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Health status and health systems financing in the MENA region: roadmap to universal health coverage

Overview of attention for article published in Global Health Research and Policy, September 2017
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2 tweeters

Citations

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3 Dimensions

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23 Mendeley
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Title
Health status and health systems financing in the MENA region: roadmap to universal health coverage
Published in
Global Health Research and Policy, September 2017
DOI 10.1186/s41256-017-0044-9
Pubmed ID
Authors

Eyob Zere Asbu, Maysoun Dimachkie Masri, Amer Kaissi

Abstract

Since the declaration of the Millennium Development Goals (MDGs) in 1990, many countries of the Middle East and North Africa (MENA) region made some improvements in maternal and child health and in tackling communicable diseases. The transition to the global agenda of Sustainable Development Goals brings new opportunities for countries to move forward toward achieving progress for better health, well-being, and universal health coverage. This study provides a profile of health status and health financing approaches in the MENA region and their implications on universal health coverage. Time-series data on socioeconomics, health expenditures, and health outcomes were extracted from databases and reports of the World Health Organization, the World Bank and the United Nations Development Program and analyzed using Stata 12 statistical software. Countries were grouped according to the World Bank income categories. Descriptive statistics, tables and charts were used to analyze temporal changes and compare the key variables with global averages. Non-communicable diseases (NCDs) and injuries account for more than three quarters of the disability-adjusted life years in all but two lower middle-income countries (Sudan and Yemen). Prevalence of risk factors (raised blood glucose, raised blood pressure, obesity and smoking) is higher than global averages and counterparts by income group. Total health expenditure (THE) per capita in most of the countries falls short of global averages for countries under similar income category. Furthermore, growth rate of THE per capita has not kept pace with the growth rate of GDP per capita. Out-of-pocket spending (OOPS) in all but the high-income countries in the group exceeds the threshold for catastrophic spending implying that there is a high risk of households getting poorer as a result of paying for health care. The alarmingly high prevalence of NCDs and injuries and associated risk factors, health spending falling short of the GDP and GDP growth rate, and high OOPS pose serious challenges for universal health coverage. Using multi-sector interventions, countries should develop and implement evidence-informed health system financing roadmaps to address these obstacles and move forward toward universal health coverage.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 23 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 23 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 9 39%
Unspecified 4 17%
Other 4 17%
Professor > Associate Professor 2 9%
Student > Ph. D. Student 2 9%
Other 2 9%
Readers by discipline Count As %
Medicine and Dentistry 7 30%
Unspecified 6 26%
Nursing and Health Professions 3 13%
Social Sciences 3 13%
Pharmacology, Toxicology and Pharmaceutical Science 2 9%
Other 2 9%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 September 2017.
All research outputs
#9,031,971
of 11,761,460 outputs
Outputs from Global Health Research and Policy
#50
of 55 outputs
Outputs of similar age
#177,257
of 264,741 outputs
Outputs of similar age from Global Health Research and Policy
#7
of 7 outputs
Altmetric has tracked 11,761,460 research outputs across all sources so far. This one is in the 20th percentile – i.e., 20% of other outputs scored the same or lower than it.
So far Altmetric has tracked 55 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.6. This one is in the 9th percentile – i.e., 9% of its peers scored the same or lower than it.
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