This research paper examines the equity in the delivery and financing of health care for both the public and the private sectors in South Africa. Using nationally representative datasets and standard methodologies for assessing progressivity in health care financing...
Catastrophic health expenditure (CHE) represents out-of-pocket (OOP) payments for health care which exceed a specified threshold of household’s income or household’s capacity to pay. This peer reviewed article examines CHE and the potential for such payments to...
The attainment of Universal Health Coverage (UHC) requires that no one must be left behind and that all people regardless of their social economic and demographic characteristics have access to quality healthcare. Therefore UHC means that elderly rural populations...
Many low- and middle-income countries are reforming their health financing mechanisms as part of broader strategies to achieve universal health coverage (UHC). Voluntary social health insurance, despite evidence of resulting inequities, is attractive to policy makers...
Health insurance has been found to increase healthcare utilisation and reduce catastrophic health expenditures in a number of countries which can put a country on the path towards universal health coverage. However, coverage is often unequally distributed among...
This brief summarizes the main findings and policy implications of a Fiscal Space Analysis conducted in Botswana. The purpose of the analysis was to contribute to the policy dialogue concerning NHI in Botswana by estimating the potential revenue that could be gained...
'The Longitudinal Study of Ageing and Health in Viet Nam (LSAHV) is the first multi-actor longitudinal study on ageing in Viet Nam with information collected from older Vietnamese people, their current and potential caregivers, and adult children. The 2018 baseline...
Out-of-pocket (OOP) expenditures on health remain high in many low- and middle-income countries despite policy efforts aiming to reduce these health costs by targeting their hotspots. Hotspot targeting remains inadequate, particularly where the OOP expenditures are...
For the past decade, Zimbabwe has undertaken a number of reforms to improve health system performance and service delivery, among them include results-based financing in rural health facilities. This peer reviewed study, examines the utilization of health services and...
A range of health insurance options including Social Health Insurance exist in Sudan. Social Health Insurance is compulsory for the formal sector, although voluntary for the informal sector and small companies (≤10 employees). Private health insurance companies...
Just like most low-income and middle-income countries, Malawi has used health benefits packages (HBPs) to allocate scarce resources to key healthcare interventions with the goal of achieving universal health coverage. However, with no widely accepted method for their...
Sierra Leone has a population of 6.6 million, and around 90% of the labour force in the country works in the informal sector, mostly subsistence or other small-scale agriculture. The extremely low gross domestic product per capita fuels the permanent fiscal deficit of...
What has the impact of the COVID-19 pandemic been on poverty in Zambia, and how can social protection programs mitigate these effects? This paper estimates the pre-pandemic poverty level in Zambia and then simulates the distributional impact of COVID-19 in the...
High levels of out-of-pocket spending have been shown to be one of the biggest health reasons people fall into poverty when accessing care, or choose to forgo care. Globally it is estimated that 100 million people are pushed into poverty every year due to exorbitant...
