Health Financing Fragmentation and Universal Health Coverage in Brazil, Colombia, Mexico and India
2025 Annual Project meeting in Brazil
Partners gathered in São Paulo for the project's annual meeting
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
Socioeconomic inequalities in infant mortality in Colombia: a nationwide cohort study during 10 years
Authors: Giancarlo Buitrago, Carol Guarnizo-Herreño, Javier Eslava-Schmalbach
Published in: BMJ Global Health. 2025;10:e018526
Association of healthcare fragmentation with three-year survival among kidney transplant recipients in Colombia
Authors: Luis Manuel Barrera-Lozano,Daniela Sánchez-Santiesteban,Giancarlo Buitrago
Published in: PLoS One 20(8): e0316418
Is it rational? The rationalist approach in the design of health policies in Brazil, Colombia, and Mexico
Authors: Laura Flamand, Ana Paulina González Arroyo
Published in: Handbook of Public Policy in Latin America, 2025, Chapter 13
Development of an instrument for the measurement of patients’ perception of care integration within the cardio-cerebrovascular services pathway
Authors: Sandra Marcela Camacho-Rojas, Diana Margarita Pinto-Masis, Steffany Lorena Villate-Soto, Ricardo Sánchez-Pedraza, María José Hoyos-Bedoya
Published in: Revista Facultad Nacional de Salud Pública, v. 43, e357617
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)
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
News
2025 Annual Project meeting in Brazil
Partners gathered in São Paulo for the project's annual meeting
How to measure patients’ perspectives on health care?
New publication from UNAL researchers on the development of an innovative tool aimed at capturing patients' perception
Diana Pinto participates in Health Systems and Reform special issue launch event
The webinar will take place on March 6 and will gather policymakers, researchers and practitioners
Getting to know more about India’s efforts to tackle healthcare fragmentation
Our partners foster dialogue among policymakers, researchers, and healthcare practitioners, ensuring that knowledge translates into actionable solutions
Colombia leads the charge in addressing healthcare fragmentation with new research and policy insights
The release of a research brochure and detailed progress update from Universidad Nacional de Colombia showcases our partner’s commitment to strengthening healthcare financing and access
Prof. Laura Flamand discusses resilient Health System Reforms at HSR 2024
The session explored the political complexities of health reform implementation, offering diverse perspectives and actionable insights
