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.
Health insurance coverage: the Peruvian case from the Universal Insurance Law
The document shows the evolution of health insurance coverage (CAS) in Peru for the period 2009-2017. It also evaluates the main associated demographic, social and economic factors, using a secondary analysis of the National Household Survey. For each year, they...
Law 29761 on public financing of the subsidized and semi-contributory regimes of Universal Health Insurance in Peru.
The Essential Health Insurance Plan (PEAS) of the subsidized and semi-contributory systems is financed with resources from budgetary appropriations and contributions. Budgetary appropriations are allocated annually to the Comprehensive Health Insurance based on the...
2022 National Health Insurance Bill
The National Health Insurance Bill of 2022 follows the national health insurance acts of 2006 and 2017. Among other things, this new bill brings together public and private clinical practices under a common financing structure, and establishes a standard health...
P4H Annual Review 2021-2022
The 2022 Annual Review marks a milestone for the P4H Network: 15 years ago from its founding at the 2007 G8 Summit at Heiligendamm. Since then, P4H has refocused its value proposition to help enhance members’ contributions to universal health coverage (UHC), worked to...
Health financing in Peru: Analysis of the current situation and policy challenges to 2021
Peru faces the challenge of the financial transition of its health system, which consists of replacing a scheme highly dependent on out-of-pocket spending to a pooled system where health system users use pre-payment systems and/or health insurance to share the...
Social protection systems in Latin America and the Caribbean: Chile
The document presents a review of the different social protection systems in Chile, and Chapter VI analyzes the health system, indicating that the 2004 Law establishes the Explicit Health Guarantees (GES) as guarantees of the state health system. In 2005, an initial...
Explicit health guarantees in Chile: the AUGE benefit plan
The Universal Access with Explicit Guarantees (AUGE) benefit plan initially defined a basic plan for social health insurance in 2006, consisting of guaranteed and explicit treatments for 56 priority health conditions. In 2010, it was expanded to 69 and subsequently...
The pending health care reform in Chile: Reflections on a proposal for the transformation of the system.
Although Chile achieved positive overall health results at the regional level, this country maintains a health system segmented by risk and income, which stands out for its levels of inequity. A presidential commission commission commissioned in 2014 posed two...
P4H Annual Review 2021-2022 – Annex
Chile abolishes copayments in step towards UHC
The Government of Chile has extended free medical care to everyone in the public health system, establishing the “zero copayment” as one of the key steps to move towards a universal health-care system. However, some other broader reforms on health will not have the...
The National Social Security Fund of Costa Rica (CCSS) – Application Request Letter
Qatar’s National Health Insurance Company (NHIC): What happened, and what shall be done to develop the current social health insurance law
The social health insurance scheme in the State of Qatar provides universal health insurance for all people in the country, and offers members a choice of providers from across the public and private sectors. It forms a key part of the realization of...
Extension of social protection coverage to workers in the informal economy in Sudan
In Sudan just like most developing countries and emerging economies, a large part of its active workforce is made of the informal workers representing about 60 to 65% of the workforce. Although this is the case, the majority of the informal economy is not covered by...
The Effects of Health Purchasing Reforms on Equity, Access, Quality of Care, and Financial Protection in Kenya: A Narrative Review
Kenya's health purchasing reforms improved access and financial protection but face challenges like service awareness and delayed payments, requiring coordinated interventions. This review examines health purchasing reforms in Kenya and their impact on health system...
Zimbabwe health sector expenditure review 2022
The Zimbabwe 2022 public expenditure review (PER) for health examines the recent evolution of public health expenditures in Zimbabwe and assesses opportunities for improving the efficiency, effectiveness, and equity. PER is important as it helps to uncover gaps in...