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.
Forgone Care of doctor’s visits in Germany – Results from three cross-sectional surveys
A study analyzing data from German representative surveys found that 21% of participants reported forgone care in the past year, with higher rates in women and younger adults. The main barriers to accessing care were categorized as systemic, psychological, and...
Trends in the financialisation of outpatient care across OECD countries
This OECD study examines the growing role of financial actors—such as private equity, pension funds, and insurers—in outpatient health care across OECD countries. Drawing on responses from health ministries and system-level data, it highlights increasing concerns...
Estimating Health Expenditure in the Dominican Republic 2007-2021 Using the SHA Approach 2011
Based on data available from the Dominican Republic's health accounts, Magdalena Rathe of Fundación Plenitud analyzes the country's health spending between 2007 and 2021. Using the 2007 and 2018 national income and expenditure surveys, a triangulation was made with...
Tax systems and policy: Crucial for good health and good governance
The policy brief “Tax Systems and Policy: Crucial for Good Health and Good Governance”, published by the United Nations University International Institute for Global Health (UNU-IIGH) in May 2025, reframes taxation as a central pillar of equitable and sustainable...
Reproductive health financing in Uganda: results from the national health account study, 2019–2021
Uganda has made significant strides in its journey to achieve the Sustainable Development Goals (SDGs) by enhancing the health and survival of women and children during pregnancy, childbirth, and adolescence. This effort began in 2013 with the development of the first...
Economic burden and determinants among hospitalized patients with epilepsy in Thailand
This study analyzes the direct medical costs of hospitalized epilepsy patients in Thailand. These costs are assessed from both a societal perspective—which includes hospital expenditures and payments made by health insurance schemes—and a patient perspective, which...
Smoke economics: lessons from tobacco ban for e-cigarette regulation in Bhutan
E-cigarettes and Vaping is a growing public health concern among adolescents in Bhutan. Despite a history of stringent tobacco regulations, the rise in vaping and related health issues indicates a need to update laws and impose higher taxes to discourage their use....
Exploring the facilitators and barriers to achieving universal health coverage in Uganda: a qualitative study of the free healthcare policy
Published in Health Research Policy and Systems by BMC (part of Springer Nature), this qualitative study titled "Exploring the facilitators and barriers to achieving universal health coverage in Uganda: a qualitative study of the free healthcare policy" offers...
Health financing for noncommunicable diseases: Landscape analysis of practices and challenges in the Sub-Saharan Africa region
This landscape analysis by the Financing Accelerator Network for NCDs (FAN) examines the health financing practices and challenges related to NCDs across six exemplar countries in Eastern, Southern, and Western Africa. By analysing resource mobilisation, pooling, and...
Accelerating progress towards universal health coverage (UHC) in Uzbekistan : A proposal for a National Health System Strategy 2030
The Government of Uzbekistan, with technical support from the World Bank and its partners, has undertaken the development of a comprehensive National Health System Strategy to improve equity, quality, and efficiency across the country’s healthcare landscape. This...
Fact Sheets – Ethiopia
Ethiopia’s health sector has undergone significant transformation over the past two decades, marked by expanded access to primary health care, improved maternal and child health outcomes, and notable progress in the control of major communicable diseases. Guided by a...
Willingness to pay for a quality-adjusted life year (QALY) in Pakistan: implications for health policy
This study investigates the willingness to pay (WTP) for one additional Quality-Adjusted Life Year (QALY) among the general population in Pakistan, highlighting the economic constraints in healthcare resource allocation. A survey revealed a mean WTP of 114,006.4...
Implications of U.S. withdrawal from the World Health Organization on health financing in Africa
The U.S. withdrawal from the World Health Organization (WHO) could severely impact global health financing, especially in Africa, where its previous contributions supported vital health programs for HIV/AIDS, maternal and child health, tuberculosis, and malaria. This...
Public-Private-Partnerships for Primary Care in India, Pakistan and Bangladesh: Lessons on pathways and drivers
In their recent publication in The International Journal of Health Planning and Management, Shehla Zaidi, A. Venkat Raman, Mahbub Elahi Chowdhury, Farooq Azam, and Priya Balasubramanium examine the evolution and implementation of public-private partnerships (PPPs) in...
Re-imagining Sudan’s Health System in Conflict: Towards a Resilient, Conflict-Responsive and Inclusive Policy Agenda
The "Reimagining Health System in Sudan" workshop outlined key challenges and proposed a phased approach to improve Sudan’s healthcare system, emphasizing decentralized governance, digital innovation, and community engagement. In the short term, the focus is on...