JavaScript Required

The P4H website is designed to perform best with Javascript enabled. Please enable it in your browser. If you need help with this, check out

Reducing fragmentation to improve efficiency: lessons from countries (Webinar) - P4H Network

Reducing fragmentation to improve efficiency: lessons from countries (Webinar)

Thursday 26 October | 1400 h CET

The WHO Health Financing and Economics (HFE) Department is organizing a Webinar to demonstrate the WHO Cross-Programmatic Efficiency Analysis (CPEA)

While health programmes are critical to advocate and provide access to priority services, they have also had unintended consequences, such as creating parallel service delivery, procurement, information systems, trainings, along with other areas.  This fragmentation is often driven by separate financing, governance, and accountability structures and is exacerbated by external assistance. This can constrain efficiency and impacts country progress towards universal health coverage (UHC).

The WHO Cross-Programmatic Efficiency Analysis (CPEA) diagnostic detects inefficiencies resulting from the ways in which health programmes and related services are articulated within the context of the overall health system. This approach helps to identify and address duplications and misalignments between functions that are common across selected health programmes and focuses on fragmentation that constrains the ability to improve or at the very least sustain coverage of these health programmes. In its application in 16+ countries to date, the CPEA has been an important process to bring together, build consensus between, and align through evidence-based dialogue diverse sets of stakeholders.

This webinar will build from the session held at the 15th International Health Economics Congress (iHEA) in July 20232023 (see the newly released blog from this session on “Addressing fragmentation to improve efficiency on the road to UHC”). During the webinar, the CPEA approach will be explained and demonstrated building first from cross-country experiences in addressing identified inefficiencies and then the recent application in Cameroon, Mozambique, and Nigeria.  This session will bring together speakers across all three levels of WHO, Ministry of Health, and academia.