Malawi’s interest in social health insurance dates back to 2011 as a means to reduce donor dependency and increase domestic resource mobilization for health. In May 2015 the Malawian Ministry of Health (MOH) contacted one of its external partners to conduct an...
Decomposing socio-economic inequality in catastrophic out-of-pocket health expenditures in Malawi
Socio-economic inequality in out-of-pocket health expenditures entails disparities in the burden of catastrophic health expenditures which worsens inequalities in access to and utilization of health services. Addressing the factors contributing to the inequalities is...
Strategic Purchasing Arrangements in Uganda and Their Implications for Universal Health Coverage
Uganda's mixed health financing system creates challenges for achieving universal health coverage but offers opportunities for improvement through better resource pooling and provider autonomy.A new research article published in the Health Systems and Reform Journal...
Supporting strategic health purchasing: a case study of annual health budgets from General Tax Revenue and Social Health Insurance in Abia State, Nigeria
The recent health financing reforms in Nigeria such as the Basic Healthcare Provision Fund (BHCPF) and state-supported Social Health Insurance (SHI) schemes recognize the critical roles of state governments and related agencies in defining, deciding, implementing, and...
Why is strategic purchasing critical for Universal Health Coverage in Sub-Saharan Africa?
Strategic Purchasing in health is defined as a deliberate effort by governments to direct health funds to priority populations, interventions, and services, and actively create incentives so funds are used by providers equitably and aligned with population health...
Applying the strategic health purchasing progress tracking framework: Lessons from nine African countries
Strategic purchasing by deliberately directing health funds to priority populations, interventions, and services to ensure equity and efficiency can help countries reduce inequalities and out-of-pocket expenditures thereby improving social health protection. To help...
How China controls the COVID-19 epidemic through public health expenditure and policy
This paper aimed to explore how the Chinese government controls the COVID-19 epidemic from the perspective of public health expenditure and policy. Findings showed that public health expenditure and policy played an important role in the governance and control of the...
The political economy of health financing reforms in Zimbabwe: a scoping review
This study explores the interaction between the political and economic aspects of health financing reforms in Zimbabwe since its independence in 1980. Health financing reform often involves complex interactions among many stakeholders of varying positions, power, and...
Equity of health financing in Indonesia: A 5-year financing incidence analysis (2015–2019)
In 2014, Indonesia launched a single payer national health insurance scheme or the JKN, expecting to cover the entire population by 2024. This study aims to assess the equity of the health financing system in Indonesia during 2015 – 2019 by analysing a secondary...
Why Is Strategic Purchasing Critical for Universal Health Coverage in Sub-Saharan Africa?
Strategic purchasing is particularly important for countries in sub-Saharan Africa because public funding for health has often not kept pace with UHC commitments. This paper published in Health Systems and Reform underscores the importance of strategic purchasing in...
Decision time: Cost estimations and policy implications to advance Universal Health Coverage in Cambodia
"The authors developed a modeling tool to facilitate the simplie, interactive estimation of cost and coverage for three policy alternatives, enabling decision-makers to simultaneously adjust for scenario options currently under consideration."
Does geographic spending variation exacerbate healthcare benefit inequality? A benefit incidence analysis for Indonesia
Indonesia has introduced the National Health Insurance System or Jaminan Kesehatan Nasional (JKN) in 2014 to achieve universal health coverage by 2024. This study aimed to assess the benefit incidence of healthcare funding after the JKN implementation and its...
Out-of-pocket payment for healthcare among urban citizens in Dhaka, Bangladesh
Out-of-pocket (OOP) payment is the major source of finance for healthcare in Bangladesh, and the share of OOP expenditure has increased significantly. This study aimed to capture the self-reported illnesses among urban citizens and to identify whether and to what...
Cameroon: Order to set up a CSU committee
The Ministry of Health has decided to set up a committee to reflect on and monitor the implementation of the CSU pilot phase. This committee's mission is to propose the documents required to operationalize the CSU's operational phase at the end of 2021. Working group...
The Implications of health financing for health access and equity in Nigeria
Health financing is an important function of the health system and plays a key role in enabling progress towards Universal Health Coverage by improving effective service coverage and ensuring adequate financial protection from impoverishment arising from health...