Going Universal in Africa : How 46 African Countries Reformed User Fees and Implemented Health Care Priorities

Cotlear, Daniel ; Rosemberg, Nicolas

World Bank, Washington, DC

关键词: HEALTH;    UNIVERSAL HEALTH COVERAGE;    USER FEES;    HEALTH SERVICES;    HEALTH INTERVENTIONS;   

RP-ID  :  122811

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

This paper describes the healthfinancing policies used today by African countries to expandhealth coverage. It identifies key health financing policiesused by African countries and measures the existence ofregional patterns in the use of these policies. The paperdoes not attempt to identify best practices, nor does it tryto measure the effective coverage of the policies or theirimpact. Rather, it aims to add value to the existingliterature by providing a systematic portrayal of the healthfinancing policies that are in place across the region. Thestudy concludes with a discussion about the implications ofits findings for planning next steps to advance universalhealth. The rest of the paper is organized as follows.Section 2 describes the conceptual framework and methodologyused in the study. Section 3 describes the different pathschosen by African countries to expand health coverage.Sections 4 and 5 describe the two key instruments used inthat journey: the universal basic package of health servicesand the subpopulation health coverage programs. Section 6reviews in detail some of the technical instruments requiredfor the successful implementation of these policies. Section7 uses the findings of the paper to discuss the costestimations of implementing a broader benefit package toadvance universal health coverage. The paper concludes witha summary of the findings and their implications.