carla Saenz, Karima Saleh, Angkana Sommanustweechai, Daniel Wikler, Afisah Zakariah

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8 Scopus citations


The goal of achieving Universal Health Coverage (UHC) can generally be realized only in stages. Moreover, resource, capacity, and political constraints mean governments often face difficult trade-offs on the path to UHC. In a 2014 report, Making fair choices on the path to UHC, the WHO Consultative Group on Equity and Universal Health Coverage articulated principles for making such trade-offs in an equitable manner. We present three case studies which illustrate how these principles can guide practical decision-making. These case studies show how progressive realization of the right to health can be effectively guided by priority-setting principles, including generating the greatest total health gain, priority for those who are worse off in a number of dimensions (including health, access to health services, and social and economic status), and financial risk protection. They also demonstrate the value of a fair and accountable process of priority setting.

Original languageEnglish (US)
Pages (from-to)11-22
Number of pages12
JournalHealth and Human Rights
Issue number2
StatePublished - Dec 2016
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Political Science and International Relations
  • Sociology and Political Science

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    Voorhoeve, A., Edejer, T. T. T., Kapiriri, L., Norheim, O. F., Snowden, J., Basenya, O., Bayarsaikhan, D., Chentaf, I., Eyal, N., Folsom, A., Tun Hussein, R. H., Morales, C., Ostmann, F., Ottersen, T., Prakongsai, P., Saenz, C., Saleh, K., Sommanustweechai, A., Wikler, D., & Zakariah, A. (2016). Three case studies in making fair choices on the path to universal health coverage. Health and Human Rights, 18(2), 11-22.