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 Strategy, 2017-2027: Towards UHC for Zambia
The Health Financing Strategy (HFS) 2017-2027 for Zambia aims to enhance the country's health financing framework in line with national health goals. Developed through a participatory process led by the Ministry of Health and the Health Financing Technical Working...
Universal health coverage and the poor: to what extent are health financing policies making a difference? Evidence from a benefit incidence analysis in Zambia
Zambia has invested in several healthcare financing reforms aimed at achieving universal access to health services. This study conducted a quasi-longitudinal benefit incidence analysis of public and overall health spending between 2006 and 2014 by combining data from...
Exploring for-profit healthcare providers’ perceptions of inclusion in the Zambia National Health Insurance Scheme: A qualitative content analysis
In 2019, Zambia introduced the National Health Insurance Scheme (NHIS) as a healthcare financing strategy to increase universal access to health care services and ensure financial risk protection. The NHI Management Authority is exploring accrediting the private for...
Zambia 2018 National Health Insurance Act
For over three decades Zambia government has explored the prospect of introducing a National Health Insurance (NHI) scheme to reduce overreliance on out-of-pocket expenditures and move towards universal coverage. By 2011 the need to introduce the NHI scheme in line...
Achieving sustainable health financing in Zambia: prospects and advocacy opportunities for domestic resource mobilization
Zambia has demonstrated significant commitment to increasing domestic expenditure on health to ensure sustainable health sector financing. From 2003 to 2014, government health expenditure increased from US$67 million to US$514 million. However, beginning in 2013, the...
COVID-19, poverty, and social safety net response in Zambia
What has the impact of the COVID-19 pandemic been on poverty in Zambia, and how can social protection programs mitigate these effects? This paper estimates the pre-pandemic poverty level in Zambia and then simulates the distributional impact of COVID-19 in the...
Review of health financing, expenditure and service delivery in Zambia
Ensuring adequate access to quality health services, whether preventative or curative, is critical for a country to ensure that its population attain better health outcomes. In this context, universal health coverage (UHC), embedded within sustainable development...
Towards universal health coverage (UHC) in Zambia: impediments and opportunities
The inclusion of UHC in the 2015 sustainable development goals (SDGs) targets (target 3.8) and the national commitments requires that all its member states work towards achieving this agenda. However, there are concerns over its feasibility in low and middle-income...
Hardship financing of out-of-pocket (OOP) payments in the context of free healthcare in Zambia
High levels of out-of-pocket spending have been shown to be one of the biggest health reasons people fall into poverty when accessing care, or choose to forgo care. Globally it is estimated that 100 million people are pushed into poverty every year due to exorbitant...