The world health organisation defines UHC as everyone having access to required health services of high quality without suffering financial hardship. UHC is embedded within the 3.8 target of sustainable development goals. To attain the UHC goal, there is need for...
A review of out-of-pocket (OOP) payments for health services under insurance regimes: A policy implementation gap hindering universal health coverage (UHC) in the sub-Saharan Africa (SSA)
One of the key targets of sustainable development goal 3.8 is UHC which requires that all persons irrespective of their social economic background should have access to quality health services when required without incurring financial hardship. To attain this goal,...
How can Saudi Arabia reform its public hospital payment models? A narrative review
The cost of healthcare in Saudi Arabia continues to rise at an alarming rate, challenging the sustainability of the public healthcare system. This paper reviews various identified payment models that can be used to contain costs and improve the quality of the care...
Is Kenya’s national hospital insurance fund (NHIF) amendment bill a silver bullet for universal health coverage (UHC)?
The NHIF amendment bill is part of Government of Kenya plan for achieving UHC. The goal of the UHC program is to provide health care for all based on need-not on ability to pay. One of the proposals in the 2021 NHIF amendment bill stipulates that all Kenyans must be...
Universal health care coverage (UHC): healthcare financing and access to health care services in Kenya
Reliance on out-of-pocket (OOP) payments to finance health care is a barrier to health care access and can result in the impoverishment of households. Health care in Kenya is financed from three main sources: OOP expenditure (households), government expenditure and...
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Background document for the Steering Group Meetings on 27 / 29 September and 1 October 2021.
Analysis of Botswana’s health financing structure
Health financing remains one of the top issues among policymakers and continues to lead in public discourse as countries implement health systems reforms to achieve equity in health and universal health coverage. In this peer reviewed article, the authors analyse the...
The Sierra Leone free health care initiative: process and effectiveness review
The introduction of the free health care initiative in 2010, which removed user fees for pregnant women, lactating mothers and children under five was supported by earlier evidence that showed health-related financial costs were a major barrier to mothers and children...
Health System Assessment in Côte d’Ivoire
Abstract: Following years of political instability, Côte d’Ivoire has recorded a rapid growth rate over the past seven years and entrenched its status as a lower-middle-income country. However, the country’s epidemiological profile remains comparable to that of...
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UNICEF Budget Brief Zanzibar 2018
"In FY 2017/18, the health sector has been allocated TSh84.2 billion. This is a TSh33.2 billion increase on the previous year, equivalent to 65 per cent increase or 62 per cent increase accounting for inflation. Government spending on health as a percentage of the...
UNICEF Budget Brief: The 2017 Health Sector Budget
"In January 2016, the Government of Burundi enacted its National Health Strategy 2016-2025, reinforcing its commitments to improve health indicators and to work towards the common goals outlined in the Sustainable Development Agenda. As part of the strategy, the...
Direct Health Facility Financing – a succeeding approach for Tanzania
Overview on Direct Health Facility Financing as presented at the 19th Joint Annual Health Sector Review in November 2018.