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.
Africa’s health financing in a new era: Concept paper
Africa is facing significant challenges in health financing, with a projected 70% decline in external aid between 2021 and 2025, alongside a rise in public health emergencies. In response, the Africa Centres for Disease Control and Prevention (Africa CDC) has...
The care dividend: Why and how countries should invest in long-term care
Published by the World Health Organization’s European Observatory on Health Systems and Policies and released by Cambridge University Press, The Care Dividend: Why and How Countries Should Invest in Long-Term Care presents a timely and evidence-based argument for...
The catastrophic cost of TB care: Understanding costs incurred by individuals undergoing TB care in LMICs, MICs, HICs
Tuberculosis (TB) remains a major public health challenge, not only because of its health burden but also due to the significant financial hardships it imposes on patients and their families. This systematic review, conducted by Olivia Alise D’Silva and colleagues,...
Citizen participation in the political economy of primary healthcare financing in Nigeria: a cross-sectional survey
Published in Discover Health Systems by Springer Nature, the open-access article "Citizen participation in the political economy of primary healthcare financing in Nigeria: a cross-sectional survey" explores the critical role of civic engagement in shaping healthcare...
Healthcare systems and health economics in GCC countries: informing decision-makers from the perspective of the Gulf health economics association
The discovery of oil has enabled GCC countries to provide universal healthcare to their citizens, but rising healthcare demands pose challenges in financing these systems effectively. Experts in health economics from the Gulf Health Economics Association held a focus...
Supreme Decree approving regulations for Law No. 29698 on rare diseases.
On March 27, 2025, the Peruvian government enacted Supreme Decree No. 002-2025- SA. This approved regulations for Law No. 29698, a law that declares the treatment of people suffering from rare or orphan diseases to be of national interest and preferential attention....
Using income-based caps to protect people from user charges for health care
User charges for health care—such as co-payments for doctor visits, hospital stays, or medicines—can create significant barriers to accessing necessary services, particularly for people with low incomes. To mitigate this, some countries in Europe have adopted...
The case for investing in a healthier future for the European Union
A new report by R-Health Consult, commissioned the European Federation of Pharmaceutical Industries and Associations (EFPIA), highlights the significant health and economic benefits of investing in the prevention, early detection, and treatment of five major...
Quick buys for prevention and control of noncommunicable diseases
The research article "Quick Buys for Prevention and Control of Noncommunicable Diseases" explores cost-effective interventions that can produce measurable health benefits within five years. Despite the proven effectiveness of the WHO Best Buys for tackling...
Informal employment and high burden of out-of-pocket healthcare payments among older workers: evidence from the Longitudinal Ageing Study in India
India's economy features a significant informal workforce that often struggles with low wages and inadequate healthcare benefits, leading many older workers to continue working past retirement age to cover their medical costs. This study found that informal older...
Medicare austerity reforms and patient out-of-pocket costs: The experience from Australian cancer patients
This paper analyzes trends in provider fees, government spending on private out-of-hospital medical services, and out-of-pocket costs for cancer patients following policy changes aimed at reducing government expenditure. It highlights significant variations in...
Smart spending to combat global health threats
Global public goods for health, including prevention, preparedness, and response (PPR) measures, are vital for safeguarding populations against future health threats. Yet the scale of investment in these areas remains inadequate and uneven, especially across income...
Programme-based budgeting for primary care financing: insights for practitioners
In many low- and middle-income countries (LMICs), traditional line-item budgeting has hindered effective primary care financing by reducing transparency, limiting flexibility, and fragmenting expenditures. Programme-based budgeting (PBB) offers a strategic...
A Chinese conundrum: does higher insurance coverage for hospitalization reduce financial protection for the patients who most need it?
This paper analyzes how cost-sharing impacts the use of outpatient and inpatient health services in China. The study reveals that increased cost-sharing for outpatient services leads to decreased outpatient usage while simultaneously increasing reliance on inpatient...
Law 100 of 1993 created the comprehensive social security system in Colombia.
In 1993, the Congress of the Republic of Colombia passed Law 100, thus creating the country's comprehensive social security system. It comprises the obligations of the State and society, the institutions and the resources destined to guarantee the coverage of economic...