Social Inclusion
This paper applies the tenets of social inclusion to health policy and practice, arguing that achieving the goal of Universal Health Coverage (UHC) will be impossible without considering social and economic inclusion. The idea of social inclusion in the achievement of UHC goes well beyond a focus on local level interventions to an expansive notion that addresses the policy environment, social practices, and institutions. The paper summarizes ways in which social exclusion affects access to health services and health outcomes. It argues that social exclusion plays out through practices, processes, and behaviors of service providers, elites, and those most likely to be excluded. Such practices may permeate the structure and function of both formal and informal institutions. Through a discussion of the design and delivery of policies and programs, the paper highlights ways in which social inclusion can be advanced toward UHC. Finally, it draws from the experience of World Bank–supported interventions to highlight illustrative actions toward social inclusion in ways that can affect health outcomes. The expected audience of this paper are teams involved in the financing, design, and delivery of health programs, both within the World Bank and outside. The paper concludes with the exhortation to define the scope of “social inclusion” so that interventions can be targeted to those who are most likely to be excluded that interventions can be targeted to those who are most likely to be excluded.
| Main Authors: | , , , |
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| Format: | Working Paper biblioteca |
| Language: | English |
| Published: |
World Bank, Washington, DC
2017-11
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| Subjects: | HEALTH, LABOR, POLICY, SOCIAL INCLUSION, ECONOMIC EXCLUSION, SHARED PROSPERITY, UNIVERSAL HEALTH COVERAGE, HEALTH POLICY, |
| Online Access: | http://documents.worldbank.org/curated/en/340151511339480628/Social-inclusion-what-does-it-mean-for-health-policy-and-practice https://hdl.handle.net/10986/28941 |
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| Summary: | This paper applies the tenets of social
inclusion to health policy and practice, arguing that
achieving the goal of Universal Health Coverage (UHC) will
be impossible without considering social and economic
inclusion. The idea of social inclusion in the achievement
of UHC goes well beyond a focus on local level interventions
to an expansive notion that addresses the policy
environment, social practices, and institutions. The paper
summarizes ways in which social exclusion affects access to
health services and health outcomes. It argues that social
exclusion plays out through practices, processes, and
behaviors of service providers, elites, and those most
likely to be excluded. Such practices may permeate the
structure and function of both formal and informal
institutions. Through a discussion of the design and
delivery of policies and programs, the paper highlights ways
in which social inclusion can be advanced toward UHC.
Finally, it draws from the experience of World
Bank–supported interventions to highlight illustrative
actions toward social inclusion in ways that can affect
health outcomes. The expected audience of this paper are
teams involved in the financing, design, and delivery of
health programs, both within the World Bank and outside. The
paper concludes with the exhortation to define the scope of
“social inclusion” so that interventions can be targeted to
those who are most likely to be excluded that interventions
can be targeted to those who are most likely to be excluded. |
|---|