Strategic purchasing by deliberately directing health funds to priority populations, interventions, and services to ensure equity and efficiency\u00a0can help countries reduce inequalities and out-of-pocket expenditures thereby improving social health protection.\u00a0To help countries implement strategic purchasing, the Strategic Purchasing Africa Resource Center developed a framework for tracking strategic purchasing that uses a functional and practical approach to describe, assess, and strengthen purchasing to facilitate policy dialogue within countries.
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\nThis framework was applied in nine African countries in East,\u00a0 Central, and West Africa to assess their progress on strategic purchasing. The findings and lessons \u00a0from the application of the framework in the nine countries include:<\/p>\n
All nine countries have fragmented health financing systems, each with distinct purchasing arrangements.
\nCountries have made some progress in specifying a benefit package that addresses the health needs of the most vulnerable groups and entering into selective contracts with mostly private providers that specify expectations and priorities.
\nProgress on provider payment and performance monitoring has been limited.
\nOverall, progress on strategic purchasing has been limited in most of the countries and has not led to large-scale health system improvements. This is\u00a0due to the persistence of out-of-pocket payments as the main source of health financing and the high degree of fragmentation which limits redistribution of resources and incentivizing providers to improve productivity and quality of care.<\/p>\n
The link to the full article can be found below<\/p>\n","protected":false},"excerpt":{"rendered":"
Strategic purchasing by deliberately directing health funds to priority populations, interventions, and services to ensure equity and efficiency\u00a0can help countries reduce inequalities and out-of-pocket expenditures thereby improving social health protection.\u00a0To help countries implement strategic purchasing, the Strategic Purchasing Africa Resource Center developed a framework for tracking strategic purchasing that uses a functional and practical approach…<\/p>\n","protected":false},"author":1293,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":""},"categories":[170],"tags":[132],"document_type":[2321],"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987519440"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/documents"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/1293"}],"replies":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/comments?post=987519440"}],"version-history":[{"count":0,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987519440\/revisions"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987519440"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/categories?post=987519440"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/tags?post=987519440"},{"taxonomy":"document_type","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/document_type?post=987519440"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}