• Lancet · Oct 2018

    Building the case for embedding global health security into universal health coverage: a proposal for a unified health system that includes public health.

    • Ngozi A Erondu, Jerry Martin, Robert Marten, Gorik Ooms, Robert Yates, and David L Heymann.
    • Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK; Centre on Global Health Security, The Royal Institute of International Affairs, Chatham House, London, UK. Electronic address: ngozi.erondu@lshtm.ac.uk.
    • Lancet. 2018 Oct 20; 392 (10156): 1482-1486.

    AbstractIn the wake of the recent west African Ebola epidemic, there is global consensus on the need for strong health systems; however, agreement is less apparent on effective mechanisms for establishing and maintaining these systems, particularly in resource-constrained settings and in the presence of multiple and sustained stresses (eg, conflict, famine, climate change, and globalisation). The construction of the International Health Regulations (2005) guidelines and the WHO health systems framework, has resulted in the separation of public health functions and health-care services, which are interdependent in actuality and must be integrated to ensure a continuous, unbroken national health system. By analysing efforts to strengthen health systems towards attaining universal health coverage and investments to improve global health security, we examine areas of overlap and offer recommendations for construction of a unified national health system that includes public health. One way towards achieving universal health coverage is to broaden the definition of a health system.Copyright © 2018 Elsevier Ltd. All rights reserved.

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