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
From Fragmentation to Integration: Patient-reported Access to Cardiovascular Care in Colombia’s Primary Health System
Authors: Sandra Camacho, Diana Pinto Masis, Javier Amaya-Nieto, Steffany Villate-Soto, Nicolle Stefania Quintero Motta, Francy Perdomo Alarcón, Carmen Hernandez Vargas
Published in: Pan American Journal of Public Health. 2026;50:e6
Catastrophic and impoverishing health expenditures in fragmented public health systems: lessons from Mexico, 2000–2022
Authors: Diego Cerecero-García, Octavio Gómez-Dantés, Thomas Hone, Carlos Pineda-Antúnez, Alejandro Mohar-Betancourt, Laura Flamand, Edson Serván-Mori
Published in: Health Economics Review. 2026
Health financing inequality in fragmented health systems: evidence from Mexico, 2000–2023
Authors: Edson Serván-Mori, Diego Cerecero-García, Carlos Pineda-Antúnez, Stephen Jan, Thomas Hone, Laura Flamand, Alejandro Mohar-Betancourt, Miguel Ángel Mendoza, Judith Méndez, Rocio Garcia-Diaz, Octavio Gómez-Dantés
Published in: International Journal for Equity in Health. 2026
Fragmented healthcare and effective maternal coverage in Mexico, 2009–2023
Authors: Edson Serván-Mori, Diego Cerecero-García, Thomas Hone, Arachu Castro, Rocio Garcia-Diaz, Christopher Millett, Alejandro Mohar-Betancourt, Octavio Gómez-Dantés
Published in: BMC Medicine. 2026
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
