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• W4285891161 abstract "The visionIn 2019, Member States of the WHO Western Pacific Region (WPR) adopted the For the Future vision to create a healthier and safer region. The vision requires acting “today to address the challenges of tomorrow” and outlines the major public health priorities: health security, climate change and the environment, noncommunicable diseases (NCDs) and ageing, and reaching the unreached. 1For the Future- Towards the Healthiest and Safest vision for WHO work with Member States and partners in the Western Pacific (World Health Organisation, Western Pacific Region, 2020). Acting today means redoubling our collective efforts towards Universal Health Coverage (UHC) and achieving the Sustainable Development Goals (SDG) while also addressing current and future pandemics.In the For the Future vision:•Vital health services reach more people.•Everyone has access to vaccines preventing morbidity, disability and mortality.•No one risks impoverishment from seeking health care, and everyone benefits from UHC including social and financial protection.•Policies and environment supporting healthy lifestyles, markedly reducing NCD risks and prevalence.•Health systems are strong and resilient to detect and respond to public health threats; people live in healthy environments that mitigate the threats of climate change; and•All people, including the elderly, can live healthy, socially connected and productive lives.In the decade prior to the COVID-19 pandemic, the WPR achieved the largest absolute gain in UHC service indexes compared to other regions. 2Primary health care on the road to universal health coverage: 2019 Global Monitoring Report (WHO, 2019). This achievement however masks uneven progress and inequities which is likely to worsen as economic growth slows because of the pandemic. Prior to COVID-19, more than 1 in 5 households in some countries spent over 10% of their income on health care and across the region up to 60% of people couldn't access essential health services. 3Primary health care on the road to universal health coverage: 2019 Global Monitoring Report (WHO, 2019).The challenges to be faced today and tomorrow are unprecedented in scale and complexity. With inaction, there will inevitably be greater health and social inequities, gender inequalities, technology inequalities and social injustice. If different sectors do not work collectively under the principles of UHC, the risk of not reaching those most in need of health care is significant, compromising social and economic outcomes.Achieving the visionAs a result of the COVID-19 pandemic there is a heightened political awareness of how health impacts all sectors, and how important strong and resilient health systems are to overall social and economic development. There is therefore a unique opportunity to advocate for, and achieve, increased financing in health as part of governments’ overall investment in future peace and prosperity. To fully realise this opportunity, key actors outside health are to be engaged, promoting the urgent establishment of UHC and social protection thus creating the healthy future the world wants and needs for sustainable development.Collectively there is a need to accelerate pace and focus on:•Enhancing whole-of-government capacity to anticipate, prepare for and respond to future emergencies at national, subnational and local levels.•Re-envisioning health care and social support throughout the life course including embracing healthy ageing.•Developing sustainable and resilient health systems towards UHC that can achieve NCD prevention and promote immunisation and other preventive care, reduce child and maternal mortality, mitigate climate change, and ensure access to all people; and•Creating healthy environments and lifestyles in safe and supportive societies.Benefits of working collectivelyUHC and strong health systems, backed by social net policies, which is accessible especially to the most vulnerable are the foundations of our vision. Delivering this vision requires a multidisciplinary and cross-sectorial approach, and working collectively on future challenges. This translates to practical interventions such as strengthening laboratory capacity and collectively investing in integrated platforms rather than vertical disease approaches thus benefitting all relevant disease programmes. When working with primary health care workers, where multiple programs and strategies meet, adopt a patient-centred approach – for example, link NCD and communicable disease treatment and prevention and apply improved health literacy of healthy environments and lifestyles.Harnessing synergies and opportunities, with UHC and social protection as a platform, is critical to achieving the SDG targets. It is doubly so – as we rehabilitate our health services and programmes in a post-COVID 19 world – ensuring that the refreshed system is more equitable, responsive, accessible and affordable for all, with improved health outcomes. Ultimately, a collective and committed movement towards UHC is an investment in overall economic and social development which translates into a healthier, more productive and cohesive society.ContributorsAll the authors have contributed equally to the manuscript. The visionIn 2019, Member States of the WHO Western Pacific Region (WPR) adopted the For the Future vision to create a healthier and safer region. The vision requires acting “today to address the challenges of tomorrow” and outlines the major public health priorities: health security, climate change and the environment, noncommunicable diseases (NCDs) and ageing, and reaching the unreached. 