Grâce à un large processus de consultation, les OSC ont créé le Mécanisme de participation de la société civile (MPSC) à la CSU2030 pour représenter leur groupe d’intérêt.

Un groupe provisoire d’OSC avec un secrétariat temporaire fonctionnera jusqu’en décembre 2017, date à laquelle le MPSC deviendra totalement opérationnel. Le MPSC souhaite consolider un large mouvement intégrateur autour de la CSU, capable d’influencer la conception et la mise en œuvre des politiques et de faciliter la redevabilité sous l’égide des citoyens. L’objectif est de faire entendre fortement la voix des OSC et de contribuer utilement à la CSU2030, pour faire en sorte qu’une attention soit systématiquement accordée aux besoins des populations les plus marginalisées et les plus vulnérables, afin que « nul ne soit laissé de côté ».

Sur le chemin de la CSU : Ne laissons personne de côté 
Le point de vue des organisations de la société civile sur la manière de réaliser la CSU d’ici à 2030

Advocacy Messages

1. Leave no one behind

Civil society is often best placed to gain access to, represent, and prioritize the most marginalized key populations. To leave no one behind, civil society is a critical voice to ensure that: people have the necessary access to equitable health services; they are informed of health policies; can input into their country’s health systems strengthening efforts.

2. Increase Public Financing for Health

To ensure universal health coverage and health system strengthening, reducing out of pocket expenses and achieving the aims of the SDGs, national governments and donors should take certain actions.

  • National governments should progressively increase their investment in health by either moving towards allocating at least 15% of their annual budget to health, or up to 5% of their annual GDP as government health care expenditure, as contextually appropriate.  This increased budget for health should be raised through mandatory and fair pooling mechanisms (such as improving tax revenue collection, setting up social health insurance) with everyone receiving services according to their need.  These services should be free at the point of use.
  • National governments should give priority to primary health care linked to essential care packages that are defined by country-level needs and priorities required to meet SDG target 3.8.1, with a concrete plan to ensure the removal of direct cash payments as an urgent measure.
  • Donor governments should provide funding in alignment with countries’ plans, the aid effectiveness principles and the WHO recommendation of funding levels not below 0.1% of GNI.  This is critical in fragile and conflict-affected settings, where much of the health system is supported by foreign aid.  Donors should further support low-income countries to bridge significant finance gaps.  The international community should support countries to grow their fiscal space by tackling undermining practices like tax evasion and avoidance, and lifting harmful macro-economic policy conditions.

3. Improve Involvement of CSOs and Citizens, Transparency and Accountability at All Levels

Civil society must be included in decision-making processes at all levels, to facilitate citizen-led monitoring of progress against outcomes towards universal health coverage, including the health budget and adherence to commitments. This includes involvement in health systems strengthening efforts at national and district level, and the provision of expanded health coverage to the poorest and most marginalized groups.  Strengthening social-led accountability is necessary to maintain the integrity of health systems, prevent corruption-related resource drain, and ensure more appropriate, acceptable and sustainable health programs.

4. Invest in Health Workers

Achieving universal health coverage depends on the availability, accessibility, and capacity of professionally trained health workers, more so at the primary care level, to deliver quality, people-centered health services.  It is critical to ensure that adequate health care financing is earmarked for training and capacity building of community and frontline health workers so that they are able to support the provision of inclusive, holistic and equitable health services, especially to those who are most marginalized.

Advocacy Collaboratives

The CSEM led and contributed to convening advocacy collaboratives for UHC to bring together multi-stakeholder representatives who support global and country level UHC advocacy. Joint action amplifies the call to drive progress on, and the multi-stakeholder composition opens up opportunities for communication, knowledge sharing and collaboration. View the intiatives on the CSEM website.

Recent resources 

Civil society statement: global conference on primary health care (2018)

Statement: meeting of Civil Society representatives & CSO secretariats of global health initiatives (2018)

Letter to Dr Tedros: Civil Society and the Global Action Plan for Healthy Living and Well-being for All (2018)

On the Road to UHC: Leave No One Behind - A civil society organisation (CSO) perspective on how UHC can be reached by 2030


Plus d’informations 

Le Secrétariat de la CSU2030 recherche une personne relevant d’une OSC qui pourrait assumer la coprésidence du Comité directeur de la CSU2030. Date limite: 30.09.2017

Vous pouvez en savoir plus sur le processus de création du MPSC ici : 

Évaluation des mécanismes de participation de la société civile dans des initiatives mondiales

Proposition de mécanisme de participation de la société civile 

La CSU2030 et le mécanisme de participation de la société civile 

En Anglais:

Survey report for CSO engagement mechanisms in UHC2030

Review of the Health Policy Action Fund 

« Grace au MPSC à la CSU2030, nous pouvons mener un plaidoyer plus énergique en faveur de la CSU en Afrique », a déclaré M. Itai Rusike, Directeur exécutif du Community Working Groupe on Heath (CWGH) et Coordonnateur de la Plateforme africaine pour la CSU.

"To make real, consistent and sustainable progress towards UHC, the global community needs to consider stronger investments in civil society and communities’ work on policy change, resource mobilisation and accountability." 

Rosemary Mburu, Waci Health

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