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.
Note 1 to the Malagasy presidency: Carrying the CSU lead
Note 2 to the Malagasy presidency: Carrying the CSU lead
Madagascar : Accelerating the implementation of the CSU: Why? How?
Three priority actions: ► Adopt the Health Financial Protection for All Bill (Pillar 2 of the CSU) currently under preparation. ► Adopt a genuine healthcare financing strategy ► Enable free access for the entire population to a priority basic care package at the CSB...
74th World Health Assembly: Challenges and roadmap for Madagascar
Although this issue relates more to pillar 1 of the CSU (provision of effective, quality health care and services), it is of particular importance in Madagascar, given the ongoing process of drafting a law on financial protection in health care for all users (pillar 2...
Willingness to pay for health insurance in the informal sector of Sierra Leone
Sierra Leone has a population of 6.6 million, and around 90% of the labour force in the country works in the informal sector, mostly subsistence or other small-scale agriculture. The extremely low gross domestic product per capita fuels the permanent fiscal deficit of...
Spending for health in Malawi: Current trends and strategies to improve efficiency and equity in health financing
Although remarkable progress has been made in improving health outcomes over the past decade, Malawi still faces challenges. The COVID-19 pandemic could reverse the gains in the health sector in Malawi. Due to the pandemic, there has been a reduction in the use of...
The right choice: Achieving universal health coverage in Malawi
In Malawi primary healthcare services are provided for free at point of use in all government facilities and selected Christian Association of Malawi facilities through service level agreements). In practice, however, around 70% of the services provided at tertiary...
Financing Ethiopia’s Primary Care to 2035: A Model Projecting Resource Mobilization and Costs
This paper presents the results of modeling to project Ethiopia’s future resources to finance primary health care and compare them with the likely costs of providing primary care according to current government plans. The paper explores different scenarios related to...
Allocating resources to support universal health coverage (UHC): policy processes and implementation in Malawi
The optimal use of resources to maximise health outcomes and attain Universal Health Coverage is very crucial especially in low and middle income countries (LMICs) where resources are limited. This requires improved efficiency in the distribution of resources across...
Community-based Health Insurance Program in Ethiopia: Assessing Institutional and Financial Sustainability
This study examines the financial sustainability of CBHI schemes, focusing on schemes that have been operational for more than two years, and provides descriptions of institutional structures, human resource capacity, engagement and commitment of key stakeholders, and...
Ethiopia’s Community-based Health Insurance: A Step on the Road to Universal Health Coverage
In the last 10 years, Africa has witnessed a renewed interest in Community-based Health Insurance (CBHI) schemes as countries leverage communities to expand risk-pooling coverage to informal sectors and the rural population. Among African countries, Ethiopia’s...
The Effect of Ethiopia’s Community-Based Health Insurance Scheme on Revenues and Quality of Care
This paper relies on a difference-in-differences approach applied to both panel and cross-section data. We find that CBHI-affiliated facilities experience a 111% increase in annual outpatient visits and annual revenues increase by 47%. Increased revenues are used to...
Universal Health Coverage for Inclusive and Sustainable Development : Country Summary Report for Ethiopia
A low-income country, Ethiopia has made impressive progress in improving health outcomes. The Inter-agency Group for Child Mortality Estimation reported that Ethiopia has achieved Millennium Development Goal (MDG) 4, three years ahead of target, with under-5 mortality...
Public-Private Partnerships for Health in Vietnam : Issues and Options
“This book describes the nature of public-private partnerships (PPPs) in the health sector in Vietnam. It defines health-related PPPs, describes their key characteristics, and develops a taxonomy of the different types of PPPs that exist in practice, illustrated by...
Is UHC Affordable? Estimated Costs and Fiscal Space Analysis for the Ethiopian Essential Health Services Package
Estimating the required resources for implementing an essential health services package (EHSP) is vital to examine its feasibility and affordability. This study aimed to estimate the financial resources required to implement the Ethiopian EHSP from 2020 to 2030....