1For the Future- Towards the Healthiest and Safest vision for WHO work with Member States and partners in the Western Pacific (World Health Organisation, Western Pacific Region, 2020). Acting today means redoubling our collective efforts towards Universal Health Coverage (UHC) and achieving the Sustainable Development Goals (SDG) while also addressing current and future pandemics.In the For the Future vision:•Vital health services reach more people.•Everyone has access to vaccines preventing morbidity, disability and mortality.•No one risks impoverishment from seeking health care, and everyone benefits from UHC including social and financial protection.•Policies and environment supporting healthy lifestyles, markedly reducing NCD risks and prevalence.•Health systems are strong and resilient to detect and respond to public health threats; people live in healthy environments that mitigate the threats of climate change; and•All people, including the elderly, can live healthy, socially connected and productive lives.In the decade prior to the COVID-19 pandemic, the WPR achieved the largest absolute gain in UHC service indexes compared to other regions. 2Primary health care on the road to universal health coverage: 2019 Global Monitoring Report (WHO, 2019). This achievement however masks uneven progress and inequities which is likely to worsen as economic growth slows because of the pandemic. Prior to COVID-19, more than 1 in 5 households in some countries spent over 10% of their income on health care and across the region up to 60% of people couldn't access essential health services. 3Primary health care on the road to universal health coverage: 2019 Global Monitoring Report (WHO, 2019).The challenges to be faced today and tomorrow are unprecedented in scale and complexity. With inaction, there will inevitably be greater health and social inequities, gender inequalities, technology inequalities and social injustice. If different sectors do not work collectively under the principles of UHC, the risk of not reaching those most in need of health care is significant, compromising social and economic outcomes. In 2019, Member States of the WHO Western Pacific Region (WPR) adopted the For the Future vision to create a healthier and safer region. The vision requires acting “today to address the challenges of tomorrow” and outlines the major public health priorities: health security, climate change and the environment, noncommunicable diseases (NCDs) and ageing, and reaching the unreached. 1For the Future- Towards the Healthiest and Safest vision for WHO work with Member States and partners in the Western Pacific (World Health Organisation, Western Pacific Region, 2020). Acting today means redoubling our collective efforts towards Universal Health Coverage (UHC) and achieving the Sustainable Development Goals (SDG) while also addressing current and future pandemics. In the For the Future vision:•Vital health services reach more people.•Everyone has access to vaccines preventing morbidity, disability and mortality.•No one risks impoverishment from seeking health care, and everyone benefits from UHC including social and financial protection.•Policies and environment supporting healthy lifestyles, markedly reducing NCD risks and prevalence.•Health systems are strong and resilient to detect and respond to public health threats; people live in healthy environments that mitigate the threats of climate change; and•All people, including the elderly, can live healthy, socially connected and productive lives. In the decade prior to the COVID-19 pandemic, the WPR achieved the largest absolute gain in UHC service indexes compared to other regions. 2Primary health care on the road to universal health coverage: 2019 Global Monitoring Report (WHO, 2019). This achievement however masks uneven progress and inequities which is likely to worsen as economic growth slows because of the pandemic. Prior to COVID-19, more than 1 in 5 households in some countries spent over 10% of their income on health care and across the region up to 60% of people couldn't access essential health services. 3Primary health care on the road to universal health coverage: 2019 Global Monitoring Report (WHO, 2019). The challenges to be faced today and tomorrow are unprecedented in scale and complexity. With inaction, there will inevitably be greater health and social inequities, gender inequalities, technology inequalities and social injustice. If different sectors do not work collectively under the principles of UHC, the risk of not reaching those most in need of health care is significant, compromising social and economic outcomes. Achieving the visionAs a result of the COVID-19 pandemic there is a heightened political awareness of how health impacts all sectors, and how important strong and resilient health systems are to overall social and economic development. There is therefore a unique opportunity to advocate for, and achieve, increased financing in health as part of governments’ overall investment in future peace and prosperity. To fully realise this opportunity, key actors outside health are to be engaged, promoting the urgent establishment of UHC and social protection thus creating the healthy future the world wants and needs for sustainable development.Collectively there is a need to accelerate pace and focus on:•Enhancing whole-of-government capacity to anticipate, prepare for and respond to future emergencies at national, subnational and local levels.