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.
Paying for and receiving benefits from health services in South Africa: is the health system equitable?
This research paper examines the equity in the delivery and financing of health care for both the public and the private sectors in South Africa. Using nationally representative datasets and standard methodologies for assessing progressivity in health care financing...
Catastrophic health expenditures arising from out-of-pocket payments: Evidence from South African income and expenditure surveys
Catastrophic health expenditure (CHE) represents out-of-pocket (OOP) payments for health care which exceed a specified threshold of household’s income or household’s capacity to pay. This peer reviewed article examines CHE and the potential for such payments to...
Healthcare financing reform and national health insurance implementation in South Africa
This policy brief describes the implementation process of the national health insurance (NHI) in South Africa. The government of South Africa has implemented a number of reforms to move towards universal health coverage. Among the reforms include the development of...
South Africa’s national health insurance (NHI) policy
The NHI in South Africa is part of a health care financing reform that is designed to pool funds to actively purchase and provide access to quality, affordable personal healthcare services to the population based on their health needs, irrespective of their...
Experiences and perceptions of barriers to health services for elderly in rural Namibia
The attainment of Universal Health Coverage (UHC) requires that no one must be left behind and that all people regardless of their social economic and demographic characteristics have access to quality healthcare. Therefore UHC means that elderly rural populations...
Social health insurance contributes to universal coverage in South Africa, but generates inequities: survey among members of a government employee insurance scheme
Many low- and middle-income countries are reforming their health financing mechanisms as part of broader strategies to achieve universal health coverage (UHC). Voluntary social health insurance, despite evidence of resulting inequities, is attractive to policy makers...
Namibia’s 2014/15 national health accounts report
Namibia has made a commitment to achieve universal health coverage (UHC), which requires the provision of quality health services to the population at an affordable cost. Health financing is a key element to consider in the move towards UHC, and health accounts...
Sociodemographic patterns of health insurance coverage in Namibia
Health insurance has been found to increase healthcare utilisation and reduce catastrophic health expenditures in a number of countries which can put a country on the path towards universal health coverage. However, coverage is often unequally distributed among...
Securing sustainable financing: A priority for health programs in Namibia
Namibia is a signatory to the United Nations’ Sustainable Development Goals (SDGs). SDG 3 states that member states must ensure healthy lives and promote wellbeing for all, at all ages. One of the targets under this goal is to achieve Universal Health Coverage (UHC),...
Fiscal space and financing for national health insurance in Botswana
This brief summarizes the main findings and policy implications of a Fiscal Space Analysis conducted in Botswana. The purpose of the analysis was to contribute to the policy dialogue concerning NHI in Botswana by estimating the potential revenue that could be gained...
Introduction to health insurance policy options in Botswana: Improving efficiency and sustainability through health insurance
The purpose of this report was to explore how insurance reforms could improve the efficiency and sustainability of the Botswana health system, and to offer specific policy recommendations to guide the development of a national health insurance reform proposal. The...
Ageing and Health in Viet Nam
'The Longitudinal Study of Ageing and Health in Viet Nam (LSAHV) is the first multi-actor longitudinal study on ageing in Viet Nam with information collected from older Vietnamese people, their current and potential caregivers, and adult children. The 2018 baseline...
Niger: Decree on National CSU Strategy
Please find attached the National Strategy for University Health Coverage in Niger (SNCSU 2021-2030).
An evaluation of health systems equity in Indonesia
Universal health coverage (UHC) improves the equity of the health system. With UHC, the poor and vulnerable populations could access quality and essential health care without financial barriers or the risk of catastrophic health expenditure. To close equity gaps,...
Does tax-based health financing offer protection from financial catastrophe? Findings from a household economic impact survey of ischemic heart disease in Malaysia
Universal health coverage (UHC) protects the households from falling into poverty due to catastrophic health spending. Malaysia, an upper middle-income country, has achieved UHC through tax-based financing model similar to the Sweden model. This study measures the...