Political commitment key to health for all

One of my proudest accomplishments as the UN Secretary-General was playing a part in the ambitious global agenda for sustainable development (SDG), including the goal of universal health coverage (UHC) by 2030.

In fact, Kenya’s leadership was key. To give momentum in framing of the SDGs an Open Working Group was established in 2013. One of the co-chairs of the working group was Ambassador Macharia Kamau, who was the Permanent Representative of Kenya to the UN.

As the world celebrates UHC Day this week, more and more countries across Africa, including Ethiopia, Rwanda, South Africa and Senegal, are taking up the mantle of health for all and providing strong leadership to make the vision a reality.

Health is a fundamental human right. Good health helps people escape poverty, and provides the basis for long-term economic development.

With 11 million Africans being pushed into extreme poverty each year because of high out-of-pocket expenses on health, there is an urgent need to explore innovative models that provide adequate care alongside financial protection.

The UN Secretary General Antonio Guterres has said, “When we invest in health — particularly of women and adolescents — we build more inclusive and resilient societies.”

One country which could provide a blueprint for others to follow is Kenya, where the President is personally invested in delivering UHC.

I forged a strong connection with President Uhuru Kenyatta over our shared commitment to maternal and child health. In 2015, at the UN General Assembly in our presence, a public-private partnership to improve the health of over 3.5 million women, newborns and children in Kenya was announced. Led by the Government of Kenya, it brought together the UN, the private sector and civil society to leapfrog improvements in maternal and child health.

We found a strong advocate in First Lady Margaret Kenyatta. Her Beyond Zero Campaign ensured the scale-up of proven interventions to improve maternal and child health. The government also moved to eliminate payments for primary and maternal health services in public facilities.

These were important first steps.

Now I am heartened by Kenya’s remarkable political commitment to expand UHC to include every man, woman and child and leave no one behind. Affordable healthcare is one of the top priorities of President Kenyatta’s Big 4 development agenda for his second term in office.

To achieve progress at such a rapid pace, Kenya plans to increase health spending by nearly 20 per cent between 2018 and 2021 and strengthen primary healthcare. The country has set out to design a model that provides quality healthcare while ensuring it remains affordable.

Approaches are being tested over one year in four counties — each with its particular health challenges. These pilots aim to identify gaps in delivering UHC before a nationwide roll-out so that lessons can be learnt.

Kenya and the UN family in the country have come together to form the Kenya SDG Partnership Platform, which is bringing together civil society and the private sector to catalyse new models for quality, affordable healthcare delivery.

Mr Ban Ki-Moon is a former UN Secretary-General, and former South Korean Foreign Minister