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Breaking barriers towards more equitable health systems for everyone

Every day, millions of people, often from the most marginalized populations in society, struggle to access health services and achieve positive health outcomes. A critical challenge to making progress towards universal health coverage (UHC) comes from persistent barriers to accessing health services, as noted in WHO’s 13th General Programme of Work. Reaching the General Programme of Work’s 3 billion targets will require systematic incorporation of analysis of barriers into health planning, so that coverage can be expanded with a focus on reaching the disadvantaged populations that are most in need. The GPW states that the WHO Secretariat will work with countries to identify barriers to access health services and provide evidence-based solutions to support progressive expansion in access […]. 

WHO is operationalizing its efforts towards Health for All by ensuring the health of everyone, especially those in the most disadvantaged or vulnerable situations. In keeping with this, the WHO GER global network is advancing methods to identify supply-side bottlenecks and demand-side barriers using the Tanahashi framework for effective coverage, gender analysis, and human rights-based approaches. This work is fundamental to achieving UHC  as well as the health-related targets of the Sustainable Development Goals, and breaking the intergenerational transmission of health inequities.

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Health inequities are unjust and avoidable systematic differences in the health status and access to health resources of different population groups. Health...

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This report was developed with support from the World Health Organization (WHO) to respond to the strategic programming needs for adolescent health as...

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A first step towards achieving universal health coverage for adolescents is for each country to assess which adolescent subpopulations do not have effective...

Over 2 billion individuals are at risk for one or more neglected tropical diseases (NTDs), which cause substantial morbidity, and in some cases mortality, worldwide....

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Analysis of barriers and means to overcome them is central to equity-oriented, rights-based and gender transformative health system strengthening towards...

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Adolescents are not simply old children or young adults. This deceptively simple observation lies at the heart of Global Accelerated Action for the Health...

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In the context of global efforts to move towards universal coverage in health systems, this report identifi es barriers and facilitating factors in accessing...

This report draws attention to gender as a powerful determinant of health care access and outcomes. By analysing universal health coverage (UHC) indicators...

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Improving LGBTIQ+ health and well-being with consideration for SOGIESC

Improving LGBTIQ+ health and well-being with consideration for SOGIESC

WHO/SEARO/Gary Hampton
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Overview

LGBTIQ+ health refers to the physical, mental, and emotional well-being of people who identify as lesbian, gay, bisexual, transgender, intersex or queer (LGBTIQ+). The plus sign represents the vast diversity of people in terms of sexual orientation, gender identity, expression and sex characteristics (SOGIESC). The LGBTIQ+ acronym is dynamic and can vary depending on the region or country, highlighting the multitude of LGBTIQ+ communities across cultures. 

While recognizing the diversity of LGBTIQ+ people, evidence suggests some common experiences affecting their health and well-being. They are less likely to access health services and engage with healthcare workers due to stigma and discrimination, resulting in adverse physical and mental health outcomes.  They can also experience human rights violations including violence, torture, criminalization, involuntary medical procedures and discrimination. In addition, they can face denial of care, discriminatory attitudes and inappropriate pathologizing in healthcare settings based on their SOGIESC. 

WHO's support to countries is founded on the fundamental human rights principle that all persons should have access to health services without discrimination. The adoption of the 2030 Agenda for Sustainable Development and its pledge to “leave no one behind”, based on the normative framework of international human rights law, has reinforced the need to understand and improve the health and well-being of LGBTIQ+ people. WHO develops guidelines, provides technical support and conducts research to help countries develop and strengthen inclusive health systems and policies for the health and well-being of all people, regardless of SOGIESC. 

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