Delivering a new era of reproductive health services


Universal health coverage will have a profound impact on how the service delivery sector does business, a shift that is firmly embraced by Marie Stopes International says Caitlin Mazzilli, Head of Health Financing


O


nly governments can ensure that universal health coverage (UHC) is achieved so that everyone can access the health services they need without suffering financial


hardship. But this doesn’t mean that the rest of us should leave governments to their own devices while we wait for UHC reforms to roll out. UHC will – and should – have a profound impact on how our service delivery sector does business. At Marie Stopes International, that’s exactly the shift we are embracing. Marie Stopes International has always had the


long-term vision that we will integrate with domestic financing as health systems develop. In the UK, where we opened our first ever clinic, we work on


over 70 NHS contracts. This represents 84 percent of Marie Stopes UK’s income, which means we can serve the vast majority of our clients free of charge. We know we can emulate this model in the rest of the world when the time is ripe, and this time is drawing nearer, driven largely by the UHC movement.


Domestic financing The UHC goal is that everyone has access to the health services they need without suffering financial hardship. Pursuing this goal very quickly leads governments to see the need for dramatic health financing reforms. In particular, UHC is giving rise to national insurance initiatives that allow health budgets to be spent on strategic purchasing of health services, rather than on keeping the doors open at public facilities alone. In many of the countries where Marie Stopes International works, between 40 to 70 percent of all health spending comes directly from people’s pockets and a large share of it is spent at private facilities. Tackling


66 Global Opportunity Healthcare 2015 | Issue 01 global-opportunity.co.uk


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Marie Stopes International


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