Zambia has invested in several healthcare financing reforms aimed at achieving universal access to health services. This study conducted a quasi-longitudinal benefit incidence analysis of public and overall health spending between 2006 and 2014 by combining data from household surveys and national health accounts. The goal was to measure the socioeconomic inequality of public and overall health spending on curative services and institutional delivery. The results showed that public health spending on curative services tended to benefit the poorer segments of the population while public and overall health spending on institutional delivery tended to benefit the least-poor. Higher inequalities were observed at higher care levels for both curative and institutional delivery services. Whereas at primary levels, the implementation of universal health coverage policies led to a reduction in socioeconomic inequality in health spending.
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