Health financing for universal coverage

Earmarking for health: a new publication


A new publication sheds light on the realities of earmarking revenues for health. As countries consider options to finance their health sectors, it is important to understand the technical and practical implementation issues that may arise. Earmarking for health is the first document that comprehensively discusses and assesses these issues and provides practical guidance for countries as they develop health financing strategies.

Pay-for-performance debate: Not seeing the forest for the trees

WHO/N. Ansari

A new commentary on pay-for-performance (P4P) has been published in the Journal Health Systems & Reform. It argues that it is crucial to pay greater attention to the “forest” - that is, overall health system reforms and how provider payment arrangements interact with these to influence health outcomes, as opposed to looking almost solely and more narrowly at the “trees” - that is, the details and impact of a P4P mechanism divorced from the underlying health system. P4P is a strategic purchasing tool, helping to translate stated priorities into services and making an explicit link between budgets, information and services.

Reforms for improving the efficiency of health systems: lessons from 10 country cases

The report applies a causal framework to synthesize lessons from ten case studies of various health system reforms which aimed to improve the efficiency in health systems of Burundi, Chile, China, the Democratic Republic of the Congo, El Salvador, Ethiopia Mexico, the Republic of Korea, South Africa and Uruguay. The report summarizes the main forms of inefficiency, policy reforms undertaken to address these, and the results in each country. The authors derive key lessons learnt from these experiences and suggest promising future directions for improving efficiency in health systems.

Sustainable financing for UHC: new resource page

Sustainable financing for UHC - Collaborative agenda

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.

Recent highlights

Data availability to monitor SDG indicator 3.8.2

Measuring health service coverage and financial protection to assess countries’ progress towards UHC.

Strategic purchasing: an emerging agenda for Africa

Bilingual one-day workshop on strategic purchasing on 29 September 2016 in Rabat, Morocco.

Public financing for health in Africa: from Abuja to the SDGs

This report highlights opportunities for accelerated progress toward universal health coverage (UHC).

Spending targets for health: no magic number

This analysis demonstrates the importance of focusing on ensuring available funds are spent efficiently.

Universal coverage

Universal health coverage (UHC) means that all people and communities can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship.