Health systems often pick up inequity in the distribution of health benefits due to competing demand and supply factors by various actors. Health care in India is provided by a vast network of public, private-for-profit, charitable and NGO facilities. Typically,...
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...
The Strategic Purchasing Africa Resource Centre (SPARC)—a resource hub hosted by Amref Health Africa with technical support from Results for Development (R4D)— co-created the Strategic Health Purchasing Progress Tracking Framework with eleven technical partners, and...
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...
Global commitment to achieving universal health coverage (UHC) has led to increasing attention on health purchasing. Purchasing is one of the key health financing functions that provides the critical link between resources mobilized for health and the effective...
This preliminary assessment of the Costa Rican health system focuses on the goal of universal health coverage, with a particular focus on the financing system and related aspects of provision. The data provides insights into the extent of financial protection and...
In this study, the authors examine the question of whether and how PBF programs in sub-Saharan Africa influence strategic purchasing more broadly within the country’s health financing arrangements. Many countries in sub-Saharan Africa have implemented...
Purchasing is a critical function of health financing which links resources mobilized in the health sector to effective delivery of quality healthcare services. Strategic purchasing therefore can help a country improve financial risk protection for the vulnerable...
This paper explores financial risk associated with access to healthcare services in Liberia. It also proposes a method to complement the standard financial risk protection measures in the WHO/World Bank global monitoring framework for Universal Health Coverage (UHC)....
Rwanda in part attributes its progress toward Universal Health Coverage (UHC) to the implementation of Community Based Health Insurance (CBHI). Some evidence shows that in Rwanda, CBHI has led to increases in health service utilization and better financial protection...
Strategic purchasing has the potential of increasing equity in access to quality services and ensuring financial protection through deliberate effort to purchase services with the best value for money. This study examines the purchasing arrangements in schemes funded...
Since the introduction of the National Health Insurance Scheme (NHIS) in 2003, the enrolment rate has increased to 40% of the population and has significantly contributed to increased health service utilization and decreasing out-of-pocket payments and catastrophic...
Finance minister Enoch Godongwana says the government has not updated the cost model of the proposed National Health Insurance Scheme (NHIS) since the 2019/2020 financial year. Responding in a written parliamentary question and answer session, Godongwana said this...
Low- and middle-income countries (LMICs) across the world are embracing purchasing reforms that, at their core, involve payers reimbursing providers based on outputs. Some have adopted free care policies wherein facilities are compensated for user fees forgone. Others...
Uganda's mixed health financing system creates challenges for achieving universal health coverage but offers opportunities for improvement through better resource pooling and provider autonomy.A new research article published in the Health Systems and Reform Journal...
