health financing

A Visit for the National Health Insurance Scheme (NHIS) Nigeria on a Study Tour of the National Health Insurance Fund (NHIF) in Kenya

Strategic Purchasing African Resource Centre (SPARC) hosted a delegation of general managers from Nigeria’s National Health Insurance Scheme (NHIS) for a three-day study tour to share experience on how the Kenyan Government is working towards achieving universal health coverage (UHC), with lessons from the National Health Insurance Fund (NHIF) reforms, and explore future partnerships. The […]

The Mismanagement of the COVID-19 Funds in Cameroon and the Necessity for Reforms Towards More Transparency and Accountability

Transparency and accountability in the management of public resources are the foundation of good governance. Ensuring that public funds are well managed has always been a central concern of citizens. For over three decades, embezzlement scandals have been recurrent in Cameroon. The most recent is related to the management of the COVID-19 funds nicknamed “Covidgate” […]

Multiplicity of Schemes and Non-Alignment of the Healthcare Package Within the Framework of Strategic Health Purchasing in Cameroon: Reflections and Perspectives

Strategic health purchasing (SHP) is attracting growing interest among decision-makers in low and middle-income countries. With limited resources, available resources must be used effectively and efficiently to maximize health system objectives. SHP is one approach that can contribute to improving the performance of health systems to achieve greater health outcomes cost-effectively.1  The key policy issues […]

Lessons Benin’s National Health Insurance Scheme Can Learn From the Private Insurers’ Purchasing Strategy

Achieving universal health coverage (UHC) has become a priority for many countries.[1] According to the DHS 2017-18 data, only 1% of women and men aged 15-49 are covered by health insurance.[2] Through its current Insurance program for strengthening human capital (ARCH), the Government intends to collaborate with a private insurance company[3] to provide health insurance […]

SPARC and AfroPHC Joint Webinar on “Exploring UHC Funding and Payment Reforms for PHC in Africa.” Held on 27th of July

Universal Health Coverage (UHC) proposes a world in which everyone accesses the quality healthcare services they need without financial hardship. The vast amount of evidence indicates that primary healthcare service is essential and forms the foundation for a strong health system, offering preventive and basic healthcare intervention. However, this level of service delivery is seemingly […]

Promoting Efficient and Effective Use of Resources Mobilized to Manage the Covid 19 Pandemic. Lessons and Reflections From Uganda

The  WHO has been pushing for a whole of Government approach and whole of society approach in responding  to the COVID-19 pandemic. Indeed, in Uganda the COVID-19 pandemic resulted in an overwhelming need for resources that could not be met by the Government of Uganda alone. Government therefore called for support from citizens, Non-Governmental Organizations […]

Improving the Efficiency of Resource Allocation for Covid-19 Response in Imo State – The Role of Strategic Purchasing

Introduction The Covid-19 pandemic has resulted in wide scale social and economic implications and has had a huge impact on people’s lives, families and communities [1].  In response to the Covid-19 pandemic, countries have reconfigured their systems to provide required services to contain the pandemic, deploying preventive equipment, testing services, intensive care units (ICU) beds, […]

Evaluating Strategic Health Purchasing Functions in Improving Effectiveness and Efficiency of Resources Allocated for COVID-19 Response in Abia State

Introduction Abia state was free of COVID-19 until March 29, 2020, when two sick persons tested positive for the virus.  The effect of the pandemic on the physical, social and economic well-being of Abians is evident. There was a decrease in workforce participation across all sectors due to job losses followed by an economic crisis […]

Incidence and Case Fatality Rate for COVID-19 in Enugu State, Southeast Nigeria: An opportunity to Make the Right Investment and Improve Strategic Health Purchasing in the Health Sector

A novel severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) known to be responsible for an infectious disease called coronavirus disease 2019 (COVID-19) was first identified and reported from Wuhan city of China in December, 2019 [1].  SARS-CoV-2 is highly contagious, spreading globally in a very short period of time, and was declared a global pandemic by […]

Towards Strategic Health Purchasing for UHC: Recognizing and Mitigating the Consequences of Multiple and Mixed Provider Payment Mechanisms in Abia State

Background Although public health expenditure is low in Nigeria, healthcare purchasing has been predominantly passive and inefficient, meaning that limited resources are wasted (Etiaba et al., 2018). Recent health financing reforms in Nigeria recognize the critical roles of State governments and related agencies in defining, implementing and managing healthcare purchasing functions within decentralized health financing […]

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