Moving from ideas to action - developing health financing systems towards universal coverage in Africa

Bibliographic Data

ID19517439
AuthorsLaurent Musango (0000-0003-4016-5718, World Health Organization Regional Office for Africa, corresponding author), Juliet Nabyonga Orem (World Health Organization - Uganda), Riku Elovainio, Joses Muthuri Kirigia (0000-0002-2317-4666, World Health Organization Regional Office for Africa), Joses Kirigia
Year2012
Volume12
Issue1
Pages30-30
Publication date2012-12-01
Open AccessYes
TypeARTICLE
VenueBMC International Health and Human Rights (JOURNAL)
Journal identifiersISSN: 1472-698X • E-ISSN: 1472-698X
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1186/1472-698x-12-30
PMID23137065
PMCIDPMC3558372
OpenAlexW2047281080
LanguageEN
Citations received2
References cited13

BACKGROUND: Accelerating progress towards universal coverage in African countries calls for concrete actions that reinforce social health protection through establishment of sustainable health financing mechanisms. In order to explore possible pathways for moving past the existing obstacles, panel discussions were organized on health financing bringing together Ministers of health and Ministers of finance with the objective of creating a discussion space where the different perspectives on key issues and needed actions could meet. This article presents a synthesis of panel discussions focusing on the identified challenges and the possible solutions. The overview of this paper is based on the objectives and proceedings of the panel discussions and relies on the observation and study of the interaction between the panelists and on the discourse used. SUMMARY: The discussion highlighted that a large proportion of the African population has no access to needed health services with significant reliance on direct out of pocket payments. There are multiple obstacles in making prepayment and pooling mechanisms operational. The relatively strong political commitment to health has not always translated into more public spending for health. Donor investment in health in low income countries still falls below commitments. There is need to explore innovative domestic revenue collection mechanisms. Although inadequate funding for health is a fundamental problem, inefficient use of resources is of great concern. There is need to generate robust evidence focusing on issues of importance to ministry of finance. The current unsatisfactory state of health financing was mainly attributed to lack of clear vision; evidence based plans and costed strategies. DISCUSSION: Based on the analysis of discussion made, there are points of convergence and divergence in the discourse and positions of the two ministries. The current blockage points holding back budget allocations for health can be solved with a more evidence based approach and dialogue based on a clear vision and costed strategic plan articulated by the ministry of health. Improving health in Africa is a driver for long-term economic growth and development and this is the reason why the ministries of health and finance will need to find common ground on how to create policy coherence and how to articulate their respective objectives

Business · Economic growth · Economics · Environmental health · Health care · Political science · Population · Public economics · Public health · Public relations · Revenue · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Finance · Health Policy

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