This study aims to analyze how public financial management (PFM) in Thailand adapted to support the purchase of COVID-19 related health services and vaccines. The limitations which delayed implementation on the budget execution have been discussed. Findings show that...
Can National Health Insurance pave the way to Universal Health Coverage in sub-Saharan Africa?
African leaders across the continent have made bold commitments to attain Universal Health Coverage (UHC). One way to show this commitment has been through exploring National Health Insurance Schemes (NHIS). In this study, the authors examine African country...
Health coverage and financial protection in Uganda: A political economy perspective
It has been over 20 years since Uganda abolished user-fees to improve access to health services and reduce the financial burden of accessing care. However, household out-of-pocket expenditures are still persistently very high contributing 42% of total health...
Equality in financial access to healthcare in Cambodia from 2004 to 2014
"Using the World Health Organization's methods for the analysis of healthcare expenditure and household survey data from 2004, 2009 and 2014 Cambodian Socio-Economic Survey, the authors assessed trends in reported illness, utilization of healthcare services and...
Assessing the feasibility and appropriateness of introducing a National Health Insurance Scheme in Malawi
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."