World Health Organization 20, Avenue Appia


Serious health-related suffering (SHS)



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Serious health-related suffering (SHS)
Suffering is health-related when it is associated with illness or injury of any kind. Suffering is serious 
when it cannot be relieved without medical intervention and when it compromises physical, social or 
emotional functioning. Palliative care should be focused on relieving SHS associated with life-limiting or 
life-threatening conditions, or the end of life.
Social determinants of health
The conditions in which people are born, grow, live, work and age. These circumstances are shaped by 
the distribution of money, power and resources at global, national and local levels, and they are mostly 
responsible for health inequities – the unfair and avoidable differences in health status seen within and 
between countries. 
Universal health coverage (UHC)
Health coverage that provides people with the health services they need while protecting them from 
exposure to financial hardship incurred in obtaining care. Health services are broadly defined to include 
health promotion initiatives (such as anti-tobacco policies or emergency preparedness), disease prevention 
activities (such as vaccination) and the provision of treatment, rehabilitation and palliative care (such as 
symptom relief and end-of-life care) of sufficient quality to be effective.


World Health Organization
20, Avenue Appia
1211 Geneva 27
Switzerland
http://www.who.int/servicedeliverysafety/en
ISBN 978-92-4-151447-7

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