The Joint Learning Network’s Innovations to Prepare for the Next Pandemic Authored by the Patient Pathways During Pandemics: COVID-19 and Beyond learning exchange team at Aceso Global. The COVID-19 pandemic has exposed and exacerbated many of the vulnerabilities and weaknesses that have existed in healthcare systems for decades. As of June 2021, the […]
In 2003, Ghana’s National Health Insurance Scheme (NHIS) was established using a set of unique earmarked funding sources to help move the country toward Universal Health Coverage. This funding provided a critical source of domestic revenue that allowed Ghana to remove its previous “cash and carry” system and implement one of the best-known public insurance schemes in the region.
In 2020, the JLN Primary Healthcare (PHC) Financing and Payment collaborative pushed the boundaries of traditional webinar group-based learning and tested a more intimate and in-depth collaborative learning modality: country pairings. This modality pairs two or three countries with a specific interest in a topic – one that may not be a widely shared interest across the collaborative – to probe deeper into the implementation experience of the resource country and discuss details that are relevant to their countries. In this blog, we highlight three country pairings and share overarching lessons implementing this modality.
Join us on April 27, 2021 to learn about some of the ways countries are coordinating their national COVID-19 responses.
The Philippines started its path toward universal health coverage (UHC) in 1969 with the creation of an early Medicare health insurance scheme, where direct payments were made to accredited providers or to patients for reimbursement. After decades of implementation, more than half the population remained without health coverage, prompting the creation of the Philippines Health Insurance Corporation (PhilHealth) in 1995—a parastatal entity tasked with managing delivery of a costed benefits package to all citizens through a mix of premiums, user fees, and government subsidies for the poor. PhilHealth has progressively expanded to cover a greater number of services for larger segments of the population, with Sin Taxes providing an avenue to drive expansion in fiscal space for health.
The use of JLN knowledge products is one clear example of the impact the JLN can have downstream in health systems; by enabling countries to use best-practices from JLN country experience as they work towards long-term health system goals, such as expanding and improving on UHC programs. These case studies profile the use of knowledge products in various settings.
There are many global resources, including datasets, visualizations, and various forms of analysis that can be used to help make the case for DRM for health. However, policymakers also need to know what policy options have or have not worked, under what conditions, and the key drivers for success. Additionally, a deeper understanding of whether efforts around DRM for health were enduring, consequential, and additional over time- as well as impacts on equity, efficiency, and access- is critical to determining whether they are worth pursuing.
Health financing reform environment in Nigeria. Decades of health system underperformance driven largely by low public expenditure (Table 1) fueled momentum for the 2014 passage of the National Health Act (NHAct)—a legal framework to allocate additional resources for the health sector and define roles and responsibilities of stakeholders involved in achieving universal health coverage (UHC).