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
Local governance dynamics in the Colombian health system: an exploratory cross-sectional study among public health sector officials
Authors: Natalia Losada-Trujillo, Javier Eslava-Schmalbach, Carol C Guarnizo-Herreño
Published in: Journal of Public Health Policy. 2026
Political and institutional determinants of the Colombian health system financing fragmentation: an exploratory qualitative study of stakeholders’ and policymakers’ perspectives
Authors: Natalia Losada-Trujillo, Carol C Guarnizo-Herreño, Javier Eslava-Schmalbach, Luis Alberto Sánchez-Alfaro
Published in: BMC Health Services Research. 2026
¿Cubrimiento universal, acceso desigual? Efectos redistributivos de la igualación del Plan de Beneficios en Salud en Colombia
Authors: Buitrago G., Camacho S., Pinto D., Rodríguez-Lesmes P., Hone T.
Published in: Policy Brief
¿Puede el aseguramiento en salud mejorar la salud infantil de los bebés nacidos de madres migrantes venezolanas en Colombia? Evidencia de un estudio de cohorte nacional (2013–2020)
Authors: Espinosa O., Rodríguez-Lesmes P., Hone T., Millet C., Bejarano V., Eslava-Schmalbach J., Guarnizo-Herreño C., Buitrago G.
Published in: Policy Brief
¿Qué efectos tienen las reformas a políticas de salud? Evaluaciones a reformas en el ámbito nacional y local en Colombia
Authors: Pinto D., Buitrago G., Rodríguez-Lesmes P., Sánchez-Santiesteban D., Camacho S., Espinosa O., Bejarano V., Quintero-Motta NS., Castillo JS. Hone T., Millet C., Eslava-Schmalbach J., Guarnizo-Herreño C.
Published in: Policy Brief
Fortalecimiento de la Atención Primaria en Salud para Mejorar el Control de la Hipertensión: lecciones de la Reorganización del Sistema Público de Salud de Bogotá (2016–2018)
Authors: Sánchez-Santiesteban D., Hone T., Millet C., Buitrago G.
Published in: Policy Brief
News
Key takeaways from the “Health and Healthcare in West Bengal” Symposium
Academics, policymakers, and civil society partners gathered at the Amartya Sen Research Centre to discuss health financing, social protection, and primary care readiness
Aligning priorities for impact: India research team holds Reflection & Reset Circle at JGU
The research team behind the Health Financing Fragmentation study convened for a two-day collaborative retreat to strengthen partnerships and guide the project's next phase
Empowering local advocacy: Insights from the 3rd Budget Training Fellowship Workshop in Himachal Pradesh
Fellows, mentors, and advisors gathered in Nagwain to strengthen evidence-based advocacy and state-level health budget interventions
What chronic disease patients reveal about Colombia’s healthcare system
New joint research initiative with patient organizations highlights mounting barriers in care continuity, medication delivery, and health system fragmentation across Colombia
Shaping the Future of Health: Health Systems Reform Regional Webinar
How can Latin America reach Universal Health Coverage? See highlights from our webinar
2025 Annual Project meeting in Brazil
Partners gathered in São Paulo for the project's annual meeting
