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.
Health financing progress matrix assessment: Uganda 2023
This WHO report provides a concise summary of the Health Financing Progress Matrix assessment in Uganda, conducted as part of the mid-term review of the national health financing strategy. The report was conducted using a highly participatory process, with the...
Strategy for integrating Results-Based Financing into the Uganda intergovernmental fiscal transfers program
In Uganda, Results-Based Financing (RBF) is highlighted as a core intervention to transform health purchasing from a traditional input-based budgeting approach to one that actively encourages performance improvements. This strategy's goal is to institutionalize RBF as...
Overview of health financing flows in Uganda
Tracking health financing resources is critical for ensuring the efficient use of resources as well as equitable distribution. This report documents the nature and magnitude of financial flows to Uganda’s health sector and the purchase of primary health care (PHC)...
The economic burden incurred by families caring for children with developmental disability in Uganda
This study reveals that households caring for a child with a disability spent more than the national average household expenditure, and the annual cost of illness for all households was more than 100% of the national GDP per capita. In sub-Saharan Africa,...
A review of local government and health facility implementation experiences in Results-Based Financing for primary health care in Uganda
Starting in the financial year 2018/19, the Ministry of Health (MOH) began implementing Results-Based Financing (RBF) under the Uganda Reproductive, Maternal, and Child Health Improvement Project (URMCHIP). To operationalize RBF, the MOH introduced performance-linked...
Health coverage and financial protection in Uganda: A political economy perspective
It has been over 20 years since Uganda abolished user-fees to improve access to health services and reduce the financial burden of accessing care. However, household out-of-pocket expenditures are still persistently very high contributing 42% of total health...
Health financing reforms in Uganda: dispelling the fears and misconceptions related to introduction of a National Health Insurance Scheme; Comment on “Health coverage and financial protection in Uganda: a political economy perspective”
In this paper, the authors provide a contextual and political-economic analysis of health financing reforms in Uganda and in particular dispelling the fears and misconceptions related to introduction of a National Health Insurance Scheme (NHIS). The path to health...
Strategic Purchasing Arrangements in Uganda and Their Implications for Universal Health Coverage
Uganda's mixed health financing system creates challenges for achieving universal health coverage but offers opportunities for improvement through better resource pooling and provider autonomy.A new research article published in the Health Systems and Reform Journal...
Transition to program budgeting in Uganda: status of the reform and preliminary lessons for health
To make sustainable progress towards universal health coverage (UHC), public health financing is very critical. Uganda has taken major budgetary reforms to optimize budget planning, transparency, and accountability since the early 2000s. The two major reforms over...
The progress in addressing financial risk in Uganda; Analysis of catastrophe and impoverishment due to health payments
In this study, the researchers monitor the progress that Uganda has made in ensuring financial risk protection to attain universal health coverage (UHC) as a signatory to the sustainable development goals. Monitoring progress towards UHC requires tracking of progress...
Equity of local government health financing in Uganda
In Uganda, just like most low and middle-income countries, most of the health spending is at the local government (subnational) level. To achieve universal health coverage, efforts to increase health spending need to consider the efficiency and effectiveness of...
Health coverage and financial protection in Uganda: A political economy perspective
In this article, the researchers analyse the Ugandan experience of health financing reforms with a specific focus on financial protection. After almost 20 years of abolishing user-fees to improve accessibility to health services for the population, the incidence of...
Towards universal health coverage (UHC) in Uganda: A multi-sectoral approach
Uganda’s goal for UHC is to provide at least 65% of its population quality healthcare and financial protection by 2030. However, at 44% coverage in 2018, the country is far from reaching that goal. This policy brief analyses the low performance on UHC and makes a case...
Who pays for and who benefits from health care services in Uganda?
Equity in health care entails payment for health services according to the capacity to pay and the receipt of benefits according to need. It is an essential element of universal health coverage. In Uganda, as in many African countries, although equity is extolled in...
Question and answer booklet on the planned national health insurance scheme in Uganda
Health Insurance is a way of financing health care where individuals or households’ contributions are pooled together, so when members fall sick they access a defined package of health services without having to pay out of pocket. This has the potential to protect...