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...
Enhancing the competitiveness of the health sector in Jordan
The paper aims to identify and elaborate on the main challenges facing the private sector’s participation in the Health Sector in Jordan, in wake of the COVID 19 pandemic. It entails an exploration of the structure, governance and finance of the Kingdom’s Healthcare...
Determinants of health insurance ownership in Jordan
The peer-reviewed article assesses the proportion of the population covered by any health insurance and their social determinants drawing from the Jordan population and family health survey. The study found that more than one-quarter of the population in Jordan were...
Nigeria’s financing of health care during the COVID-19 pandemic: challenges and recommendations
In this study, the authors analyse the financing of Nigeria’s healthcare system in response to the COVID-19 pandemic. They use the three health care financing functions: revenue collection, pooling, and purchasing. The findings show that Nigeria projected that it...
Assessment of the national health insurance scheme (NHIS) in Nigeria
Nigeria launched its NHIS in 2005, however, only 5% of Nigerians have health insurance and 70% still finance their healthcare through out-of-pocket (OOP) expenditure. Understanding the contextualized perspectives of stakeholders involved in NHIS is critical to...
Out-of-pocket (OOP) payments, catastrophic health expenditure and poverty among households in Nigeria
Despite the operationalisation of the national health insurance scheme in 2005, high reliance on OOP health payments as a means of financing health system in Nigeria persists. OOP health payments can generate catastrophic expenditures leading to household...