@article{fdi:010077899,
  title = {{H}ow is equity approached in universal health coverage ? : an analysis of global and country policy documents in {B}enin and {S}enegal},
  author = {{P}aul, {E}. and {D}eville, {C}. and {B}odson, {O}. and {S}ambieni, {N}. {E}. and {T}hiam, {I}. and {B}ourgeois, {M}. and {R}idde, {V}al{\'e}ry and {F}echer, {F}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {E}quity seems inherent to the pursuance of universal health coverage ({UHC}), but it is not a natural consequence of it. {W}e explore how the multidimensional concept of equity has been approached in key global {UHC} policy documents, as well as in country-level {UHC} policies. {M}ethods: {W}e analysed a purposeful sample of {UHC} reports and policy documents both at global level and in two {W}estern {A}frican countries ({B}enin and {S}enegal). {W}e manually searched each document for its use and discussion of equity and related terms. {T}he content was summarised and thematically analysed, in order to comprehend how these concepts were understood in the documents. {W}e distinguished between the level at which inequity takes place and the origin or types of inequities. {R}esults: {M}ost of the documents analysed do not define equity in the first place, and speak about "health inequities" in the broad sense, without mentioning the dimension or type of inequity considered. {S}ome dimensions of equity are ambiguous - especially coverage and financing. {M}any documents assimilate equity to an overall objective or guiding principle closely associated to {UHC}. {T}he concept of equity is also often linked to other concepts and values (social justice, inclusion, solidarity, human rights - but also to efficiency and sustainability). {R}egarding the levels of equity most often considered, access (availability, coverage, provision) is the most often quoted dimension, followed by financial protection. {R}egarding the types of equity considered, those most referred to are socio-economic, geographic, and gender-based disparities. {I}n {B}enin and {S}enegal, geographic inequities are mostly pinpointed by {UHC} policy documents, but concrete interventions mostly target the poor. {O}verall, the {UHC} policy of both countries are quite similar in terms of their approach to equity. {C}onclusions: {W}hile equity is widely referred to in global and country-specific {UHC} policy documents, its multiple dimensions results in a rather rhetorical utilisation of the concept. {W}hereas equity covers various levels and types, many global {UHC} documents fail to define it properly and to comprehend the breadth of the concept. {C}onsequently, perhaps, country-specific policy documents also use equity as a rhetoric principle, without sufficient consideration for concrete ways for implementation.},
  keywords = {{U}niversal health coverage ; {E}quity ; {G}lobal reports ; {P}olicy documents ; {L}ow- and middle-income countries ; {B}enin ; {S}enegal ; {BENIN} ; {SENEGAL}},
  booktitle = {},
  journal = {{I}nternational {J}ournal for {E}quity in {H}ealth},
  volume = {18},
  numero = {1},
  pages = {art. 195 [21 ]},
  year = {2019},
  DOI = {10.1186/s12939-019-1089-9},
  URL = {https://www.documentation.ird.fr/hor/fdi:010077899},
}