Author: SPARC Africa

Towards Sustainability Of The Community-Based Health Insurance In Rwanda: Successes, Challenges, And Opportunities

Rwanda has made impressive gains in health over the last two decades. Life expectancy at birth has increased from 49 years in 2000 to 69.06 years in 2020 (National Institute of Statistics of Rwanda et al., 2020). The primary health care utilization rate increased from 0.81 visits per inhabitant in 2009 to 1.6 visits per […]

Towards The Institutionalization Of Strategic Health Purchasing In Sub-Saharan African: Progress, Lessons Learnt And Experiences From Rwanda

Background Health financing is at the heart and centre of the health system reforms in Rwanda. To attain the goal of Universal Health Coverage (UHC), a health financing system undertakes a series of functions — resource mobilization, pooling and purchasing — to provide health services. Strategic health purchasing emerged as an essential pillar in Rwanda’s […]

Investing in Primary Healthcare (PHC) to Boost Universal Health Coverage: Experiences of Health Posts in the Rwandan Healthcare System.

Primary Health Care (PHC) is considered one of the critical components of the journey leading towards achieving Universal Health Coverage (UHC). From this perspective, the World Health Organization (WHO) encourages all countries to continue investing at least 1% of their gross domestic product for primary health care (PHC) as the surest way to make progress […]

COVID-19 Response And Vaccination Rollout In Rwanda: A Whole Of Government Approach

Introduction Rwanda is an East African country of about 12 million people, with 83% living in rural areas. Rwanda’s whole-of-Government approach was instrumental in the COVID-19 pandemic response and rolling out the COVID-19 vaccination plan across the country. Rwanda’s Ministry of Health reported the country’s first case of COVID-19on 14th March 2020. Despite the Government […]

COVID-19 Response in Benin: Lessons Learnt From Control Measures Taken

Background From cholera to the Black Death to the Spanish Flu, these pandemics have shaken entire continents on more than one occasion[1]. Like these epidemics, Coronavirus burst onto the scene in 2019, killing more than 3.9 million people worldwide as of June 2021 (OurWorldInData.org)[2], straining government finances, the health system ultimately establishing the health system […]

Applying Strategic Health Purchasing Principles in COVID-19 Response: Benin Case Study

Background Strategic purchasing means “active, evidence-based decisions in defining the service mix and volume and selecting the provider-mix to maximize societal objectives” [1]. Improving purchasing is central to improving health system performance and making progress towards universal health coverage (UHC). The COVID-19 pandemic response is a timely opportunity to assess countries’ use of strategic health […]

The Fight Against COVID-19 In Cameroon: An Analysis Of Strategic Purchasing Efforts In Response To The Pandemic

COVID-19 pandemic was declared a Public Health Emergency of International Concern (PHEIC) by the World Health Organization (WHO) on 30 January 2021. Since then, the total number of COVID-19 cases has continued to increase at an alarming rate in several countries worldwide. After confirmation of the first cases, Cameroon launched the Incident Management System (IMS). […]

Reflections on the Accreditation Process in Uganda for Purchasing Health Services Under Result-Based Financing (RBF)

Results/Performance-based financing (RBF/PBF) was introduced in Uganda to support the improvement of maternal and child health services and the attainment of universal health coverage (UHC). RBF is a purchasing mechanism in which health providers are partially funded based on their performance of agreed outputs or outcomes[1]. Evidence suggests that RBF has the potential to make […]

Key Messages from the August FORCE Community Webinar: Remote Coaching and Mentoring – Making the most of remote engagements in a COVID and Post-COVID Era

Background The August FORCE webinar discussed remote coaching and mentoring and is application in technical assistance in the COVID-19 era and beyond. As donor aid shrinks and with limited domestic funding affecting health systems programs, Coaches should prioritize low cost and high impact activities such as virtual engagements to free up funds for other essential […]

Réflexions d’août 2021

“Si nous disposons de données, examinons-les. Si nous n’avons que des opinions, partageons la mienne.” Cette fameuse citation de Jim Barksdale, l’ancien PDG de Netscape, m’a récemment été rappelée lors d’une discussion sur le suivi des cycles rapides. Cette citation m’a fait penser à deux choses: Tout d’abord, elle représente la justification et l’importance du […]

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