1. National Consultation

2. Custome Slide Outline Regional Strategy – Introduction – Background – Current situation: challenges in moving toward Universal Health Coverage – Strategic Lines Strategy Development: Road Map

3. Universal health coverage means that all people and communities have equitable access to the comprehensive, and guaranteed quality services that they need, throughout the life course, without financial hardship. It addresses the social determinants of health emphasizes on groups in conditions of poverty and vulnerability. Strategy for Universal Health Coverage Values Right to Health Equity Solidarity

4. Objective of the Strategy The Strategy defines the conditions sine qua non that will allow countries to focus their policies and measure the success and speed of their progress toward Universal Health Coverage.

5. Custome Slide Alma Ata 1978 PHC Renewal 2005 The PHC Reforms WHR 2008 Our history: from PHC to Universal Health Coverage

6. Custome Slide Rio Political Declaration on Social Determinants of Health (2011).Rio Political Declaration on Social Determinants of Health (2011). Rio+20 United Nations Conference on Sustainable Development (2012).Rio+20 United Nations Conference on Sustainable Development (2012). Debate on the Post-2015 development agenda.Debate on the Post-2015 development agenda. Member States Commitment at the 52nd. PAHO/WHO Directing Council (2013).Member States Commitment at the 52nd. PAHO/WHO Directing Council (2013). Background

7. Custome Slide Significant advances in recent history. Political commitment to response to the health needs of their population. Very high inequity levels in health outcomes. New epidemiological and demographic patterns. Problems of exclusion and lack of access to quality services Escalating costs: Health systems segmentation and fragmentation. Lack of regulatory capacity and integration. Lack of adequate financing and inefficiencies Strengthening of the stewardship and governance. Social Determinants. Strengthening intersectoral action to address the social determinants of health. Current situation: challenges in advancing toward Universal Health Coverage

8. Custome Slide Four Simultaneous and Interdependent Strategic Lines Strategic line 1: Expanding equitable access to comprehensive, quality, people- and community-centered health services. Strategic line 2: Strengthening stewardship and governance. Strategic line 3: Increasing and improving financing, promoting equity and efficiency, and eliminating out-of-pocket expenditure. Strategic line 4: Strengthening intersectoral action to address the social determinants of health.

9. Custome Slide Define the universal package of legally guaranteed services. Transform the organization and management of health services (IHSNs and PHC). Increase the investment in the first level of care Increase employment options at the first level of care. Ensure sufficient response capacity with access to health information and telehealth services Implement programs for the empowerment of people and communities. Expanding equitable access to comprehensive, quality, people and community centered health services

10. Custome Slide Strengthening stewardship and governance Establish formal mechanisms for broad-based social participation and ensure accountability Develop policies and plans that explicitly and clearly state the intention of the State to transform its health system to advance toward universal health coverage, established targets that can be monitored and evaluated. Develop a regulatory framework as an effective instrument for assuring the quality of care, the strengthening of public health functions and the governance. Strengthen national information systems to monitor and evaluate progress, including advances in equity

11. Custome Slide Increasing and improving financing, promoting equity and efficiency, without out-of-pocket expenditure Increase public expenditure on health equivalent to 6% of GDPIncrease public expenditure on health equivalent to 6% of GDP Eliminate direct payment at the point of service and replace it through a pre-paid integrated pool based on the principle of solidarityEliminate direct payment at the point of service and replace it through a pre-paid integrated pool based on the principle of solidarity Improve efficiency in financing and organization of the health system.Improve efficiency in financing and organization of the health system.

12. Custome Slide Strengthening Intersectoral action to address the social determinants of health Establish intersectoral coordination mechanisms. Generate evidence to support interinstitutional actions that have an impact on the health of people and communities; Promote Universal Health Coverage in the social protection programs, strengthen participation in social programs, including conditional cash transfers. Empower people and communities in order for them to understand health determinants and to play an active role in health promotion and protection.

13. SEP OCT AUG MAR MAY APRJUL JUN Regional and Subregional Consultations Setting up of the Member States Work Team Presentation of First Draft to EC and progress of National Consultations Analysis of National Consultations Finalization of Strategy Document and Resolution for DC Presentation of Document and Strategy to Directing Council National Consultations Setting up of the Internal Work Team Approval of the Table of Contents and Road Map First Draft of Strategy and Resolution RoadmapRoadmap

14. Custome Slide 14 Thanks!