Harmonizing Health Systems to Achieve Health for All

Harmonizing Health Systems to Achieve Health for All

This piece is part of our 2018 United Nations General Assembly series.

One year ago, after nearly a decade’s commitment to advancing the Universal Health Coverage (UHC) movement, The Rockefeller Foundation’s health team asked itself what it could do in the next 10 years to advance progress on SDG 3 and move closer to making “health for all” a reality. In pursuit of an answer, we spoke to experts around the globe, scanned recent and emerging research, workshopped hypotheses with health programs in various countries, and considered solutions proposed by innovators within and beyond the health sector.

At the start, the horizon for an entry point seemed limitless. But the underpinnings of this initial research validated our commitment to seek a different perspective – that of the people living and working in the communities we hoped to reach through our efforts. [...]

Without clear coordination among the donors funding these programs, none of the information that Esnat collects, on paper or by phone, flows into a single data platform that can provide a holistic view of a person’s health or a population’s health needs—let alone a dashboard that is easily accessible to the patient, the provider, the donors, or the government. [...]

Esnat’s data challenges might impact the quality of care she can deliver. But we saw something else that day that underscored the consequences of this fragmented health system—we saw who gets left behind. [...]

Our evolving health initiative aims to take this fragmented system and optimize it through digital tools and data systems that will directly address the inefficiency of building a health system for one population at the expense of another. [...]

Integrated, digitally-enabled community health systems could be a critical next step in advancing the work we’ve already begun through our advocacy for UHC and SDG 3 more broadly, and a means to truly ensure good health for all translates to all lives on the ground.

This piece was also part of a month-long focus on health in the lead up to the 2018 World Health Assembly in May 2018.

Nikita Japra

Program Associate, The Rockefeller Foundation

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