Financing and Payment Models for Primary Health Care: Six Lessons from JLN Country Implementation Experience
In most countries, primary health care (PHC) providers are the first point of contact that most people have with the larger health care system. Primary health care is accessed the most by patients and can have the greatest impact on health outcomes compared with other parts of the system. However,
There is immense diversity found in African countries but most of these countries face similar challenges. In UHC in Africa: A Framework for Action, contributors to change in the UHC process discuss progress and challenges encountered and provide a framework for action on topics such as financing, governance
Comprehensive, searchable, free database for health systems evidence.
In 2015 the Millennium Development Goals (MDGs) come to the end of their term, and a post-2015 agenda, comprising 17 Sustainable Development Goals (SDGs), takes their place. This WHO report looks back 15 years at the trends and positive forces during the MDG era and assesses the main challenges that will affect health
This book is about 24 developing countries that have embarked on the journey towards universal health coverage (UHC) following a bottom-up approach, with a special focus on the poor and vulnerable, through a systematic data collection that provides practical insights to policymakers and practitioners. Each of the UHC programs analyzed in
Universal Health Coverage seeks to assure that everyone can obtain the health services they need without financial hardship. Countries which rely heavily on out-of-pocket (OOP) payments, including informal payments (IP), to finance total health expenditures are not likely to achieve universal coverage. The Republic of Moldova is committed to promoting
The assessment was conducted to help inform the design and implementation of Mongolia’s provider payment systems going forward. After providing a brief overview of Mongolia’s health financing and service delivery system, this report describes the provider payment assessment and summarizes the main findings. It discusses the positive aspects and shortcomings of the current mix of payment systems and compares the design and implementation with international good practices. The chapter concludes by providing a roadmap for refining and realigning Mongolia’s provider payment system going forward.
This brief is a part of the IFC's Smart Lessons Series. The document outlines the World Bank's work with Kenya's NHIF to develop a reform agenda and advise on a strategic review of the organization.
Monitoring inequalities in health is fundamental to the equitable and progressive realization of universal health coverage (UHC). A successful approach to global inequality monitoring must be intuitive enough for widespread adoption, yet maintain technical credibility. This article discusses methodological considerations for equity-oriented monitoring of UHC, and proposes recommendations for monitoring
Monitoring health inequality is a practice that fosters accountability and continuous improvement within health systems. The cycle of health inequality monitoring helps to identify and track health differences between subgroups, providing evidence and feedback to strengthen equity-oriented policies, programs and practices. Through inequality monitoring and the use of disaggregated data,
The review indicates that UHC interventions in low- and middle-income countries improve access to health care. It also shows, though less convincingly, that UHC often has a positive effect on financial protection, and that, in some cases it seems to have a positive impact on health status. The review also
Good Practices in Health Financing: Lessons from Reforms in Low- and Middle-Income Countries systematically assesses health financing reforms in nine low- and middle-income countries that have managed to expand their health financing systems to both improve health status and protect against catastrophic medical expenses. The participating countries are: Chile, Colombia,
This paper aims to:1. Review the evidence on strategies to achieve universal coverage, where strategies are interpreted not just as technical strategies but also as strategies for managing the policy process 2. Generate lessons for senior policy-makers, donors and civil society groupings.
This Framework for Action addresses the urgent need to improve the performance of health systems. It is issued at the midpoint in the countdown to 2015, the year given so much significance and promise by the Millennium Declaration and its Goals.
To ensure universal coverage in countries that have not already done so, it will be necessary to increase the extent of prepayment and reduce the reliance on out-of-pocket payments and user fees. This can be done by developing more extensive and equitable tax-based systems, or social health insurance-based systems or