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.
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.
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.
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.