Progress in universal health in the Americas: addressing unmet healthcare needs, gaps in coverage, and lack of financial protection through primary health care

Abstract

Achieving universal access to health and universal health coverage (universal health) means ensuring that all people and communities have access without facing any type of discrimination or access barrier to comprehensive, appropriate, and timely quality health services. This publication utilizes the most recent data to provide a detailed analysis of the current state of universal health in the Region of the Americas. It focuses on three key indicators, unmet healthcare needs, coverage of essential health services, and financial protection, and identifies key policy implications and recommendations for future action. The data presented not only provide a broad overview of progress toward universal health goals but also highlight significant areas of concern regarding unmet healthcare needs and identifies specific populations that are at risk of experiencing financial hardship due to health expenses. In addition, the results establish a vital baseline for future monitoring and evaluation efforts. Strengthening primary health care (PHC) and prioritizing health equity are essential for the Region’s pursuit of a sustainable and inclusive path toward universal health, ensuring that every individual is able to attain the highest standard of health and well-being. A critical aspect of advancing universal health through PHC is the adoption of a territorial approach, which recognizes the diverse health needs and contexts that exist within countries. The information presented in this publication is instrumental in guiding regional and national health policies aimed at enhancing universal health outcomes throughout the Americas.