<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2594-2166</journal-id>
<journal-title><![CDATA[Medicina y ética]]></journal-title>
<abbrev-journal-title><![CDATA[Med. ética]]></abbrev-journal-title>
<issn>2594-2166</issn>
<publisher>
<publisher-name><![CDATA[Universidad Anáhuac México, Facultad de Bioética]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2594-21662025000300858</article-id>
<article-id pub-id-type="doi">10.36105/mye.2025v36n3.02</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Desafíos éticos en los modelos de seguro de salud de Uganda: abordando dilemas para mejorar la equidad, el acceso y la sostenibilidad]]></article-title>
<article-title xml:lang="en"><![CDATA[Ethical challenges in Uganda&#8217;s health insurance models: addressing dilemmas to improve equity, access and sustainability]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rabwoni]]></surname>
<given-names><![CDATA[Bernard]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Diócesis Católica  ]]></institution>
<addr-line><![CDATA[Fort Portal ]]></addr-line>
<country>Uganda</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<volume>36</volume>
<numero>3</numero>
<fpage>858</fpage>
<lpage>937</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2594-21662025000300858&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2594-21662025000300858&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2594-21662025000300858&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El sector de seguros de salud de Uganda sigue estando subdesarrollado, con baja cobertura y una fuerte dependencia de los pagos directos. Este documento explora los desafíos éticos de los modelos de seguros de salud de Uganda, centrándose en la equidad, el acceso y la sostenibilidad. Utilizando principios bioéticos, marcos de derechos humanos y la perspectiva moral Ubuntu, examina cuestiones como la asequibilidad, la exclusión de poblaciones vulnerables y la deficiente supervisión regulatoria. Las soluciones clave incluyen la implementación de un Sistema Nacional de Seguro de Salud (SNHS), el fortalecimiento de los seguros comunitarios, la mejora de la regulación, la garantía del compromiso político y el aumento de la transparencia y la rendición de cuentas. Basándose en la literatura existente y los análisis de políticas, este estudio destaca la urgente necesidad de reformas éticas y políticas para crear un sistema de seguros de salud inclusivo y sostenible. Abordar estos desafíos impulsará la cobertura sanitaria universal, mejorará los resultados de salud y contribuirá al desarrollo social y económico mediante un enfoque colaborativo y basado en la justicia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Uganda&#8217;s health insurance sector remains underdeveloped, with low coverage and a heavy reliance on out-of-pocket payments. This paper explores the ethical challenges in Uganda&#8217;s health insurance models, focusing on equity, access, and sustainability. Using bioethical principles, human rights frameworks, and the Ubuntu moral perspective, it examines issues such as affordability, exclusion of vulnerable populations, and weak regulatory oversight. Key solutions include implementing a National Health Insurance Scheme (NHIS), strengthening community-based insurance, improving regulation, ensuring political commitment, and enhancing transparency and accountability. Drawing on insights from existing literature and policy analyses, this study highlights the urgent need for ethical and policy reforms to create an inclusive and sustainable health insurance system. Addressing these challenges will advance universal health coverage, improve health outcomes, and contribute to social and economic development through a collaborative, justice-driven approach.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Sistema de salud de Uganda]]></kwd>
<kwd lng="es"><![CDATA[seguro médico]]></kwd>
<kwd lng="es"><![CDATA[ética]]></kwd>
<kwd lng="es"><![CDATA[cobertura universal de salud (CSU)]]></kwd>
<kwd lng="en"><![CDATA[Uganda health system]]></kwd>
<kwd lng="en"><![CDATA[health insurance]]></kwd>
<kwd lng="en"><![CDATA[ethics]]></kwd>
<kwd lng="en"><![CDATA[universal health coverage (UHC)]]></kwd>
</kwd-group>
</article-meta>
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