Approaches to achieving universal coverage in health care : summary of key points and action items

The conference provided opportunities for open debate on the efficiency and applicability of health financing mechanisms, paying particular attention to issues surrounding user fees, health insurance, and the allocations of public budgets with a focus on priority health interventions. Some of the determinants of transition to universal coverage include sustained economic growth; a growing workforce in formal employment; existence of trade unions; availability of skilled personnel; degree of solidarity in society; and, government stewardship. The financial viability of community health insurance (CHI) received special attention in the presentations and debate