This research paper discusses the evolution of health financing reforms in the selected regions of Africa. From the provision of free primary health care to introduction of user fees at the point of use in response to low economic growth, large informal sector,...
In 2019, the government of South Africa passed the national health insurance (NHI) bill, reviving a debate as to whether social health insurance could be effectively implemented in the country. In this article, the author discusses the development process of the NHI...
The study estimates the prevalence and intensity of catastrophic health expenditure (CHE) in Iran as a valuable measure to monitor financial protection in health sector payments. It also investigates the main factors that influence the probability of CHE. This study...
This study aims to examine inequality and determinants associated with Iraq’s progress towards universal health coverage (UHC) targets. The authors used nationally representative population-based household surveys in Iraq conducted between 2000 and 2018. The analysis...
Recognising how important purchasing is in social health insurance, this study critically assesses purchasing arrangements between Nigeria’s national health insurance scheme, health maintenance organisations and healthcare providers. It determines how the arrangements...
This study assessed the utilization of health care and associated factors amongst the federal civil servants using the NHIS in Rivers state, Nigeria. It is a descriptive cross-sectional study using self-administered questionnaires. Findings show that out of a total of...
Health insurance is an important mechanism to improve access to healthcare and prevent financial hardship and attain universal health coverage. Although it has been over almost two decades since the launch of the NHIS, only 5% of Nigerians have health insurance and...
The performance of public health facilities depends on purchasing arrangements, and mechanisms used to finance their operations. How public healthcare facilities are financed can affect health system goals in several ways. For example, the reliability of sources of...
An estimated 1.48 million people in Kenya are pushed into poverty every year because of out-of-pocket (OOP) and outpatient health expenses. Kenyans from poor households are the most vulnerable and experience economic hardship each time an OOP payment is necessary....
In this study, the researchers monitor the progress that Uganda has made in ensuring financial risk protection to attain universal health coverage (UHC) as a signatory to the sustainable development goals. Monitoring progress towards UHC requires tracking of progress...
In Uganda, just like most low and middle-income countries, most of the health spending is at the local government (subnational) level. To achieve universal health coverage, efforts to increase health spending need to consider the efficiency and effectiveness of...
Understanding the characteristics of individuals or households that are most at risk of incurring catastrophic health expenditures could help in targeted policies to ensure financial risk protection among the most vulnerable. Researchers in Sudan investigated the...
Community-based health insurance (CBHI) is a kind of health insurance targeted at low-income groups and it has the potential to provide financial risk protection against exorbitant medical expenses among them. In Rwanda, CBHI is being implemented across the country...
This paper aims to evaluate the progressivity of healthcare financing in Egypt by assessing five financing sources, out-of-pocket payments, an earmarked cigarette tax, direct taxes, indirect taxes, social health insurance and private health insurance. It provides a...
Since the establishment of Ghana’s NHIS in 2003, the country has made substantial progress towards its goal of universal health care. As of 2014, the NHIS covered 10.5 million people which is 40% of Ghana’s population. The total number of inpatient and outpatient...
