Many of the debates on healthcare for everyone (universal health coverage) address the needs of middle-income countries and emerging economies. How to realize universal health coverage in fragile and transitional states is largely unknown. Therefore, Cordaid commissioned a study to investigate the possibilities.
The two general aims of this qualitative study were to understand and advance universal health coverage (UHC) in fragile and transitional states and to articulate the specific roles which civil society organizations – from local to international – may play in the process.
The report shows that for fragile and transitional states, the road to achieving UHC will be more complex, requiring an increased focus on community needs and national ownership in the design and implementation of health policies. Therefore, the international community – funders and NGOs alike – have to ensure that the pathway to UHC in fragile and transitional states will be given the extra attention and tailored support that it needs, taking into account their particular challenges and requirements.
The findings of the qualitative study inspire Cordaid to further its mission on building flourishing communities by:
- Focusing more on providing capacity development to local organizations and communities involved in policy dialogues.
- Supporting national governments through technical assistance in formulating better and more responsive policies for universal health coverage.
- Making the link with the international level by advocating for a rethink of existing approaches on universal health coverage in fragile and transitional countries.
- Capitalizing on the opportunities that the UHC discourse and activities provide for restoring state – civil society relations within countries.