Essential Diagnostics: A Key Element of Universal Health Coverage

Good primary care is an essential precondition for a decent healthcare system. In fact, primary health care is at the heart of Universal Health Coverage (UHC). UHC, in turn, is critical to achieve the sustainable development goals. While access to essential medicines is explicit in UHC, access to es...

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Main Authors: Madhukar Pai, Mikashmi Kohli
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-06-01
Series:Dr. Sulaiman Al Habib Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.2991/dsahmj.k.190225.001
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author Madhukar Pai
Mikashmi Kohli
author_facet Madhukar Pai
Mikashmi Kohli
author_sort Madhukar Pai
collection DOAJ
description Good primary care is an essential precondition for a decent healthcare system. In fact, primary health care is at the heart of Universal Health Coverage (UHC). UHC, in turn, is critical to achieve the sustainable development goals. While access to essential medicines is explicit in UHC, access to essential diagnostics has received little attention. In May 2018, the World Health Organization (WHO) published the first Essential Diagnostics List (EDL), and declared its commitment to give equal importance to diagnostic tests and essential medicines. The EDL has been positively received by a variety of stakeholders, including industry. The EDL offers countries a benchmark that they can use to measure and improve diagnostic services, and preliminary data from India show limited access to essential tests at the primary care level. Some countries, notably India, have already begun developing National EDLs (NEDLs). Hopefully, such national efforts will enable the implementation of EDLs, and improve access to diagnostics. It is time for Low- and Middle-Income Countries (LMICs) to not only increase coverage of health care, but also improve quality of care. Access to essential tests is the first key step in improving quality of care.
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spelling doaj-art-a26ed40f62434151a4ea6160dfb071322025-08-20T04:01:25ZengWolters Kluwer Medknow PublicationsDr. Sulaiman Al Habib Medical Journal2666-819X2590-33492019-06-0111-23710.2991/dsahmj.k.190225.001Essential Diagnostics: A Key Element of Universal Health CoverageMadhukar PaiMikashmi KohliGood primary care is an essential precondition for a decent healthcare system. In fact, primary health care is at the heart of Universal Health Coverage (UHC). UHC, in turn, is critical to achieve the sustainable development goals. While access to essential medicines is explicit in UHC, access to essential diagnostics has received little attention. In May 2018, the World Health Organization (WHO) published the first Essential Diagnostics List (EDL), and declared its commitment to give equal importance to diagnostic tests and essential medicines. The EDL has been positively received by a variety of stakeholders, including industry. The EDL offers countries a benchmark that they can use to measure and improve diagnostic services, and preliminary data from India show limited access to essential tests at the primary care level. Some countries, notably India, have already begun developing National EDLs (NEDLs). Hopefully, such national efforts will enable the implementation of EDLs, and improve access to diagnostics. It is time for Low- and Middle-Income Countries (LMICs) to not only increase coverage of health care, but also improve quality of care. Access to essential tests is the first key step in improving quality of care.https://journals.lww.com/10.2991/dsahmj.k.190225.001essential diagnostics tests global healthworld health organizationuniversal health coverage
spellingShingle Madhukar Pai
Mikashmi Kohli
Essential Diagnostics: A Key Element of Universal Health Coverage
Dr. Sulaiman Al Habib Medical Journal
essential diagnostics tests global health
world health organization
universal health coverage
title Essential Diagnostics: A Key Element of Universal Health Coverage
title_full Essential Diagnostics: A Key Element of Universal Health Coverage
title_fullStr Essential Diagnostics: A Key Element of Universal Health Coverage
title_full_unstemmed Essential Diagnostics: A Key Element of Universal Health Coverage
title_short Essential Diagnostics: A Key Element of Universal Health Coverage
title_sort essential diagnostics a key element of universal health coverage
topic essential diagnostics tests global health
world health organization
universal health coverage
url https://journals.lww.com/10.2991/dsahmj.k.190225.001
work_keys_str_mv AT madhukarpai essentialdiagnosticsakeyelementofuniversalhealthcoverage
AT mikashmikohli essentialdiagnosticsakeyelementofuniversalhealthcoverage