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.
Côte d’Ivoire: State Budget Act 2022
Côte d’Ivoire: ANNUAL PERFORMANCE REPORT (APR) FOR YEAR 2020
Côte d’Ivoire: MSHP BUDGET 2020 TO 2022
Socio-demographic predictors of willingness to pay for premium of national health insurance: A cross-sectional survey of six districts in Sierra Leone
The government of Sierra Leone has been exploring the introduction of a social health insurance scheme as a measure to remove financial barriers that put households at a risk of impoverishment in accessing health care. This study was conducted to find out the...
Assessing the feasibility of introducing health insurance in Afghanistan: a qualitative stakeholder analysis
The health financing system in Afghanistan remains fragile due to high out-of-pocket spending and reliance on donor funding. Households’ out-of-pocket expenditures or direct payments for health services account for 73% of total health expenditure with 75% of the...
Improving health service delivery in conflict-affected settings: Lessons from a nationwide strategic purchasing mechanism in Afghanistan
Due to ongoing insecurity, the government of Afghanistan delivers health care to the country’s population by contracting out service delivery to non-governmental organization service providers (SPs). In 2018, major changes to SP contracts were introduced, resulting in...
Measurement and determinants of financial protection in health in Afghanistan
Out of pocket payments for health poses a significant health financing challenge in Afghanistan as they put households at risk of incurring catastrophic health expenditure and potential impoverishment. This study measures and explains the drivers and impacts of this...
Assessment of progress towards universal health coverage for people with disabilities in Afghanistan: a multilevel analysis of repeated cross-sectional surveys
According to the UN Sustainable Development Goal 3, target eight, the provision of quality care to all must include usually underserved groups, including people with disabilities. The paper investigates how much a decade of international investment in the Afghan...
Actuarial study of the proposed single national health insurance (SNHI) scheme in Tanzania: A summary brief
In 2017, Tanzania proposed the SNHI, building on the existing national health insurance fund’s (NHIF) administrative structures to manage contributions and enrol participants. As of October 2017, NHIF, which primarily provides health insurance for the formal sector,...
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...
Examining health facility financing in Kenya in the context of devolution
The performance of public health facilities depends on purchasing arrangements, and mechanisms used to finance their operations. How public healthcare facilities are financed can affect health system goals in several ways. For example, the reliability of sources of...
Drivers of outpatient care costs incurred by Kenyan households
An estimated 1.48 million people in Kenya are pushed into poverty every year because of out-of-pocket (OOP) and outpatient health expenses. Kenyans from poor households are the most vulnerable and experience economic hardship each time an OOP payment is necessary....
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...