« En chemin vers la couverture sanitaire universelle »

Nauleau, Margot; Destremau, Blandine; Lautier, Bruno

doi:10.3917/rtm.215.0129

Cited by 8 publications

(2 citation statements)

References 16 publications

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“…Indeed, there has been increased advocacy for UHC leading to the promotion of new health financing policies such as health insurance, user fee exemption and results-based financing. The promotion of UHC has led to the increased implementation of these three financing policies since 2010, particularly in SSA [ 40 ].…”

Section: Data and Variablesmentioning

confidence: 99%

Convergence in public health expenditure across the Sub-Saharan African countries: does club convergence matter?

Traoré

2021

Health Econ Rev

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Background Sub-Saharan African (SSA) countries that currently face enormous healthcare challenges have implemented national health policies focusing on regional or international health commitments. These health commitments generally promote new healthcare financing policies (e.g., health insurance, user fee exemption and results-based financing) with the objective of providing ever-larger population cohorts with human capital and better health in particular. To achieve this, governments must involve themselves more fully in their respective healthcare sectors through the mobilisation of public funding. Objective This paper aims to examine convergence in health expenditure throughout SSA. The findings of club convergence will allow a robust comparison of health indicators between countries and will be suitable for the adjustment of health policies to foster the efficiency of such policies at the regional and/or country level. Such findings could also help with the conception and implementation of health policies at the regional level. Methods We used the methodology of convergence analysis based on dynamic factor modelling leading to the logt regression to test for full convergence, club convergence and club clustering of health expenditure on a balanced panel of 44 countries in Sub-Saharan Africa spanning the period from 2000 to 2016. Results Overall, our results do not support the hypothesis that all SSA countries converge to a single equilibrium state regarding public health expenditure. When testing for club convergence, the results highlight eight convergence clubs and one group of diverging countries. Indeed, performing the club clustering algorithm reveals the existence of three convergence clubs and the diverging group. The three clubs consist of 12, 14 and 14 members, respectively, where convergence is found to occur among different regional economic organisations. Conclusion Our findings indicate that SSA governments should increase spending on healthcare in order to align their healthcare systems with a global convergence model. To foster the convergence to a single equilibrium state in public health expenditure, attention could be paid to strengthening integration within the various regional economic organisations and to the coordination and integration of healthcare policies within and across convergence clubs throughout SSA.

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Section: Data and Variablesmentioning

confidence: 99%

Convergence in public health expenditure across the Sub-Saharan African countries: does club convergence matter?

Traoré

2021

Health Econ Rev

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“…International organizations have framed PBF in the language of “strategic purchasing” for UHC [ 15 , 16 ]. The promotion of UHC has led to the increased implementation of these three financing policies since 2010, particularly in Sub-Saharan Africa [ 17 ] – this is the reason for choosing said region as the geographical focus of this review.…”

Section: Introductionmentioning

confidence: 99%

Health financing policies in Sub-Saharan Africa: government ownership or donors’ influence? A scoping review of policymaking processes

Gautier

Ridde

2017

glob health res policy

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BackgroundThe rise on the international scene of advocacy for universal health coverage (UHC) was accompanied by the promotion of a variety of health financing policies. Major donors presented health insurance, user fee exemption, and results-based financing policies as relevant instruments for achieving UHC in Sub-Saharan Africa. The “donor-driven” push for policies aiming at UHC raises concerns about governments’ effective buy-in of such policies. Because the latter has implications on the success of such policies, we searched for evidence of government ownership of the policymaking process.MethodsWe conducted a scoping review of the English and French literature from January 2001 to December 2015 on government ownership of decision-making on policies aiming at UHC in Sub-Saharan Africa. Thirty-five (35) results were retrieved. We extracted, synthesized and analyzed data in order to provide insights on ownership at five stages of the policymaking process: emergence, formulation, funding, implementation, and evaluation.ResultsThe majority of articles (24/35) showed mixed results (i.e. ownership was identified at one or more levels of policymaking process but not all) in terms of government ownership. Authors of only five papers provided evidence of ownership at all reviewed policymaking stages. When results demonstrated some lack of government ownership at any of the five stages, we noticed that donors did not necessarily play a role: other actors’ involvement was contributing to undermining government-owned decision-making, such as the private sector. We also found evidence that both government ownership and donors’ influence can successfully coexist.DiscussionFuture research should look beyond indicators of government ownership, by analyzing historical factors behind the imbalance of power between the different actors during policy negotiations. There is a need to investigate how some national actors become policy champions and thereby influence policy formulation. In order to effectively achieve government ownership of financing policies aiming at UHC, we recommend strengthening the State’s coordination and domestic funding mobilization roles, together with securing a higher involvement of governmental (both political and technical) actors by donors.Electronic supplementary materialThe online version of this article (doi:10.1186/s41256-017-0043-x) contains supplementary material, which is available to authorized users.

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Analyse comparative des régimes de protection sociale en Afrique subsaharienne

Delpy

2021

Canadian Journal of Development Studies / Revue canadienne d'ét

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« En chemin vers la couverture sanitaire universelle »

Cited by 8 publications

References 16 publications

Convergence in public health expenditure across the Sub-Saharan African countries: does club convergence matter?

Convergence in public health expenditure across the Sub-Saharan African countries: does club convergence matter?

Health financing policies in Sub-Saharan Africa: government ownership or donors’ influence? A scoping review of policymaking processes

Analyse comparative des régimes de protection sociale en Afrique subsaharienne

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