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Public financing for health in Africa: from Abuja to the SDGs

BARROY, Helene
VAN DE MAELE, Nathalie
MUSANGO, Laurent
HSU, Justine
et al

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"This report takes stock of the main public financing for health trends over the past fifteen years in the African region, and highlights opportunities for accelerated progress toward universal health coverage (UHC) based on better-informed budget planning and utilization decisions. The report presents new evidence on the critical role played by domestic public financial management systems on the level, effectiveness and quality of public spending on health in Africa. It argues that these systems should be reconsidered if countries are to move towards UHCCountry experience in reforming public finance systems to support progress towards UHC indicates that success depends on more than simply increasing the level of public budgets. Rather, it requires appropriately targeted health budget allocations, complete execution of health’s public budgets, and improved efficiency in the use of public resources for health.

The report is composed of three sections. The first section is articulated around three policy highlights: aligning budget resources and health priorities; closing the gap between health budget allocation and expenditure; and maximizing UHC performance with the money available. Section 2 is dedicated to providing detailed health financing information on countries, and includes 48 country profiles focused on key health financing trends. The last section includes information on progress towards the development of health financing strategies in the region, as well as regional and country benchmarks on key health financing indicators"


Moving towards universal health coverage: health insurance reforms in nine developing countries in Africa and Asia

Lagomarsion G.
Garabrant A.
Adyas A.
Otoo N.
Muga R.
et al
September 2012

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The implementation of national health insurance reforms designed to move towards universal health coverage by 9 low-income and lower-middle-income countries in Africa and Asia  is reported. Five countries at intermediate stages of reform (Ghana, Indonesia, the Philippines, Rwanda, and Vietnam) and four at earlier stages (India, Kenya, Mali, and Nigeria) are considered. These countries’ approaches to raising prepaid revenues, pooling risk, and purchasing services are described using the functions-of-health-systems framework. Their progress across three dimensions of coverage: who, what services, and what proportion of health costs is assessed using the coverage-box framework. Patterns in the structure of these countries’ reforms including use of tax revenues to subsidise target populations and steps towards broader risk pools are identified. Trends in progress towards universal coverage, including increasing enrolment in government health insurance and a movement towards expanded benefits packages are reported. Common, comparable indicators of progress towards universal coverage are needed.

World health statistics 2010


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This annual compilation of health-related data for the World Health Organization's 193 member states, includes a summary of the progress made towards achieving the health-related Millennium Development Goals (MDGs) and associated targets

Use of Cost-Effectiveness Analysis in Health-Care Resource Allocation Decision-Making: How Are Cost-Effectiveness Thresholds Expected to Emerge?

EICHLER, Hans-Georg
et al
September 2004

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An overview is presented of the use of cost-effectiveness analysis in healthcare resource allocation decision-making. Threshold figures (i.e. cost per unit of health gain) currently proposed for, or applied to, resource-allocation decisions are reviewed. Disability Adjusted Life-Years (DALY) are mentioned. A table of data provides a summary of cost-effectiveness thresholds and CE ratios in terms of either QALYs (quality-adjusted life-year) or  LYGs (life-year gained). Threshold figures and evolution of thresholds are discussed.

Health care systems in transition : Estonia

JESSE, Maris

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"The Health Care Systems in Transition (HiT) profiles are country-based reports that provide an analytical description of a health care system and of reform initiatives in progress or under development. The HiTs are a key element of the work of the European Observatory on Health Systems and Policies. HiTs seek to provide relevant comparative information to support policy-makers and analysts in the development of health care systems in Europe." Contents: 1. Introduction and historical background 2. Organizational structure and management 3. Health care financing and expenditure 4. Health care delivery system 5. Financial resource allocation 6. Health care reforms

Global health observatory (GHO)


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The Global Health Observatory (GHO) provides access to WHO's global health-related statistics. The aim of the GHO is to: compile and verify major sources of health data; provide easy access to country data and metadata; present scientifically sound information in user-friendly formats. Specific areas are provided for theme pages, a data repository, reports, country statistics, a map gallery and standards

MAKER website for health services managers


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A library of documents, tools and websites relevant to operational managers in resource poor settings, organised under a set of key topics, each with several sub-topics. Topics include working with staff; budgeting and monitoring expenditure; collecting and using information; obtaining and managing drugs and equipment; maintaining equipment, vehicles and buildings; interacting with the community and other stakeholders. The site is interactive and encourages health managers to share experiences of management successes and problems, policies, procedures, standards or guidelines, and more formal reports on some aspect of management implemented or changed in a country. Fully searchable


Source e-bulletin on Disability and Inclusion

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