Sierra Leone has a population of 6.6 million, and around 90% of the labour force in the country works in the informal sector, mostly subsistence or other small-scale agriculture. The extremely low gross domestic product per capita fuels the permanent fiscal deficit of...
What has the impact of the COVID-19 pandemic been on poverty in Zambia, and how can social protection programs mitigate these effects? This paper estimates the pre-pandemic poverty level in Zambia and then simulates the distributional impact of COVID-19 in the...
High levels of out-of-pocket spending have been shown to be one of the biggest health reasons people fall into poverty when accessing care, or choose to forgo care. Globally it is estimated that 100 million people are pushed into poverty every year due to exorbitant...
This study aims to identify the association between the use of Indonesia’s national health insurance (JKN) and out-of-pocket (OOP) expenditures in accessing delivery services, using data from the Indonesian Family Life Survey 5. In addition, this study also...
Within the context of universal health coverage, community participation has been identified as instrumental to facilitate access to health services. Social accountability whereby citizens hold providers and policymakers accountable is one popular approach. This...
This study seeks to analyze the health-related financial risk protection of households by describing trends in key health-related financial protection indicators and reviewing their equitable distribution based on socioeconomic characteristics.
The government of Burkina Faso has embarked on a process leading to universal health coverage with the enactment of Law N° 060-2015/CNT on a universal health insurance scheme (RAMU) in 2015. Based on the defined timing, the year 2018 should be devoted to the...
To inform efforts to improve Cambodia’s social health protection system and advance universal health coverage, health care-seeking and out-of-pocket expenditure (OOPE) were assessed using the 2016 Cambodia Socioeconomic Survey data. This study focuses on the poorest...
Knowledge of the costs of health services improves health facility management and aids in health financing for universal health coverage. Because of resource requirements that are often not present in low- and middle-income countries, costing exercises are rare and...
To inform decision making about premium collection to expand social health protection in Cambodia, the U.S. Agency for International Development (USAID)-funded Health Policy Plus (HP+) project undertook a case study of a CBHI scheme to assess the cost of premium...
Abstract Background: Globally, good health system performance has resulted from continuous reform, including adaptation of Decentralisation by Devolution policies, for example, the Direct Health Facility Financing (DHFF). Generally, the role of decentralisation in the...
This paper analyses the introduction and expansion of health insurance schemes in Tanzania. Health insurances were introduced around year 2000 as part of a more general health reform process aimed at improving access to health services. The paper argues that the...
"Despite varying nature of Asian countries and their health systems, this new comparative country study, published by APO, highlights future opportunities and threats that they all have in common. The central aim of this book is to build a strong and robust evidence...
