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,
Comprehensive, searchable, free database for health systems evidence.
Many countries have identified Universal Health Coverage (UHC) as the goal for their health systems, and health financing reforms are at the core of strategies to move in this direction. While there is no one “best” financing strategy that applies in every context, this chapter synthesizes both theory
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
The purpose of this survey is to collect information on additional countries who earmark for health, as well as to validate details on those countries currently included in the database presented on the JLN website. We thank you for your responses in advance! Background: Earmarking revenue is one
This table characterizes the policy instruments for earmarking revenues for the health sector
Funding health sector priorities like moving towards UHC can be challenging, especially when a country’s budget is already straining to meet multiple demands across sectors. R4D is collaborating with the World Health Organization (WHO) to collect and synthesize qualitative country experience mobilizing revenue for the health sector
Comparative database of country case studies.
Ensuring universal access to affordable, quality health services will be an important contribution to ending extreme poverty by 2030 and boosting shared prosperity in low-income and middle-income countries (LMICs), where most of the world's poor live. This book synthesizes the experiences from 11 countries – Bangladesh, Brazil, France, Ethiopia, Ghana, Indonesia,
Noting with particular concern that for millions of people the right to the enjoyment of the highest attainable standard of physical and mental health, including access to medicines, remains a distant goal, that especially for children and those living in poverty, the likelihood of achieving this goal is becoming increasingly
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 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