Going Universal in Africa : How 46 African Countries Reformed User Fees and Implemented Health Care Priorities
This paper describes the health financing policies used today by African countries to expand health coverage. It identifies key health financing policies used by African countries and measures the existence of regional patterns in the use of these...
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| Language: | English |
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World Bank, Washington, DC
2018
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| Online Access: | http://documents.worldbank.org/curated/en/712041516179885313/Going-universal-in-Africa-how-46-African-countries-reformed-user-fees-and-implemented-health-care-priorities http://hdl.handle.net/10986/29177 |
| Summary: | This paper describes the health
financing policies used today by African countries to expand
health coverage. It identifies key health financing policies
used by African countries and measures the existence of
regional patterns in the use of these policies. The paper
does not attempt to identify best practices, nor does it try
to measure the effective coverage of the policies or their
impact. Rather, it aims to add value to the existing
literature by providing a systematic portrayal of the health
financing policies that are in place across the region. The
study concludes with a discussion about the implications of
its findings for planning next steps to advance universal
health. The rest of the paper is organized as follows.
Section 2 describes the conceptual framework and methodology
used in the study. Section 3 describes the different paths
chosen by African countries to expand health coverage.
Sections 4 and 5 describe the two key instruments used in
that journey: the universal basic package of health services
and the subpopulation health coverage programs. Section 6
reviews in detail some of the technical instruments required
for the successful implementation of these policies. Section
7 uses the findings of the paper to discuss the cost
estimations of implementing a broader benefit package to
advance universal health coverage. The paper concludes with
a summary of the findings and their implications. |
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