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).
Unlocking investment for the transformation of Ukraine’s health-care network
Significant national and international funds offer Ukraine a chance to transform its health system by consolidating hospitals and expanding primary care. The Ministry of Health must urgently establish a strategic capital investment framework, align prioritization...
Challenging inadequate and fragmented primary health care financing: findings from Bangladesh, Indonesia, Maldives, and Nepal
Strengthening primary health care (PHC) is central to achieving universal health coverage in the WHO South-East Asia Region. This study, published in The Lancet Regional Health – Southeast Asia and Health Policy, analyses PHC financing arrangements in Bangladesh,...
Coverage and predictors of enrollment in the state-supported health insurance schemes in Nigeria: a quantitative multi-site study
This study evaluated the reach and factors influencing enrollment in state-supported health insurance schemes (SSHIS) across six Nigerian states, each representing a different geopolitical zone. Findings showed significant variation in coverage—highest in Kwara State...
How can innovative financing options support health system financing for noncommunicable diseases in low- and middle-income countries?
As noncommunicable diseases (NCDs) place increasing strain on health systems in low- and middle-income countries, the need for sustainable financing solutions is more urgent than ever. With development assistance stagnating and domestic budgets stretched thin,...
The case for investment in tobacco control: lessons from four countries in the Americas
This study in the Pan American Journal of Public Health from 2022 explores the case of investing in tobacco control in Colombia, Costa Rica, El Salvador and Suriname. Health taxes, for example on tobacco products, are considered opportune for both reducing unhealthy...
Implementation of Taxation on Sugar-Sweetened Beverages by the Government of Barbados
This 2016 policy brief produced by the Healthy Caribbean Coalition (with the support of the NCD Alliance) provides an overview of the approaches used by the Barbados Ministry of Finance in the adoption of sugar-sweetened beverage (SSB) taxation.
Financing pandemic prevention, preparedness and response: Invest now or pay a heavy price in the future
The COVID-19 pandemic laid bare the devastating consequences of chronic underinvestment in pandemic prevention, preparedness, and response (PPPR). Despite the staggering toll—over 28 million excess deaths and trillions of dollars in economic losses—the global...
Strengthening community health in Senegal: Lessons from a Ministry-led self-assessment
A new policy brief, developed by Senegal’s Ministry of Health and Social Action with support from the Financing Alliance for Health, uses the Community Health Financing Assessment (CHFA) toolkit to evaluate the current state of community health financing in Senegal....
The ethics of behaviour-based insurance models: Solidarity-based concerns in Germany’s statutory health insurance
Sickness funds are starting to use digital behavioral data to encourage physical activity among their members, but the ethical and societal implications, especially in solidarity-based insurance systems, are not well understood. While these programs may foster new...
Tajikistan: health system review 2025
The health system in Tajikistan operates under a centralized governance structure, primarily managed by the Ministry of Health and Social Protection, with the public sector serving as the main provider of health services. Despite efforts to reform and improve...
Effect of community-based health insurance on the use of health service and perceived quality of care in Bacho Woreda, central Ethiopia: A mixed method study
Ethiopia's Community Based Health Insurance (CBHI) scheme significantly enhances outpatient care utilization, as evidenced by a study in Bacho Woreda. The research found that CBHI members were more likely to seek healthcare services, with 60% expressing satisfaction...
Navigating health financing cliffs: a new era in global health
In a Comment published in The Lancet, Kumanan Rasanathan, Maylene M Beltran, Alberta A Biritwum-Nyarko, Mark S Blechner, Mark Dybul, Hajime Inoue, and colleagues raise the alarm on the steep decline in development assistance for health and the deepening crisis it has...
Confronting the non-communicable disease burden in developing countries
Non-communicable diseases (NCDs) are the world’s leading cause of death, and their burden is growing fastest in developing countries. By 2030, an estimated 52 million people will die from NCDs annually—three-quarters of them in low- and middle-income countries...
Navigating Nepal’s health financing system: A road to universal health coverage amid epidemiological and demographic transitions
Nepal is at a critical juncture in its journey toward universal health coverage (UHC), as it confronts the dual challenges of demographic shifts and a growing burden of non-communicable diseases (NCDs). These transitions are driving up out-of-pocket (OOP) healthcare...
Health effects of the Brazilian Conditional Cash Transfer programme over 20 years and projections to 2030: a retrospective analysis and modelling study
Conditional cash transfer (CCT) programmes have emerged as powerful tools in addressing poverty and promoting health equity, particularly in low- and middle-income countries. Brazil’s Bolsa Família Program (BFP), launched in 2004, stands as one of the world’s most...