Macro-Fiscal Context and Health Financing Factsheets developed by the World Bank provide graphical representations of 14 key indicators linked to the larger macro fiscal environment in which a health system operates. This fact sheet on Dominica shows historical data...

The Wait Is the Price: Quiet Rationing Plagues Canadian Health Care
The Canadian healthcare system, while publicly funded and perceived as free, involves significant wait times for medical services due to a mismatch between demand and supply, effectively rationing care. This inadequacy leads to substantial economic costs, estimated in...

HGPI highlights the role of data in advancing UHC and health financing
The HGPI report highlights the critical role of data in advancing Universal Health Coverage (UHC) and health financing, emphasising the use of international databases for effective policy development and global comparison. The Health and Global Policy Institute (HGPI)...

Webinar on health financing reforms in LAC, using examples of Peru and Colombia
The webinar announced in the March Governance Newsletter took place on 11 April 2025. This event, which focused on the challenges of financing universal health coverage in Colombia and Peru, was the result of a collaboration between two of the P4H Network’s academic...

New Zealanders prioritise health, but costs hold many back
New Zealand is experiencing a rise in health screening engagement, with 72% of adults prioritizing check-ups, although affordability remains a significant barrier for 36% of the population. Medical inflation has surged to 14.5%, impacting access to preventative care,...
Analysis the status and spatio-temporal characteristics of the synergistic development of China’s multi-level medical insurance system
The study examines the development and spatio-temporal evolution of China's multi-level medical insurance system (MMIS) from 2011 to 2020, highlighting improvements in the coupling coordination index (CCI) which rose from a moderate disorder to a well-coordinated...

Egypt on right track to build universal health insurance system to its people
The French Development Agency (AFD) has applauded Egypt's progress in its universal health insurance system, which now serves nearly 5 million beneficiaries across six governorates, highlighting significant improvements in care quality and healthcare governance. Since...

Austrian Medical Chamber Unveils Ten-Point Plan for ÖGK Reform
The Austrian Medical Chamber has proposed a ten-point reform plan to address the ÖGK’s significant financial challenges, emphasizing the need to improve healthcare services rather than cutting them, as projected deficits exceed one billion euros. The Austrian Medical...
Government purchase of private health services in the Eastern Mediterranean region: opportunities and challenges for stewarding towards a universal health coverage focus
As countries across the Eastern Mediterranean region (EMR) increasingly rely on private providers to deliver health services, governments face growing pressure to ensure these purchasing arrangements align with Universal Health Coverage (UHC) goals. This article,...

Renewing New Zealand’s Primary Care System
The report "The Heart of Healthcare: Renewing New Zealand's Primary Care System" highlights the economic benefits of investing in general practice, showing potential cost savings and improved patient care compared to emergency department visits.The report "The Heart...

Ministry of Health and Stakeholders Discuss Financial Sustainability of Liberia’s Healthcare System
The Ministry of Health in Liberia has launched a workshop to assess the financial sustainability of the health system, focusing on the Liberia Health Equity Fund and the Liberia Social Health Insurance Scheme, with insights from various stakeholders on the need for...

Turkish Social Security Institution’s healthcare spending surged by 77 pct in 2024
In 2024, Turkey's Social Security Institution (SGK) experienced a 77% increase in healthcare expenditures. The report also highlighted limited oversight, with only a small number of hospitals audited and investigations into thousands of individuals suspected of...
Sustainable and gender equitable capacity building for health financing in Africa
Across nine African countries, a Clinton Health Access Initiative (CHAI) assessment reveals critical gaps in the health financing workforce. These challenges stem from systemic issues in training and institutional structures. As global funding shifts and domestic...

Will Jamaica’s National Health Fund be transformed into a national insurance scheme?
The Minister for Health in Jamaica hints that the National Health Fund may be changed to a national insurance scheme. This evolution was proposed in the 2019 Green Paper on the subject.In August 2023, Dr Tufton (Jamaican Minister for Health) suggested that, in an...

Bulgaria’s new policy: Free medication for children to combat health disparities
Bulgaria's parliament has approved free medication for children under seven, aiming to reduce hospitalisations and financial strain. Experts also call for free flu vaccinations to further improve child health. The Bulgarian parliament has approved a new law providing...