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.
Government purchase of private health services in the Eastern Mediterranean region: opportunities and challenges for stewarding towards a universal health coverage focus
As countries across the Eastern Mediterranean region (EMR) increasingly rely on private providers to deliver health services, governments face growing pressure to ensure these purchasing arrangements align with Universal Health Coverage (UHC) goals. This article,...
A retrospective study of insurance coverage status and economic cost of rare diseases in Hainan Province
Rare diseases in Hainan Province pose a significant economic burden, with a rising prevalence and limited data available. A study from 2019 to 2023 found that 83.01% of the 4,975 diagnosed patients were insured, yet total economic costs escalated from 34.26 million...
Ministry of Public Health of Uruguay, Decree n. 287/2012.
In 2012, Uruguay's Ministry of Health issued a decree updating the categories of free care administered by the National Health Fund (FONSA). Certain vulnerable groups and beneficiaries affiliated by quota to the state health services administration (ASSE) can receive...
Financing intersectoral action for health: a systematic review of co-financing models
The research article by Finn McGuire, Lavanya Vijayasingham, Anna Vassall, Roy Small, Douglas Webb, Teresa Guthrie, and Michelle Remme published in the Journal of Globalization and Health explores how shared financing mechanisms can support collaborative efforts...
Overcoming coordination challenges between health and social services in the Republic of Korea
This policy brief, published by the WHO Centre for Health Development, explores the Republic of Korea’s long-term care (LTC) insurance system and the coordination challenges it faces between health and social services. Authored by Professor Soonman Kwon of Seoul...
Sustainable and gender equitable capacity building for health financing in Africa
Across nine African countries, a Clinton Health Access Initiative (CHAI) assessment reveals critical gaps in the health financing workforce. These challenges stem from systemic issues in training and institutional structures. As global funding shifts and domestic...
The global landscape of country-level health technology assessment processes
The global landscape of Health Technology Assessment (HTA) processes is evolving as countries strive to implement evidence-based decision-making for healthcare services. This survey, covering 104 countries, offers an insightful analysis of the current state of HTA...
Purchasing primary care services for quality chronic care: Capitation with performance payments in four countries
Published in The International Journal of Health Planning and Management, the open-access short communication “Purchasing Primary Care Services for Quality Chronic Care: Capitation With Performance Payments in Four Countries” examines how provider payment reforms can...
Protective role of health insurance coverage in reducing under-five mortality in Ethiopia: Gompertz inverse-Gaussian shared frailty modelling
This study found a significant association between health insurance coverage and under-five mortality, revealing that children of uninsured mothers had a notably higher risk of mortality. Specifically, 96.46% of the children assessed were born to mothers without...
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....