AvailabilityAccessibility Acceptability

QualitySatisfaction

Continuity of care

Impacts Reach and outcomes

Hea

lth S

ecto

rN

on-H

ealth

Se

ctor

Outputs

Education

Housing

Health risk education and interventions

Food and nutrition

Societal, infrastructural, environment and employment interventions

Monitoring and evaluation of health system performance and progress towards UHC

Inputs and processes

EQUITY

Governance and policies

Health financing

Health workforce

Resources and infrastructure

Health information system

Governance and policies

Non-health sector interventions & actions

Health care cost risk poolingFinancial management

Health financing mechanisms

Health service delivery

Household health-related expenditure

Out-of-pocket spending

PromotivePreventiveTreatment

RehabilitativePalliative

Health intervention coverage

Health literacy

Substance use

Nutrition andphysical activity

Safe practices

Lifestyle factors and practices

Catastrophic expenditureImpoverishment

Well-being

Life expectancy

Mortality

Morbidity

Disability

Population health

Human development

Inclusion

Participation

Cultural safety

Societal impacts

ResponsivenessEfficiency

SUSTAINABILITY

Financing

Resources and infrastructure

Workforce health awareness

Health systems performance

Household health-related financial

security

Regional UHC M&E Framework

• % with disabilities having assistive devices

• Access to palliative care – per capita morphine consumption

• Hypertension control• Diabetes treatment• TB success treatment rate• Second line coverage among

MDR-TB

• Family planning needs satisfied• ANC4 visit • Institutional delivery

• Children <5 with pneumonia taken to health facility

• DTP3 coverage

Health intervention

reach

Health outcomes and impact through the life course

Financing and risk protection

Health system resources, capacity &

performance

Social Determinants of

Health

• Education• Housing• Food and nutrition

• Health risk education and interventions• Societal, infrastructural, environment and employment

interventions

• Availability and accessibility of health care

• Health worker distribution and retention

• Infrastructure and capacity

• Efficiency and sustainability

• Equity

• Quality and safety

• Continuity of care

• User experience and satisfaction

• Government health expenditure as % GDP

• % of GGHE on PHC

• % covered by basic medical insurance or

public medical assistance

• % Household impoverishment

resulting from OPP

• Life Expectancy• Inequality-adjusted human

development index• NCD mortality• Hypertension prevalence

• Diabetes prevalence

• TB incidence

• HIV/AIDS incidence• Maternal mortality

• Tobacco use

• Exclusive breastfeeding• Lower birth weight

• Children <5 stunted

• Children <5 overweight

• Child mortality

• Life Expectancy• Inequality-adjusted human

development index• NCD mortality• Hypertension prevalence

• Diabetes prevalence

• TB incidence

• HIV/AIDS incidence• Maternal mortality

• Tobacco use

• Exclusive breastfeeding• Lower birth weight

• Children <5 stunted

• Children <5 overweight

• Child mortality

UHC M&E view through the life-course

Early Stage

Intermediate Stage

Advanced Stage

Equi

ty, E

ffici

ency

, Sus

tain

abili

ty

Maintain comprehensive service package

and adjust tomeet increased

demand

• Access to palliative care • Provision of drug therapy and lifestyle counselling to

people with high cardiovascular risk • Provision of assistive devices to persons with disabilities • Availability & utilisation of mammography • Participation in bowel cancer screening programme

Expanding the package

of services and improving quality

and efficiency

• Unconditional probability of dying aged 30-70 from NCD• Second line treatment amongst Multi-Drug Resistant TB

cases• Incidence of post-operative surgical site infection• Density of health facilities offering specific services • Externally sourced funding as % of Total Health Expenditure

Making essential medicines and

basicservices available

to all

• Mean availability of selected generic medicines• % health facilities with safe water, sanitation & waste

management• Antenatal care coverage • Institutional deliveries as a % of all deliveries• Treatment success rate for tuberculosis (%)• % covered by financial protection or health benefit scheme

UHC M&E view through socioeconomic development