•Re-envisioning health care and social support throughout the life course including embracing healthy ageing.•Developing sustainable and resilient health systems towards UHC that can achieve NCD prevention and promote immunisation and other preventive care, reduce child and maternal mortality, mitigate climate change, and ensure access to all people; and•Creating healthy environments and lifestyles in safe and supportive societies. As a result of the COVID-19 pandemic there is a heightened political awareness of how health impacts all sectors, and how important strong and resilient health systems are to overall social and economic development. There is therefore a unique opportunity to advocate for, and achieve, increased financing in health as part of governments’ overall investment in future peace and prosperity. To fully realise this opportunity, key actors outside health are to be engaged, promoting the urgent establishment of UHC and social protection thus creating the healthy future the world wants and needs for sustainable development. Collectively there is a need to accelerate pace and focus on:•Enhancing whole-of-government capacity to anticipate, prepare for and respond to future emergencies at national, subnational and local levels.•Re-envisioning health care and social support throughout the life course including embracing healthy ageing.•Developing sustainable and resilient health systems towards UHC that can achieve NCD prevention and promote immunisation and other preventive care, reduce child and maternal mortality, mitigate climate change, and ensure access to all people; and•Creating healthy environments and lifestyles in safe and supportive societies. Benefits of working collectivelyUHC and strong health systems, backed by social net policies, which is accessible especially to the most vulnerable are the foundations of our vision. Delivering this vision requires a multidisciplinary and cross-sectorial approach, and working collectively on future challenges. This translates to practical interventions such as strengthening laboratory capacity and collectively investing in integrated platforms rather than vertical disease approaches thus benefitting all relevant disease programmes. When working with primary health care workers, where multiple programs and strategies meet, adopt a patient-centred approach – for example, link NCD and communicable disease treatment and prevention and apply improved health literacy of healthy environments and lifestyles.Harnessing synergies and opportunities, with UHC and social protection as a platform, is critical to achieving the SDG targets. It is doubly so – as we rehabilitate our health services and programmes in a post-COVID 19 world – ensuring that the refreshed system is more equitable, responsive, accessible and affordable for all, with improved health outcomes. Ultimately, a collective and committed movement towards UHC is an investment in overall economic and social development which translates into a healthier, more productive and cohesive society. UHC and strong health systems, backed by social net policies, which is accessible especially to the most vulnerable are the foundations of our vision. Delivering this vision requires a multidisciplinary and cross-sectorial approach, and working collectively on future challenges. This translates to practical interventions such as strengthening laboratory capacity and collectively investing in integrated platforms rather than vertical disease approaches thus benefitting all relevant disease programmes. When working with primary health care workers, where multiple programs and strategies meet, adopt a patient-centred approach – for example, link NCD and communicable disease treatment and prevention and apply improved health literacy of healthy environments and lifestyles. Harnessing synergies and opportunities, with UHC and social protection as a platform, is critical to achieving the SDG targets. It is doubly so – as we rehabilitate our health services and programmes in a post-COVID 19 world – ensuring that the refreshed system is more equitable, responsive, accessible and affordable for all, with improved health outcomes. Ultimately, a collective and committed movement towards UHC is an investment in overall economic and social development which translates into a healthier, more productive and cohesive society. ContributorsAll the authors have contributed equally to the manuscript. All the authors have contributed equally to the manuscript. We declare no competing interests." @default.
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• W4285891161 title "UHC—The critical platform towards a healthier and safer future in 2030 and beyond" @default.
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