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.
Universal health insurance in Africa: a narrative review of the literature on institutional models
Equitable health financing where costs are shared within a population based on everyone’s contributory capacity is critical for Universal Health Coverage (UHC). Several African countries have introduced Universal Health Insurance (UHI) programmes with the aim of...
Can National Health Insurance pave the way to Universal Health Coverage in sub-Saharan Africa?
African leaders across the continent have made bold commitments to attain Universal Health Coverage (UHC). One way to show this commitment has been through exploring National Health Insurance Schemes (NHIS). In this study, the authors examine African country...
Health coverage and financial protection in Uganda: A political economy perspective
It has been over 20 years since Uganda abolished user-fees to improve access to health services and reduce the financial burden of accessing care. However, household out-of-pocket expenditures are still persistently very high contributing 42% of total health...
Health Financing System Assessment in Papua New Guinea
The document provides an analysis of the economic, demographic, and disease burden context, the health system structure, human resources for health and health expenditure in the country. It includes detailed information and analysis of the health expenditure trends,...
Equality in financial access to healthcare in Cambodia from 2004 to 2014
"Using the World Health Organization's methods for the analysis of healthcare expenditure and household survey data from 2004, 2009 and 2014 Cambodian Socio-Economic Survey, the authors assessed trends in reported illness, utilization of healthcare services and...
Assessing the feasibility and appropriateness of introducing a National Health Insurance Scheme in Malawi
Malawi’s interest in social health insurance dates back to 2011 as a means to reduce donor dependency and increase domestic resource mobilization for health. In May 2015 the Malawian Ministry of Health (MOH) contacted one of its external partners to conduct an...
Decomposing socio-economic inequality in catastrophic out-of-pocket health expenditures in Malawi
Socio-economic inequality in out-of-pocket health expenditures entails disparities in the burden of catastrophic health expenditures which worsens inequalities in access to and utilization of health services. Addressing the factors contributing to the inequalities is...
Strategies for financing social health insurance schemes for providing universal health care: a comparative analysis of five African countries (Ghana, Kenya, Ethiopia, Rwanda and Tanzania)
Social health insurance is increasingly being considered as a mechanism for providing financial protection and moving towards Universal Health Coverage (UHC). In recent years there has been a political will and interest to explore the implementation of National Health...
Governance factors that affect the implementation of health financing reforms in Tanzania: an exploratory study of stakeholders’ perspectives
Tanzania has been reforming health financing policies to expand health insurance coverage and achieve better access to quality healthcare for all. Recent reforms have included improved community health funds (iCHFs). Other reforms that are underway include the...
Examining the level and inequality in health insurance coverage in 36 sub- Saharan African countries
Many low/middle-income countries (LMICs) are increasingly prioritising UHC and reforming their health systems to accelerate progress to achieve this target. To reduce the financial burden of care and improve financial risk protection, many of these countries are...
Health financing reforms in Uganda: dispelling the fears and misconceptions related to introduction of a National Health Insurance Scheme; Comment on “Health coverage and financial protection in Uganda: a political economy perspective”
In this paper, the authors provide a contextual and political-economic analysis of health financing reforms in Uganda and in particular dispelling the fears and misconceptions related to introduction of a National Health Insurance Scheme (NHIS). The path to health...
Assessment of equity in healthcare financing in Fiji and Timor-Leste: a study protocol 2014
This document includes a protocol to assess equity in health financing and service use in Fiji and Timor-Leste that was meant to support government efforts to improve access to healthcare, moving towards universal health coverage, The specific objective of the study...
Assessment of Social Health Insurance Feasibility and Desirability in Fiji 2013
This assessment of the feasibility and desirability of social health insurance (SHI) in Fiji highlights that the current healthcare financing system ensures the financial risk protection and the poor in this country do not face financial barriers in accessing...
Fiji Health Accounts 2011-2015
This National Health Accounts report for Fiji provides health expenditures information for the period of 2011-2015 and tracks health expenditures from financing sources to health services and beneficiaries. An average of 9% of total government expenditure funded the...
Universal Health Coverage Assessment: Republic of the Fiji Islands 2015
The document includes an assessment of the Fijian health system with a focus on the health financing. The general government budget was the main pooling arrangement for health funds and the Ministry of Health purchases health services for the entire population as of...