Essential medicines and health products

Pharmaceutical System Transparency and Accountability Assessment Tool

Progressing access in the SDG era

Deirdre Dimancesco, Anne Paschke

Publication details

Number of pages: 43
Publication date: October 2018
Languages: English
WHO reference number: WHO/EMP/2018.04


The Sustainable Development Goals (SDGs) have highlighted the critical role of governance across all sectors including health and across all developmental challenges including the achievement of universal health coverage. It is now widely accepted that robust public accountability and participation mechanisms are indispensable for effectively pursuing universal health coverage. Universal health coverage aims to ensure that all people obtain the health services they need without suffering financial hardship when paying for them.

Weak governance and inefficient practices leave health systems vulnerable to corruption and mismanagement and can have a detrimental effect on health budgets, patients’ health and wellbeing as well as on the image of and trust in the public institutions.