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Strategic Purchasing Africa Resource Centre (SPARC)

Strategic Health Purchasing as an Enabler of Health Systems Resilience in Fragile States: Evidence from South Sudan

This brief calls for strengthening governance, aligning SHP with realistic national priorities, reforming provider payment and contracting mechanisms, bolstering data systems, and mobilising domestic resources to reduce donor dependency even as the country prioritises making progress towards achieving Universal Health Coverage (UHC).

Publication Year:

2026

Publisher

SPARC

Author:

Otieno Osoro, Samuel Okaro, Lizah Nyawira, Beryl Maritim, David Olpengs, Jennifer Mamwa, John Rumunu, David William, Mercy Mwangangi, Boniface Mbuthia
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A message from the partners of the Strategic Purchasing Africa Resource Center (SPARC)

Since 2018, The Strategic Purchasing Africa Resource Center (SPARC) has been a unique and significant force in supporting countries within Sub-Sahara Africa (SSA) in crucial areas of strategic health purchasing (SHP), Healthcare Financing as they make progress towards the realization of Universal Health Coverage (UHC) goals. This initiative, a collaboration between Amref Health Africa and Results for Development (R4D), has made expertise in these areas more accessible and has been instrumental in the progress of the target countries. The initiative was designed to advance policy discussions and actions that strengthen the application of strategic health purchasing to strengthen African health systems and support countries as they address foundational reforms…

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