In this study, the authors document the political pathway to the implementation of the NHIS in Ghana as well as the continuous political will supporting the scheme. The political structure as well as advocacy strength play a critical role in setting budgets for...
The political economy of health financing reform in Malaysia
There is growing evidence that political economy factors are important for adopting health financing reforms, but there is little consensus about which political and institutional factors determine the results of reform proposals. This study examined efforts at health...
The Political Economy of UHC Reform in Thailand: Lessons for Low- and Middle-Income Countries
Thailand achieved universal health coverage (UHC) with three public health insurance schemes in 2002. This study examined how political economy factors influenced the evolution of the UHC reform in Thailand by applying the political economy framework. This study...
Vietnam’s Healthcare System Decentralization: how well does it respond to global health crises such as covid-19 pandemic?
This article discussed Vietnam’s ongoing efforts to decentralize the health system and its fitness to respond to global health crises as presented through the Covid-19 pandemic. We used a general review and expert’s perspective to explore the topic. We found that the...
Advancing universal health coverage in the COVID-19 era: an assessment of public health services technical efficiency and applied cost allocation in Cambodia
"This study assesses Cambodia’s public health services technical efficiency, unit costs, and utilization rates to quantify the extent to which current health financing can accommodate the expansion of social health protection coverage."
Payment mechanism for institutional births in Nepal
Since 2005, Nepal government has implemented Maternity Incentive Scheme (MIS) to reduce out-of-pocket expenditure (OOPs) for institutional birth. This study aimed to assess MIS coverage in Nepal and OOPs among women who had institutional births. Findings showed that...
How costly is the first prenatal clinic visit? Analysis of out-of-pocket expenditure in rural Sri Lanka – a country with free maternal health care
Sri Lanka provides health care service free-of-charge, including maternal health care. This study aimed to examine the magnitude of and factors associated with out-of-pocket expenditure (OOPs) during the first prenatal clinic visit by pregnant women in Anuradhapura...
Payment mechanism for institutional births in Nepal
Since 2005, Nepal government has implemented Maternity Incentive Scheme (MIS) to reduce out-of-pocket expenditure (OOPs) for institutional birth. This study aimed to assess MIS coverage in Nepal and OOPs among women who had institutional births. Findings showed that...
Political economy analysis of universal health coverage and health financing reforms in low- and middle-income countries: the role of stakeholder engagement in the research process
Progress towards universal health coverage (UHC) is an inherently political process. Political economy analysis (PEA) is gaining momentum as a tool to better understand the role of the political and economic dimensions in shaping and achieving UHC in different...
Expanding Social Health Protection in Cambodia: An assessment of the current coverage potential and gaps, and social equity considerations
"To inform social health protection policy, the authors examined socio-economic survey data and administrative coverage data to assess the coverage potential of existing coverage mechanisms and current gaps; and compare equitable contribution rates."
Who benefits from healthcare spending in Cambodia? Evidence for a universal health coverage policy
"Using a system-wide approach, this study assesses how benefits from healthcare spending are distributed across socioeconomic groups in Cambodia."
Health systems development in Thailand: a solid platform for successful implementation of universal health coverage
Despite its low gross national income per capita in Thailand, a bold decision was made to use general taxation to finance the Universal Health Coverage Scheme without relying on contributions from members. Thailand’s health development since the 1970s, focusing on...
Forgone healthcare and financial burden due to out-of-pocket payments in Bangladesh: a multilevel analysis
This study aimed to examine the burden of out-of-pocket payment and forgone healthcare in Bangladesh, and further explores the inequalities in catastrophic health expenditures (CHE) and forgone healthcare at the national and sub-national levels. Data came from the...
Health coverage for workers in Egypt
This study explains the healthcare coverage that Egyptian employees receive based on formal employment. The paper details the legislative, institutional and technical aspects relevant to various occupational healthcare (OCH) services in Egypt, emphasizing the central...
Healthcare financing in Egypt: a systematic literature review
The Egyptian healthcare system has multiple stakeholders, including a wide range of public and private healthcare providers and several financing agents. This study sheds light on the healthcare system’s financing mechanisms and the flow of funds in Egypt. It also...