Factors Affecting Financial Deficit in the Universal Health Coverage in Developing Countries: A Systematic Review


Muhammadi, Atik Nurwahyuni

 

Faculty of Public Health, Universitas Indonesia

 

ABSTRACT

Background: Many countries are threatened and challenged in implementing Universal Health Coverage (UHC). The goal of UHC is hard to reach in many developing countries. Some of them are due to financial problem. UHC requires adequate financial resources to pay for the necessary health services. This study aimed to determine the factors affecting financial deficit in the universal health coverage implementation in developing countries.

Subjects and Method: This was a systematic review conducted by searching articles form 3 electronic databases, including ProQuest, PubMed, and Google Scholar. The keywords were “universal health coverage”, “national health insurance”, “financial deficit”, “contributory factors”, and “developing countries”. The dependent variable was financial deficit. The articles were collected using PRISMA flow diagram.

Results: Twelve articles reported that factors affecting financing deficit in the universal health coverage implementation in developing countries.  Three articles discussed government responsibility. Two articles discussed quality of nursing service. Other articles discussed community participation, insurance scheme, and changes of disease pattern.

Conclusion: Factors affecting financing deficit in the universal health coverage implementation in developing countries are: (1) Government responsibility; (2) Quality of health care; (3) Community participation; (4) Insurance scheme; and (5) Changes of disease distribution.

Keywords: financing deficit, universal health coverage, national health insurance, developing countries

Correspondence: Muhammadi, Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia. Email: muhammadi71@ui.ac.id. Mobile: +6285263179049.

DOI: https://doi.org/10.26911/the6thicph.04.32

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