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.
Examining multiple funding flows to public healthcare providers in Burkina Faso, Kenya, Morocco, Nigeria, Tunisia and Vietnam
This study examines multiple funding flows and describes the potential effect of multiple payment streams on healthcare provider behaviour in low- and middle-income countries.Findings from case studies conducted in Burkina Faso, Kenya, Morocco, Nigeria, Tunisia, and...
COVID-19 purchasing adjustments: Insights from 8 middle-income countries
Journal of Health Policy and Planning (Oxford University Press) article examines COVID-19's impact on health purchasing in eight middle-income countries, revealing adjustments in benefit packages and payment methods amid financing challenges and concerns about...
Health financing policies during the COVID-19 pandemic and implications for universal health care
A research paper published in the December 2023 Issue of the Lancet Global Health on how 15 countries responded to the COVID-19 pandemic through their health financing policies. The paper has been co-authored by Aungsumalee Pholpark, Community Facilitator for the Asia...
Strategic health purchasing in Nigeria: Exploring the evidence on health system and service delivery improvements
Global commitment to achieving universal health coverage (UHC) has led to increasing attention on health purchasing. Purchasing is one of the key health financing functions that provides the critical link between resources mobilized for health and the effective...
Examining healthcare purchasing arrangements for strategic purchasing in Nigeria: a case study of the Imo state healthcare system
Purchasing is a critical function of health financing which links resources mobilized in the health sector to effective delivery of quality healthcare services. Strategic purchasing therefore can help a country improve financial risk protection for the vulnerable...
The Lancet Nigeria Commission: investing in health and the future of the nation
Health is central to the development of any country. Most countries including Nigeria have committed to provide access to quality health care without the financial burden to its population to ensure health for all. However, major obstacles still persist among them...
Strategic Health Purchasing in Nigeria: Investigating Governance and Institutional Capacities within Federal Tax-Funded Health Schemes and the Formal Sector Social Health Insurance Programme
Strategic purchasing has the potential of increasing equity in access to quality services and ensuring financial protection through deliberate effort to purchase services with the best value for money. This study examines the purchasing arrangements in schemes funded...
Supporting strategic health purchasing: a case study of annual health budgets from General Tax Revenue and Social Health Insurance in Abia State, Nigeria
The recent health financing reforms in Nigeria such as the Basic Healthcare Provision Fund (BHCPF) and state-supported Social Health Insurance (SHI) schemes recognize the critical roles of state governments and related agencies in defining, deciding, implementing, and...
The Implications of health financing for health access and equity in Nigeria
Health financing is an important function of the health system and plays a key role in enabling progress towards Universal Health Coverage by improving effective service coverage and ensuring adequate financial protection from impoverishment arising from health...
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...
Nigeria health financing policy and strategy 2017
A stronger national health financing system provides a stronger foundation for the broader health system. Health financing thus serves as pivot upon which other health system building blocks revolve and rest. Achieving universal health coverage (UHC) and all the...
Nigeria’s financing of health care during the COVID-19 pandemic: challenges and recommendations
In this study, the authors analyse the financing of Nigeria’s healthcare system in response to the COVID-19 pandemic. They use the three health care financing functions: revenue collection, pooling, and purchasing. The findings show that Nigeria projected that it...
COVID-19 and progress towards achieving universal health coverage (UHC) in Nigeria
Nigeria like other low and middle-income countries made a commitment towards attaining UHC by 2030. The arrival of COVID‐19 poses additional pressure on the already weak health system, which in turn affects the provision of other equally important essential health...