The number of documents available on the P4H Network’s digital platform reflects 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).
Quality of care for chronic conditions: literature review and Delphi survey on the possible contribution of purchasing arrangements in low- and middle-income countries
Chronic conditions, both noncommunicable and infectious, are driving a surge in premature morbidity and mortality, particularly in low- and middle-income countries (LMICs). Ensuring high-quality care for individuals living with these conditions is critical for health...
Addressing public health and health system challenges in Greece: reform priorities in a changing landscape
Greece’s health system has faced mounting strain from ageing populations, chronic diseases, financial pressures, and shocks like COVID-19 and climate change, which have exposed deep structural weaknesses. Although multiple reforms have aimed to improve funding,...
Is a Spending Freeze Sufficient to Stabilise the Contribution Rate in Germany’s Statutory Health Insurance? A Counterfactual Simulation
Germany's statutory health insurance expenditure has consistently outpaced member contribution revenues by about 1% annually for nearly 25 years, necessitating further contribution rate increases unless policy changes occur. A proposed spending moratorium aims to...
The effect of performance-based financing interventions on health worker motivation and job satisfaction
Concerns exist that performance-based financing (PBF) may erode intrinsic motivation by emphasizing financial incentives, though it could also enhance morale through improved conditions. Using six national pilot evaluations across Cameroon, Kyrgyz Republic, Nigeria,...
Health drain: the effect of internal migration on regional disparities in healthcare costs
Internal migration in the Netherlands from 1998 to 2018 altered regional healthcare cost disparities by concentrating younger, healthier individuals in prosperous provinces and older, sicker individuals in disadvantaged ones. Using a novel framework that adjusts for...
SECM annual activity report, 2023 (Belgium)
In this document from 2023, the Service d'évaluation et de contrôle médicaux (SECM) of the Institut national d'assurance maladie-invalidité (INAMI) reports on its activities. The SECM's statutory mission is to ensure that the resources of the health care insurance...
The socioeconomic and health system determinants of financial protection indicators: a global systematic review (2008–2023)
Financial protection is a cornerstone of Universal Health Coverage, yet millions of households worldwide continue to face catastrophic or impoverishing health expenditures. Understanding who is most vulnerable is essential for designing equitable policies and...
No shortcuts to universal health coverage: lessons from accountability initiatives
Universal health coverage (UHC) has long been a global health priority, reaffirmed in multiple international commitments since 2015. Yet despite political momentum, progress has stalled, with 4.5 billion people still lacking access to essential health services and...
Using European Union funds to improve access to community-based mental health care: lessons from Czechia
Czechia has established 29 community mental health centres (CMHCs) using EU funds, bringing together health and social care professionals to provide comprehensive, person-centred services for people with severe mental health conditions. These centres have improved...
Can people afford to pay for health care? New evidence on financial protection in Czechia
Czechia exhibits lower catastrophic health spending than many EU countries, but the poorest quintile and older adults still face high out-of-pocket costs, primarily for outpatient medicines. Gaps in coverage—limited co-payment protections, inadequate adult corrective...
Can people afford to pay for health care? New evidence on financial protection in Slovakia
In Slovakia, catastrophic health spending is lower than in many EU countries but has been rising, disproportionately affecting low-income households and older people, mainly due to out-of-pocket spending on outpatient medicines. Despite a comprehensive benefits...
Can people afford to pay for health care? New evidence on financial protection in Greece
Greece experiences higher levels of catastrophic health spending than many EU countries, with the burden falling most heavily on low-income households due to spending on medicines and outpatient care, while wealthier households face higher costs for inpatient and...
Can people afford to pay for health care? New evidence on financial protection in Slovenia
Slovenia has one of the lowest levels of catastrophic health spending in Europe, thanks to its comprehensive publicly financed benefits and, until 2024, complementary voluntary health insurance (VHI) that protected people from co-payments. A major 2024 reform...
Evaluation of the health financing progress matrix – Côte d’Ivoire 2023
This 2024 report, published by the World Health Organization, provides a summary of the Health Financing Progress Matrix assessment of Côte d'Ivoire's health financing system. It identifies strengths and weaknesses, and priority areas of health financing that need to...
Senegal Health Accounts Report 2022-2023
Senegal's Ministry of Health and Social Action has produced a report on health accounts for the years 2022 and 2023. Accurate and reliable financial data can guide health policies and the use of resources. Health accounts are therefore a tool for decision-making and...