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Allocating resources to support universal health coverage

Policy processes and implementation in Malawi

Datos Bibliográficos

ID21880580
AutoresPakwanja Twea (0000-0003-0917-8190, Ministry of Health), Gerald Manthalu (0000-0002-3501-8601, Ministry of Health), Sakshi Mohan (0000-0002-1268-1769, University of York, autor de correspondencia)
Año2020
Volumen5
Número8
Páginase002766
Fecha de publicación2020-08-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaBMJ Global Health (JOURNAL)
Identificadores de la revistaISSN: 2059-7908 • E-ISSN: 2059-7908
EditorialBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2020-002766
PMID32843526
OpenAlexW3081274555
IdiomaEN
Citas recibidas3
Referencias citadas10

Optimising the use of limited health resources in low-income and middle-income countries towards the maximisation of health outcomes requires efficient distribution of resources across health services and geographical areas. While technical research exists on how efficiencies can be achieved in resource allocation, there is limited guidance on the policy processes required to convert these technical inputs into practicable solutions. In this article, we discuss Malawi’s experience in 2019 of revising its resource allocation formula (RAF) for the geographical distribution of the government health sector budget to the decentralised units in-charge of delivering primary and secondary healthcare. The policy process to revise the RAF in Malawi was initiated by district assemblies seeking a more equitable distribution of government resources, with the Ministry of Health and Population (MOHP) leading the technical and deliberative work. This article discusses all the steps undertaken by MOHP, Malawi to date as well as the steps necessary looking forward to legally establish the newly developed RAF and to start implementing it. We highlight the practical and political considerations in ensuring the acceptability and implementation feasibility of a revised RAF. It is hoped that this discussion will serve as guidance to other countries undergoing a revision of their resource allocation frameworks

Business · Economic growth · Economics · Environmental health · Health care · Population · Public economics · Resource allocation · Resource distribution · Computer Science · Engineering · Global Maternal and Child Health · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine · Health Policy

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    Open Access•Finn McGuire, Paul Revill et al.•BMJ Global Health•2020

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    Open Access•Laura Anselmi, Mylene Lagarde et al.•Health Policy and Planning•2015

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Obras citantes distintas3
Citas por año0,5
Intervalo de citas2020 - 2024 (5)
Velocidad de citaciónrecent
Altamente citadoNo
Tipos de citaNeutras: 3
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