Global Monitoring Report on Financial Protection in Health 2021

,; ,

doi:10.1596/36723

Cited by 16 publications

(2 citation statements)

References 40 publications

(54 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3 In 2016, OOP for health pushed over 2% of the Liberian population below the extreme poverty line, and an additional 37% was pushed further into poverty. 12 This paper presents an overview of Liberia's experience in developing its UHC package focusing on primary healthcare (PHC). It outlines the lessons learnt and further looks at the requirements for a successful package design and feasibility of implementation.…”

Section: Bmj Global Healthmentioning

confidence: 99%

Designing an evidence-informed package of essential health services for Universal Health Coverage: lessons learnt and challenges to implementation in Liberia

Alwan,

Jallah,

Baltussen

et al. 2024

BMJ Glob Health

View full text Add to dashboard Cite

Liberia developed an evidence-informed package of health services for Universal Health Coverage (UHC) based on the Disease Control Priorities 3 evidence. This paper describes the policy decisions, methods and processes adopted for prioritisation, key features of the package and lessons learnt, with special emphasis on feasibility of implementation. Package design was led by the Ministry of Health. Prioritisation of essential services was based on evidence on disease burden, cost-effectiveness, financial risk, equity, budget impact, and feasibility of implementation. Fiscal space analysis was used to assess package affordability and options for expanding the budget envelope. The final adopted package focuses on primary healthcare and comprises a core subpackage of 78 publicly financed interventions and a complementary subpackage of 50 interventions funded through cost-sharing. The estimated per capita cost to the government is US$12.28, averting around 1.2 million DALYs. Key lessons learnt are described: (1) priority setting is essential for designing affordable packages of essential services; (2) the most realistic and affordable option when domestic resources are critically limited is to focus on basic, high-impact primary health services; (3) Liberia and many other countries will continue to rely on donor funding to expand the range of essential services until more domestic resources become available; (4) national leadership and effective engagement of key stakeholders are critical for a successful package design; (5) effective implementation is less likely unless the package cost is affordable and the health system gaps are assessed and addressed. A framework of action was employed to assess the consistency with the prerequisites for an appropriate package design. Based on the framework, Liberia developed a transparent and affordable package for UHC, but the challenges to implementation require further action by the government.

show abstract

Section: Bmj Global Healthmentioning

confidence: 99%

Designing an evidence-informed package of essential health services for Universal Health Coverage: lessons learnt and challenges to implementation in Liberia

Alwan,

Jallah,

Baltussen

et al. 2024

BMJ Glob Health

View full text Add to dashboard Cite

show abstract

“…However, achieving UHC is a journey of gradual realization in which everyone must advance on a variety of levels, including the scope of available services like medications, medical supplies, health professionals, infrastructure, and information as well as the percentage of covered cost and individuals [45,46]. Therefore, to make progress, many stakeholders must be committed to working together and have the capacity to recognize and overcome hurdles.…”

Section: Health Insurance System As a Means Of Attaining Universal He...mentioning

confidence: 99%

Toward Universal Health Coverage: The Role of Health Insurance System

Feyisa¹

2022

Health Insurance

View full text Add to dashboard Cite

Health insurance is one of the instruments to achieve universal health coverage, which is not only the major goal for health reform in many countries but also the priority objective of World Health Organization. It provides financial security against healthcare costs and lessens the risk of incurring medical debt. There is an increasing understanding that poverty is exacerbated by ill health. Developing nations have recently increased the usage of various health insurance schemes to improve access to healthcare for low-income households to stop the negative downward circle of poverty and illness. These models help all countries regardless of income level can set out on the path to universal health coverage through a mix of different prepayment and risk-pooling mechanisms, tax-funding, and social health insurance. Right policies are necessary to achieve UHC. Concentrating on providing strong coverage for a clearly defined basket of services is well preferable to shallow coverage for every service with a high patient cost-sharing ratio. Health insurance system must be designed from the outset to be financially sustainable, which includes looking into ways to increase revenue sources and giving priority to the efficient use of resources.

show abstract

The magnitude of out‐of‐pocket expenditure for antenatal care in low and middle‐income countries: A systematic review and meta‐analysis

Gunarathne

Wickramasinghe

Agampodi

et al. 2022

Health Planning & Management

View full text Add to dashboard Cite

Background: Owing to the lack of compiled global evidence on out-of-pocket expenditure (OOPE) for antenatal care (ANC), this systematic review and meta-analysis estimated the magnitude of OOPE for ANC in low and middle-income countries (LMICs).Methods: An electronic search was conducted using 10 databases and a hand search of the eligible studies' reference lists. Studies on OOPE for ANC in LMICs, published in English without time restriction, were included. The comparability of OOPE values was improved using inflation and exchange rate adjustment to the year 2019. Random-effects meta-analysis was performed to generate pooled estimates.Results: Among the 9766 articles retrieved, 32 were selected. Only 13/137 (9.5%) countries reported evidence of OOPE during pregnancy in LMICs. The majority of the studies (n = 2779.4%) were from lower-middle-income settings.Ten (31.3%) studies from African region, 21 (65.6%) studies from South-East-Asian region, 1 (3.1%) study from region of Americas and none from the other regions were included.The average OOPE for ANC and single ANC visit ranged from United States Dollar (USD) 2.41 to USD 654.32 in LMICs, the lowest in Tanzania and the highest in India. The pooled OOPEs were USD 63.

show abstract

Global Monitoring Report on Financial Protection in Health 2021

Abstract: Global monitoring report on financial protection in health 2021 ISBN (WHO) 978-92-4-004095-3 (electronic version) ISBN (WHO) 978-92-4-004096-0 (print version)

Cited by 16 publications

References 40 publications

Designing an evidence-informed package of essential health services for Universal Health Coverage: lessons learnt and challenges to implementation in Liberia

Designing an evidence-informed package of essential health services for Universal Health Coverage: lessons learnt and challenges to implementation in Liberia

Toward Universal Health Coverage: The Role of Health Insurance System

The magnitude of out‐of‐pocket expenditure for antenatal care in low and middle‐income countries: A systematic review and meta‐analysis

Contact Info

Product

Resources

About