PhD Defense: Elhadj Mamadou Saliou Diallo

Three Essays on Progress Towards Universal Health Coverage in Developing Countries

Jury

Martine Audibert, Research Director, CERDI-CNRS
Jacky Mathonnat, Professor emeritus, CERDI-UCA
Bruno Boidin, Professor, Université de Lille
Fouzi Mourji, Professor, Université Hassan II Aïn Chock
Aurore Pelissier, Associate Professor, LEDI, Université Bourgogne Franche-Comté

Abstract

Many efforts and tremendous progress have been made in recent years by low-and middle- income countries towards universal health coverage. It is achieved when all individuals have access to quality health care when they need it, without incurring financial hardship. This thesis aims to measure the progress made by low- and middle-income countries in universal health coverage, deduce their determinants, and highlight the effect s of universal health coverage on health outcomes. The thesis is organized around three chapters. The first chapter documents the effect of out-of-pocket expenditures on poverty. The analysis aims to show the necessity to move towards universal health coverage by highlighting the effect of out-of-pocket expenditures on poverty. The objective of the second chapter is to show the factors that have explained the progress made by some countries in universal health coverage by analyzing the specific effect of government revenue. In addition, this chapter, unlike other studies, estimates the minimum level of government revenue (in percent of GDP) that low and middle-income countries should mobilize to make significant progress towards universal health coverage. Finally, chapter three examines the effect of progress towards universal health coverage on health status.

Keywords

Universal health coverage; poverty; out-of-pocket expenditures; government revenue; government revenue instability; government expenditures instability; low-and- middle-income countries;under-five mortality; maternal mortality; quality of regulation.

theses.fr/en/s181527