The many documents available on the P4H Network’s digital platform reflect the network’s scope of work. The majority of documents are primary source materials created by country nationals or resources produced by organizations working in social health protection (SHP) and/or health financing (HF).
The collection provides information on SHP and/or HF reforms and universal health coverage processes from around the world as well as topical analysis and research.
Fact Sheets – Ethiopia
Ethiopia’s health sector has undergone significant transformation over the past two decades, marked by expanded access to primary health care, improved maternal and child health outcomes, and notable progress in the control of major communicable diseases. Guided by a...
Willingness to pay for a quality-adjusted life year (QALY) in Pakistan: implications for health policy
This study investigates the willingness to pay (WTP) for one additional Quality-Adjusted Life Year (QALY) among the general population in Pakistan, highlighting the economic constraints in healthcare resource allocation. A survey revealed a mean WTP of 114,006.4...
Implications of U.S. withdrawal from the World Health Organization on health financing in Africa
The U.S. withdrawal from the World Health Organization (WHO) could severely impact global health financing, especially in Africa, where its previous contributions supported vital health programs for HIV/AIDS, maternal and child health, tuberculosis, and malaria. This...
Health ¬financing challenges and institutional options to move towards universal coverage in Nicaragua
This paper, published by the World Health Organization in 2010, provides an analysis of the Nicaraguan health financing system. Country performance was assessed using selected health financing performance indicators. The analysis revealed health financing system...
Public Health Financing in Latin America
The set of articles that make up this publication from the University of São Paulo (Brazil) aims to investigate the economic aspects of health service provision in six Latin American countries. The book, published in 2044, contains quantitative and qualitative...
Universal health coverage in fragile and conflict-affected States: insights from Somalia
A new open-access research article published in the International Journal for Equity in Health examines Somalia’s progress toward achieving universal health coverage (UHC) in the context of ongoing fragility and conflict. Titled "Universal health coverage in fragile...
Financing the cost of health care in Jamaica
The Jamaican Ministry of Health and Wellness published a discussion paper on health financing for UHC in July, 2023. The paper aimed to stimulate broad public discussion on sustainable financing of the health sector as the country strives towards achieving Universal...
Belize National Health Insurance Authority Bill -2024
On November 12, 2024 the government of Belize passed an important bill to establish a National Health Insurance Authority (NHI). The bill includes details on NHI functions, management and financing as well as associated health care providers.
Health impact and economic evaluation of the Expanded Program on Immunization in China from 1974 to 2024: a modelling study
The Expanded Program on Immunization (EPI) in China, initiated by WHO in 1974, has significantly reduced disease burden by vaccinating against eight pathogens, averting an estimated 703 million cases and 2.48 million deaths over 50 years. The program has also...
Dominica Macro-Fiscal Context and Health Financing Factsheet
Macro-Fiscal Context and Health Financing Factsheets developed by the World Bank provide graphical representations of 14 key indicators linked to the larger macro fiscal environment in which a health system operates. This fact sheet on Dominica shows historical data...
Decree Law 2763 – creation of FONASA in Chile
The Chilean government created the National Health Fund (Fonasa) by decree law in 1979 (among others). Fonasa is the public health insurance that provides coverage for health services to the population. It is an alternative to the Instituciones de Salud Previsional...
How to Create a Public Health Insurance Plan: Lessons from States in USA
Health coverage rates in the U.S. have reached a record high since the Affordable Care Act was enacted, yet many insured individuals still struggle with high healthcare costs, particularly among marginalized racial and ethnic groups. Surveys indicate that a...
Analysis the status and spatio-temporal characteristics of the synergistic development of China’s multi-level medical insurance system
The study examines the development and spatio-temporal evolution of China's multi-level medical insurance system (MMIS) from 2011 to 2020, highlighting improvements in the coupling coordination index (CCI) which rose from a moderate disorder to a well-coordinated...
Health insurance type, healthcare utilization and out-of-pocket expenditure in the face of COVID-19: Evidence from Thai national survey data
This study investigates whether the type of public health insurance affects outpatient healthcare utilization and out-of-pocket expenditure in Thailand before and during the COVID-19 pandemic. The findings suggest that health insurance type primarily affects provider...
The rising income gradient in life expectancy in Sweden over six decades
This study investigates the relationship between income and life expectancy in Sweden from 1960 to 2021, revealing a widening gap in life expectancy between different income levels. The disparity increased significantly, with men’s life expectancy gap growing from 3.5...