Health Financing Fragmentation and Universal Health Coverage in Brazil, Colombia, Mexico and India

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Funded by the Global Health Policy and Systems Research Programme by the National Institute for Health and Care Research, the Health System Fragmentation and Universal Health Coverage in Brazil, Colombia, Mexico and India is a four-year research programme that began in 2022 and is rooted in Brazil, Colombia, Mexico and India, which are global exemplars for studying how financing fragmentation impacts health system goals, including UHC.

Our Research Partners

This project is a collaborative effort between institutions in five countries:

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Publications Highlights

Strengthening the Resilience of Objective-Oriented Health System Reforms. Analysis of the Left-Turn in the Health Reform Proposals in Mexico (2019) and Colombia (2023)

Authors: Laura Flamand, Octavio Gómez-Dantés, Natalia Losada-Trujillo, Diana Pinto,Edson Serván-Mori, Diego Cerecero-García, Thomas Hone, Sumit Mazumdar

Published in: Health Systems & Reform, 10(3)

  • Colombia
  • health system financing
  • health system reform
  • mexico
  • political economy

Health system financing fragmentation and maternal mortality transition in Mexico, 2000–2022

Authors: Edson Serván-Mori, Carlos Pineda-Antúnez, Diego Cerecero-García, Laura Flamand, Alejandro Mohar-Betancourt, Christopher Millett, Thomas Hone, Rodrigo Moreno-Serra, Octavio Gómez-Dantés

Published in: International Journal for Equity in Health 24, 32

  • health system financing
  • health system fragmentation
  • maternal mortality
  • mexico
  • mortality
  • mortality inequalities

Mexico’s Health System, 2023

Authors: Octavio Gómez-Dantés, Edson Serván-Mori, Diego Cerecero, Laura Flamand, Alejandro Mohar

Published in: Salud Pública de México, 67(1), pp. 91-105

  • financial protection
  • health conditions
  • health expenditures
  • health system
  • Mexican health system
  • mexico
  • regulation

Progress towards universal health coverage and inequalities in infant mortality: an analysis of 4·1 million births from 60 low-income and middle-income countries between 2000 and 2019

Authors: Thomas Hone, Judite Gonçalves, Paraskevi Seferidi, Rodrigo Moreno-Serra, Rudi Rocha, Indrani Gupta, Vinayak Bhardwaj, Taufik Hidayat, Chang Cai, Marc Suhrcke

Published in: The Lancet Global Health, Volume 12, Issue 5, e744 - e755

  • infant mortality
  • LMIC
  • mortality inequalities
  • UHC

Association of healthcare fragmentation and the survival of patients with colorectal cancer in Colombia

Authors: Andrés Felipe Patiño-Benavidez, Giancarlo Buitrago, Nicolás Rozo-Agudelo, Laura Estefanía Saldaña-Espinel, Óscar Andrés Gamboa-Garay, Javier Eslava-Schmalbach, Carlos Bonilla-González, Óscar Guevara-Cruz, Rubén Ernesto Caycedo, Edgar Germán Junca, Ricardo Sánchez-Pedraza

Published in: Value in Health Regional Issues, Volume 41, 63-71

  • cancer
  • Colombia
  • healthcare fragmentation
  • patient outcomes

Racial inequalities in mental healthcare use and mortality: a cross-sectional analysis of 1.2 million low-income individuals in Rio de Janeiro, Brazil 2010–2016

Authors: Sophia Medeiros, Rony Coelho, Christopher Millett, Valeria Saraceni, Claudia Medina Coeli, Anete Trajman, Davide Rasella, Betina Durovni, Thomas Hone

Published in: BMJ Global Health, 8, e013327

  • LMIC
  • mental health
  • mortality inequalities
  • patient outcomes
  • primary healthcare
  • racial inequalities