The government of Ghana launched the NHIS in 2003 to improve Ghanaian residents’ access to health services at the point of care by lessening financial barriers. The system continues to face challenges including some related to delays in submission and reimbursement...
Changes in Catastrophic Health Expenditures Depending on Health Policies in Turkey
This peer-reviewed article aims to evaluate the health care services that caused a rise in the ratio of households with catastrophic health expenditures in Turkey since 2012. These had previously been positively affected by the Health Transformation Program and...
Universal health insurance in Rwanda: major challenges and solutions for financial sustainability of the community-based health insurance (CBHI)
Rwanda introduced CBHI as a vehicle for universal health insurance and universal health coverage. First introduced in 1999/2000, CBHI has since faced chronic financial deficit. In this peer reviewed study, the authors assessed the challenges facing CBHI financial...
Rethinking the private-public mix in healthcare: Analysis of health reforms in Israel during the last three decades
While most discussions surrounding the private-public partnerships in health care focuses on financing infrastructure, in Israel, the public-private mix has become a central way of financing and delivering services in wake of diminishing public funding. This paper...
Adapting the Israeli national health insurance law to the 21st Century- a report from the 19th Dead Sea conference
This report charts the history of the National Health Insurance Law (NHIL) passed in 1995 that enabled sustainable, high-quality medical care to all eligible Israeli residents. It is based on key takeaways from the 19th annual Dead Sea conference (held by the Israel...
Changes in the activity levels and financing sources of Israel’s private for-profit hospitals in the wake of reforms to the public-private divide
The study aims to identify, describe and analyse changes in private hospitals in the volume of publicly and privately funded elective procedures, and private health expenditure for surgical procedures. Since 2015, several reforms and programmes have been initiated in...
Does health insurance contribute to improved utilization of health care services for the elderly in rural Tanzania? A cross-sectional study
Health care systems in developing countries such as Tanzania depend heavily on out-of-pocket payments. This mechanism contributes to inefficiency, inequity and cost, and is a barrier to patients seeking care especially the vulnerable aging population, hence impede...
Universal health coverage (UHC) in Tanzania: Evaluating the potential of a public private partnership (PPP) in health financing system
In this paper, the author analyses how UHC is being implemented in the health financing system of Tanzania and also how PPPs are contributing towards the attainment of UHC. A cross sectional survey was conducted in the Kilimanjaro region in Tanzania to evaluate the...
“We are called the et cetera”: experiences of the poor with health financing reforms that target them in Kenya
Kenya has implemented a number of healthcare reforms, demonstrating its intention to extend financial risk protection and service coverage for poor and vulnerable groups. These reforms include the provision of free maternity services, user-fee removal in public...
The progressivity of health care financing in Kenya
Healthcare financing should be equitable to ensure equal access to quality care and financial risk protection from exorbitant health care costs, through social health protection. In many low and middle income countries including Kenya, changes to healthcare financing...
Policy levers and priority-setting in universal health coverage (UHC): a qualitative analysis of healthcare financing agenda setting in Kenya
In light of the centrality of UHC in driving current health policy in Kenya, this paper examines the value interests that influence agenda setting in the country’s health financing space. Given the plurality of Kenya’s health policy levers, the authors aimed to...
Indicators for universal health coverage (UHC): Can Kenya meet the proposed post-2015 monitoring recommendations?
UHC, referring to access to healthcare without financial burden, has received renewed attention in global health spheres. UHC is a potential goal in the post-2015 development agenda. Monitoring of progress towards achieving UHC is thus critical at both country and...
Examining purchasing reforms towards universal health coverage (UHC) by the national hospital insurance fund (NHIF) in Kenya
Kenya has prioritized the attainment of UHC through the expansion of health insurance coverage by the NHIF. In 2015, the NHIF introduced reforms in premium contribution rates, benefit packages, and provider payment methods. In this study, the authors examine the...
A critical analysis of purchasing arrangements in Kenya: The case of micro health insurance
Strategic purchasing can ensure that financial resources are used in a way that optimally enhances the attainment of health system goals among them the attainment of universal health coverage. A number of low- and middle-income countries, including Kenya, have...
Assessment of Social Health Insurance Scheme in Selected Districts of Nepal
Nepal has implemented the Social Health Insurance (SHI) scheme in February 2015, aiming to enhance financial protection through the pre-payment approach as well as risk pooling in the health sector This study assessed the performance of the SHI scheme in terms of...