OPEN LETTER: 96+ ORGANIZATIONS CALL FOR REFINEMENT OF INDICATOR 3.8.2


Dear Inter-Agency and Expert Group on Sustainable Development Goal Indicators (IAEG-SDGs),

Re: Calling for the refinement of indicator 3.8.2. to ensure that Universal Health Coverage is measured in terms of both coverage and financial protection

We recognise and commend the impressive work done to date by the Intra-agency Expert Group on SDG Indicators (IAEG-SDGs) in developing a Global Indicator Framework that will measure global progress towards achieving the Sustainable Development Goals (SDGs).

We note that both ‘Review of plans for Tier III indicators’ and ‘Refinement of indicators and revisions of the indicator framework’ are on the agenda for discussion at the forthcoming IAEG-SDGs meeting in Addis Ababa in October. In addition, the current online consultation highlights 3.8.2 as a “possible indicator” to refine.

There remains unprecedented global consensus that Universal Health Coverage (Target 3.8) means everyone can access the quality health services they need without being pushed, or pushed further, into poverty. Two clear indicators are required to measure this – one for coverage (Indicator 3.8.1) and one that can measure effective financial protection (Indicator 3.8.2).

Along with all health experts, we strongly urge you to support the refinement to Indicator 3.8.2 by replacing the existing methodologically unsound indicator. The number of people covered by insurance is not an indicator of how many people are suffering financial hardship to pay for the health services they need. There is no universal meaning or definition of health insurance and numerous schemes have actually widened inequalities (e.g. voluntary insurance for only those who can pay). In addition, the current indicator runs the risk that all countries will report that 100% of their population is theoretically covered by the public system.

Existing indicator: “Number of people covered by health insurance or a public health system per 1,000 population”.

Proposed replacement: “Proposed replacement: “Proportion of the population with large household expenditures on health, as a total share of household expenditure or consumption”.

The failure to measure what matters can have devastating human consequences. We draw your attention below to two recent cases – one of a family ‘covered’ by health insurance and one of a family ‘covered’ by a public health system.

The Global Indicator Framework must measure what mattersif we are to drive progress towards achieving the SDGs as well as fulfilling the ambition to ensure that no one is left behind.

We hope that you will be able to support this important refinement and replace the existing indicator.

Yours sincerely,

SIGNATORIES


Académico Facultad Odontología Universidad de Chile

Action for Global Health UK Network

ADD International

African' Resources Group

ALTERNATIVE SANTE

American Heart Association

American Leprosy Missions

Aravind Eye Care System

Association Tunisienne de Prevention Positive

Bangalore Birth Network

Brien Holden Vision Institute

Cara International Consulting Ltd.

CBM

CCM Comitato Collaborazione Medica

Center for Creative Initiatives in Health and Population

Centre for Health And Resource Management

Centre of excellence for UHC, James P. Grant School of Public Health, BRAC University

CHESTRAD International

CIAM

Citizen's Voluntary Initiative for the City (CIVIC)

CMMB PERU

Coalition des OSC du Bénin pour la Couverture Universelle en Santé

Coalition for Health Promotion and Social Development (HEPS Uganda)

Commonwealth Medical Trust

COMMUNITY AND FAMILY AID FOUNDATION

CORE Group

DPS Ltd

Drug Action Forum - Karnataka

End Water Poverty

Espolea A.C.

Federación Planificación Familiar Estatal

Federation of Medicus Mundi in Spain - Medicus Mundi Spain

For Impacts In Social health (FIS)

Forum Ong aids RS

Fundacion PLENITUD

Future Generations International (FUGI)

Gramin Social Welfare & Development Society

Handicap International

Health Economics Unit, University of Cape Town

Health GAP (Global Access Project)

Health Poverty Action

HealthWrights

Helen Keller International

Help Me See

HePDO

Himalayan Cataract Project

IDDC Health Task Group

Initiative for Community Development (ICD)

INITIATIVE FOR HEALTH & EQUITY IN SOCIETY

International Agency for the Prevention of Blindness

International Coalition for Trachoma Control

International Eye Foundation

International HIV/AIDS Alliance

International Planned Parenthood Federation

Justicia, Salud & Desarrollo - PHM -(Bolivia)

KANCO

Kentalis International Foundation

Lepra

LIGHT FOR THE WORLD

Malaria Consortium

Mectizan Donation Program / Global Alliance to Eliminate Lymphatic Filariasis

Medact

Medico Friend Circle

Medsin UK

NCD Alliance

Norwegian Association Of the Blind and Partially Sighted

Orbis International

Overseas Development Institute

Oxfam GB

Oxfam Italia

OxYGen Foundation for Protection of Youth and Women's rights

People's Health Movement

Positive-Generation

Program in Global Surgery, Harvard Medical School

RANZCO

RESULTS UK

Sahkar Social Welfare Association

Salamander Trust

Save the Children

Sightsavers

Smile Train

TASO Uganda LTD.

Terre des Hommes

The Fred Hollows Foundation

The Leprosy Mission

THET (Tropical Health and Education Trust)

Transparency International Pharmaceuticals and Healthcare programme

Tunisian Association of Positive Prevention

UHC Coalition Secretariat

UHC Consulting

University for Development Studies

Vision 2020 Australia

WaterAid UK

World Blind Union

Worldwide Hospice Palliative Care Alliance

Youth Joint Online Broadcasting Kenya (YJOBK)