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

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2025 Annual Project meeting in Brazil

Partners gathered in São Paulo for the project's annual meeting

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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

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

  • cardio-cerebrovascular pathway
  • Colombia
  • continuity of patient care
  • delivery of health care
  • patient-centered care
  • validation study

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

News

Updates | 01/06/2025

2025 Annual Project meeting in Brazil

Partners gathered in São Paulo for the project's annual meeting

Article | 19/03/2025

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

  • Colombia
  • delivery of health care
  • patient-centered care
  • publication
Colombia | 05/03/2025

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

  • Colombia
  • health system reform
  • HSR
  • publication
  • UHC
  • webinar
India | 25/01/2025

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

  • India
  • newsletter
  • progress report
Colombia | 18/01/2025

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

  • Colombia
  • newsletter
  • progress report
Conferences | 20/11/2024

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

  • conference
  • HSR