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Universal Healthcare in Ireland: What can Ireland
learn from Malawi and Rwanda?Maegan McConnell
Travis LyonDr. Enida Friel
Dr. Susan Murphy
Overview
1. Study Rationale
2. Research Question
3. Methods
4. Ireland’s Healthcare System
5. Malawi’s Healthcare System
6. Rwanda’s Healthcare System
7. Suggestions to Ireland moving forward
Research Questions and Methodology
• Do access inequalities exisit in
the Irish healthcare system?
• What lessons can Ireland learn
from Malawi and Rwanda on
the path to UHC?
56 documents
Literature Review
Content Analysis
Inequalities in the Irish Healthcare System
• IMO has stated that the current two-tiered healthcare
system has contributed towards historical inequalities
• Austerity mandated harsh cuts to health budgets;
Ireland had the worst cut of any OECD country.
• As the health budget shrunk, public demand and
subsidization via medical cards increased while the
number of privately insured decreased.
Inequalities in the Irish Healthcare System
Inequalities in the Irish Healthcare System
Future of the Irish System• 2014 White Paper proposing Universal Health
Insurance for a one tier system.• Competing private insurance companies would be
forced to provide a basic service basket. • Reducing healthcare workers and worker wages to
reduce costs. • Plans dictate healthcare providers.
Malawian Healthcare System• Strong movement towards UHC• Creation of an Essential Health Package focused
on primary and preventative care. • Recent Health Sector Strategic Plan aims to
increase healthcare workers and service quality. • Continued monitoring and evaluation• Increased health budget: Taxes & Services• Right to health in Malawian constitution
The Rwandan Healthcare System• Big changes since 1995
• Mutuelle de Santé healthcare system
• Community based health insurance (CBHI)
• Focus on primary and preventative care; strong political will, leadership, cross ministerial collaboration
Suggestions to Ireland• Social Health Insurance, not Private Health Insurance• Creation of a standard care package for all• Investing in healthcare workers, not reducing• Focus on primary and preventative care to reduce long
term healthcare costs • Continuous evaluation of UHC packages introduced,
services and outcomes. • Political will, leadership, cross ministerial collaboration,
transparency and accountability• Introduction of Right to Health Care in Irish
Constitution
Thank You. Questions?