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Political economy in global health financing policy in fragile and shock-prone settings - P4H Network

Political economy in global health financing policy in fragile and shock-prone settings

In this ReBuild for Resilience article, WHO and ReBUILD team examine health financing via political economy analysis, revealing power dynamics’ impact on reform outcomes, influencing global agendas with practical insights.

Explore the collaborative efforts between the World Health Organization (WHO) and the ReBUILD for Resilience team, led by Queen Margaret University (QMU), in redefining approaches to health financing. Rooted in political economy analysis (PEA), this partnership seeks to understand how power dynamics and actor interests influence health financing reforms. Through tools development and country analyses, the collaboration sheds light on the complexities of health systems, aiming to bridge the gap between technical solutions and political realities.

Since its inception in 2017, the collaboration has made notable progress in integrating PEA into WHO frameworks, influencing global health agendas. Retrospective analyses in Sierra Leone and Zimbabwe provide insights into intervention effectiveness while extending PEA to new regions promises to empower policymakers. By sharing findings at global platforms like the Global Symposium on Health Systems Research, the collaboration stimulates interest in similar approaches.

The development of a manual to guide health financing reforms using PEA reflects the partnership’s commitment to fostering impact at the country level. As the partnership evolves, it offers a nuanced approach to navigating the complexities of health financing, particularly in fragile settings.