What is health financing for universal coverage?
Strategic purchasing for UHC: Key policy issues and questions
A summary from expert and practitioners’ discussions
Strategic purchasing is one of the main principles guiding health financing reforms to accelerate progress towards universal health coverage. The document outlines and frames five key policy issues that emerged from expert and practitioners’ discussions held at various meetings. These issues are critical for reforms to shift towards strategic purchasing and cover the following areas: governance, information management systems, benefit design; mixed provider payment systems; and managing alignment and dynamics.
13 November 2017 – In a new commentary, the WHO, World Bank and the Global Fund come together to take stock of a decade of research on fiscal space for health. The authors recommend that future analyses of fiscal space for health focus primarily on domestic revenue sources, with specific attention to potential expansion from the improved use and performance of public resources. Embedding assessments in national health planning and budgeting processes, with due consideration of the political economy dynamics, will provide a way to inform and impact allocative decisions more effectively.
Since the end of 2014, WHO has been implementing the jointly agreed upon Collaborative Agenda on Fiscal Space, Public Financial Management, and Health Financing. This new webpage brings together all the related publications, topics, meeting information, and other announcements for those wanting to know more about public financing for UHC. Work under this agenda provides new evidence on how public funds can be raised, allocated and used in a way that will enable countries to make sustainable progress towards UHC
This policy brief outlines what community based health insurance is and why it is important to discuss it in relation to universal health coverage. It explores how community based health insurance fits into health financing policy and its key characteristics and effects of CBHI on progress towards UHC. Evidence of community based health insurance based on theory and practice is presented to show their impact on population coverage, utilisation of health services and financial protection.
23 October 2017 - Directing public funds towards services which address population health needs and other policy priorities is fundamental for a country's health system to move towards universal health coverage. This newly developed guide provides a process and framework to assist countries in identifying and then addressing critical misalignments between the public financial management system and health financing objectives. Through its application, health and finance authorities can engage in a collaborative and constructive dialogue in support of UHC.