The study is one of a set of three pieces of work supported by The Rockefeller Foundation to help strengthen the Community Based Health Insurance (CBHI) program in Rwanda. Rwanda has been recognized as having the most successful community-based health insurance (CBHI) scheme in sub-Saharan Africa and, indeed, one
Comprehensive, searchable, free database for health systems evidence.
In recent years, the World Health Organization’s “Cube Diagram” has been widely used to illustrate the policy options in moving toward Universal Health Coverage. The Cube has become a globally recognized visual representation of health system reform choices, with its axes deﬁned by: (1) the services
In the last 10 years, Africa has witnessed a renewed interest in Community-based Health Insurance (CBHI) schemes as countries leverage communities to expand risk-pooling coverage to informal sectors and the rural population. CBHI schemes, also known as mutual health organizations, are not-for-profit mechanisms of health financing grounded in principles of solidarity
From modest growth of mutual health organization (MHO) schemes to a rapidly scaled-up and centralized national program, Ghana holds a wealth of lessons in ways to raise revenue, pool health and financial risk, and organize purchasing from public and private providers. These lessons include the politics of navigating health finance
Many countries from the European region, which moved from a government financed and provided health system to social health insurance, would have had the risk of moving away from universal health coverage if they had followed a “traditional” approach. The Eastern European high-income countries studied in this paper
Governments should aim to move towards a predominant reliance on public funding for health, as evidence shows this increases access to health services and improves financial protection for the population. This is a key message in a new policy brief about raising revenues for health in support of Universal Health
Comparative database of country case studies.
The health system of Bangladesh has undergone a number of reforms and has established an extensive health service infrastructure in both the public and private sectors during the past four decades. This report by the Asia Pacific Observatory finds that there is an urgent need for more investment of
This special issue of the WHO South-East Asia Journal of Public Health on universal health coverage (UHC) documents original research, as well as country experience, analysing these for broader application. Importantly, most studies have been developed in collaboration with ministries of health, in a direct effort to inform policy decision
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.
This report provides an overview of health financing tools, policies, and trends, with a focus on challenges facing developing countries.While all health financing systems should seek to improve health status, provide financial protection against catastrophic illness costs, and satisfy their participants, the evidence reviewed here reveals that there is
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
This book presents a new multi-disciplinary framework for developing and analyzing health sector reform plans in a wide variety of national circumstances. By focusing on the health care system as a means to an end, the authors provide tools and techniques for designing reforms that will produce real improvements in
This report breaks new ground in the way that it helps us understand the goals of health systems. Clearly, their defining purpose is to improve and protect health – but they have other intrinsic goals. These are concerned with fairness in the way people pay for health care, and with