
Côte d’Ivoire/ Mutualité sociale: Senegal immerses itself in Côte d’Ivoire
From December 9 to 10, 2021, a delegation from Senegal took part in a study tour of the experiences of Côte d'Ivoire and Mali in implementing the UEMOA regulation on social mutuality. The Programme d'Appui aux Stratégies Sociales (PASS) acted as facilitator for...

Burkina Faso: a study on strategic purchasing in the healthcare sector
Recherche pour la santé et le développement (RESADE) organized a workshop to present the results of activities carried out as part of the Strategic Purchasing Resource Center in Africa (SPARC) project, this Friday, January 7, 2022, in Ouagadougou. The ceremony was...

Burkina Faso/Social protection: more needs to be done according to INSPIR
Social protection for all segments of the population is the mission that INPS!R has set itself through its advocacy work. After a year of activities, this civil society organization has paused to take stock. According to Patrice PAMOUSSO, the CSO's...

Sierra Leone to increase domestic health funding in 2022 by $5.9m as donor funds shrink
The government of Sierra Leone plans to increase domestic funding to the health sector by US$5.9 million in 2022 as the sector will be experiencing massive cuts in the area of budget support by bilateral partners. For the health sector, the country has increased...
Assessing the feasibility of introducing health insurance in Afghanistan: a qualitative stakeholder analysis
The health financing system in Afghanistan remains fragile due to high out-of-pocket spending and reliance on donor funding. Households’ out-of-pocket expenditures or direct payments for health services account for 73% of total health expenditure with 75% of the...
Improving health service delivery in conflict-affected settings: Lessons from a nationwide strategic purchasing mechanism in Afghanistan
Due to ongoing insecurity, the government of Afghanistan delivers health care to the country’s population by contracting out service delivery to non-governmental organization service providers (SPs). In 2018, major changes to SP contracts were introduced, resulting in...
Measurement and determinants of financial protection in health in Afghanistan
Out of pocket payments for health poses a significant health financing challenge in Afghanistan as they put households at risk of incurring catastrophic health expenditure and potential impoverishment. This study measures and explains the drivers and impacts of this...
Assessment of progress towards universal health coverage for people with disabilities in Afghanistan: a multilevel analysis of repeated cross-sectional surveys
According to the UN Sustainable Development Goal 3, target eight, the provision of quality care to all must include usually underserved groups, including people with disabilities. The paper investigates how much a decade of international investment in the Afghan...
Actuarial study of the proposed single national health insurance (SNHI) scheme in Tanzania: A summary brief
In 2017, Tanzania proposed the SNHI, building on the existing national health insurance fund’s (NHIF) administrative structures to manage contributions and enrol participants. As of October 2017, NHIF, which primarily provides health insurance for the formal sector,...
Strategic purchasing for universal health coverage (UHC): examining the purchaser–provider relationship within a social health insurance scheme in Nigeria
Recognising how important purchasing is in social health insurance, this study critically assesses purchasing arrangements between Nigeria’s national health insurance scheme, health maintenance organisations and healthcare providers. It determines how the arrangements...
Factors affecting utilization of the national health insurance scheme by federal civil servants in Rivers State, Nigeria
This study assessed the utilization of health care and associated factors amongst the federal civil servants using the NHIS in Rivers state, Nigeria. It is a descriptive cross-sectional study using self-administered questionnaires. Findings show that out of a total of...
Assessment of the design and implementation challenges of the national health insurance scheme (NHIS) in Nigeria: a qualitative study among sub-national level actors, healthcare and insurance providers
Health insurance is an important mechanism to improve access to healthcare and prevent financial hardship and attain universal health coverage. Although it has been over almost two decades since the launch of the NHIS, only 5% of Nigerians have health insurance and...

Kenya receives 4 million USD for syringe manufacturing
Amid looming shortfalls of syringes to administer COVID-19 vaccine, Kenya’s leading medical supply manufacturer, Revital Healthcare (EPZ) Ltd has received 4 million USD from development partners. This will help expand production of...

Many Nigerians yet to benefit from health care provision fund
In 2014, the government of Nigeria implemented the basic health care provision fund (BHCPF) with the aim of providing adequate care and services at the primary health care (PHC) level, mostly for the vulnerable population, so as to reduce out-of-pocket expenses....

Why has the universal health insurance coverage bill been delayed in Tanzania?
In November, 2021, the government of Tanzania announced that the much-awaited universal health Insurance coverage bill was in the final preparation stages after going through all requisite processes. However, plans to table it during the September 2021 parliament...