Health Financing Fragmentation and Universal Health Coverage in Brazil, Colombia, Mexico and India

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2025 Annual Project meeting in Brazil

Partners gathered in São Paulo for the project's annual meeting

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Funded by the Global Health Policy and Systems Research Programme by the National Institute for Health and Care Research, the Health System Fragmentation and Universal Health Coverage in Brazil, Colombia, Mexico and India is a four-year research programme that began in 2022 and is rooted in Brazil, Colombia, Mexico and India, which are global exemplars for studying how financing fragmentation impacts health system goals, including UHC.

Our Research Partners

This project is a collaborative effort between institutions in five countries:

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Publications Highlights

Health insurance coverage in Mexico: progress, inequalities and remaining challenges towards UHC2030

Authors: Edson Serván-Mori, Diego Cerecero-García, Sergio Meneses-Navarro, Thomas Hone, Alejandro Mohar-Betancourt, Octavio Gómez-Dantés

Published in: Health Res Policy Sys 23, 145 (2025)

  • health insurance coverage
  • health system fragmentation
  • inequalities
  • mexico
  • social protection
  • universal health coverage

¿Salud? Gastos al alza

Authors: Edson Serván Mori, Octavio Gómez Dantés

Published in: Revista Nexos, September 22, 2025

  • catastrophic health expenditure
  • health financing
  • Op-Ed & Media
  • out-of-pocket expenditure

Socioeconomic inequalities in infant mortality in Colombia: a nationwide cohort study during 10 years

Authors: Giancarlo Buitrago, Carol Guarnizo-Herreño, Javier Eslava-Schmalbach

Published in: BMJ Global Health. 2025;10:e018526

  • infant mortality
  • mortality inequalities

Association of healthcare fragmentation with three-year survival among kidney transplant recipients in Colombia

Authors: Luis Manuel Barrera-Lozano,Daniela Sánchez-Santiesteban,Giancarlo Buitrago

Published in: PLoS One 20(8): e0316418

  • Colombia
  • delivery of health care
  • health care policy
  • healthcare fragmentation
  • patient outcomes

Cobertura Universal en Salud en México

Authors: Edson Serván Mori, Octavio Gómez Dantés, Diego Cerecero García

Published in: Revista Nexos, July 2, 2025

  • health equity
  • health insurance coverage
  • Op-Ed & Media
  • Seguro Popular
  • universal health coverage

Is it rational? The rationalist approach in the design of health policies in Brazil, Colombia, and Mexico

Authors: Laura Flamand, Ana Paulina González Arroyo

Published in: Handbook of Public Policy in Latin America, 2025, Chapter 13

  • brazil
  • Colombia
  • health care policy
  • mexico
  • policy design

News

Seminars | 25/11/2025

Shaping the Future of Health: Health Systems Reform Regional Webinar

How can Latin America reach Universal Health Coverage? See highlights from our webinar

  • Colombia
  • health system reform
  • mexico
  • webinar
Updates | 01/06/2025

2025 Annual Project meeting in Brazil

Partners gathered in São Paulo for the project's annual meeting

  • progress report
Academic | 19/03/2025

How to measure patients’ perspectives on health care?

New publication from UNAL researchers on the development of an innovative tool aimed at capturing patients' perception

  • Colombia
  • delivery of health care
  • patient-centered care
  • publication
Colombia | 05/03/2025

Diana Pinto participates in Health Systems and Reform special issue launch event

The webinar will take place on March 6 and will gather policymakers, researchers and practitioners

  • Colombia
  • health system reform
  • HSR
  • publication
  • UHC
  • webinar
India | 25/01/2025

Getting to know more about India’s efforts to tackle healthcare fragmentation

Our partners foster dialogue among policymakers, researchers, and healthcare practitioners, ensuring that knowledge translates into actionable solutions

  • India
  • newsletter
  • progress report
Colombia | 18/01/2025

Colombia leads the charge in addressing healthcare fragmentation with new research and policy insights

The release of a research brochure and detailed progress update from Universidad Nacional de Colombia showcases our partner’s commitment to strengthening healthcare financing and access

  • Colombia
  • newsletter
  • progress report