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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Main Authors: Cotlear, Daniel, Rosemberg, Nicolas
Format: Working Paper
Language:English
Published: World Bank, Washington, DC 2018
Subjects:
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
id okr-10986-29177
recordtype oai_dc
spelling okr-10986-291772021-05-25T09:10:08Z Going Universal in Africa : How 46 African Countries Reformed User Fees and Implemented Health Care Priorities Cotlear, Daniel Rosemberg, Nicolas HEALTH UNIVERSAL HEALTH COVERAGE USER FEES HEALTH SERVICES HEALTH INTERVENTIONS COVERAGE DECENTRALIZATION BENEFITS PACKAGE HEALTH FINANCE UNICO UHC 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. 2018-01-18T19:42:34Z 2018-01-18T19:42:34Z 2018-01 Working Paper 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 English Universal Health Coverage Studies Series;No. 26 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper Africa Sub-Saharan Africa
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic HEALTH
UNIVERSAL HEALTH COVERAGE
USER FEES
HEALTH SERVICES
HEALTH INTERVENTIONS
COVERAGE
DECENTRALIZATION
BENEFITS PACKAGE
HEALTH FINANCE
UNICO
UHC
spellingShingle HEALTH
UNIVERSAL HEALTH COVERAGE
USER FEES
HEALTH SERVICES
HEALTH INTERVENTIONS
COVERAGE
DECENTRALIZATION
BENEFITS PACKAGE
HEALTH FINANCE
UNICO
UHC
Cotlear, Daniel
Rosemberg, Nicolas
Going Universal in Africa : How 46 African Countries Reformed User Fees and Implemented Health Care Priorities
geographic_facet Africa
Sub-Saharan Africa
relation Universal Health Coverage Studies Series;No. 26
description 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.
format Working Paper
author Cotlear, Daniel
Rosemberg, Nicolas
author_facet Cotlear, Daniel
Rosemberg, Nicolas
author_sort Cotlear, Daniel
title Going Universal in Africa : How 46 African Countries Reformed User Fees and Implemented Health Care Priorities
title_short Going Universal in Africa : How 46 African Countries Reformed User Fees and Implemented Health Care Priorities
title_full Going Universal in Africa : How 46 African Countries Reformed User Fees and Implemented Health Care Priorities
title_fullStr Going Universal in Africa : How 46 African Countries Reformed User Fees and Implemented Health Care Priorities
title_full_unstemmed Going Universal in Africa : How 46 African Countries Reformed User Fees and Implemented Health Care Priorities
title_sort going universal in africa : how 46 african countries reformed user fees and implemented health care priorities
publisher World Bank, Washington, DC
publishDate 2018
url 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
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