The Zimbabwe 2022 public expenditure review (PER) for health examines the recent evolution of public health expenditures in Zimbabwe and assesses opportunities for improving the efficiency, effectiveness, and equity. PER is important as it helps to uncover gaps in health financing and areas of inequality to ensure that no one is left behind in the quest for attaining universal health coverage (UHC). Among the main findings is that government’s contribution to health declined due to macroeconomic instability since 2018 and while household spending on health fell, development partner spending surpassed government spending in USD terms in 2019 and 2020. The World Health Organization argues that strong domestic financing mechanisms are crucial for sustainability and attainment of UHC. As such, a decline in domestic financing is a cause for concern as it could frustrate any efforts towards UHC in Zimbabwe.
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