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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, limited economic resources and a growing population and the removal of user fees again. It further examines the search for innovative domestic financing mechanisms for raising additional funds for health implemented in a few SSA countries and beyond. The goal of the research paper is to provide information to policymakers and advisors in the ECSA-Health Community Region that could inform and improve accountability for decision-making, and facilitate the sharing and dissemination of knowledge and experience.
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