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September 14, 2007East African Medical JournalOpen Access

An overview of health financing patterns and the way forward in the who african region

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Authors

JKJoses Muthuri KirigiaAfrican Economic Research ConsortiumAPAlex PrekerWorld BankGCGuy CarrinBoston University

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Implication

Retrospective analysis reveals heavy reliance on out-of-pocket expenditure and low public spending in 46 African nations, highlighting the need for strategic transitions to universal coverage.

Key Points

  • To assess health financing patterns and trends between 1998 and 2002 across WHO African Region member states and formulate strategies to achieve universal coverage.
  • Retrospective analysis of National Health Accounts data from the World Health Report 2005 covering 46 WHO Member States in the African Region.
  • Evaluated indicators including per capita spending, health expenditure relative to GDP and national budgets, private versus public contributions, and out-of-pocket shares using Lotus SmartSuite software.
  • Forty-four countries allocated less than 15% of annual national budgets to health, 15 spent less than 4.5% of GDP on health, and 63% of regional governments spent under US$10 per person annually.
  • Private spending constituted over 40% of total health expenditure in 31 countries, and direct out-of-pocket payments accounted for more than 50% of private expenditure in 38 countries.
  • Only 24 countries derived at least 50% of total health expenditure from public sources, while prepaid insurance mechanisms covered only a small proportion of the population.

Cite This Study

Kirigia et al. (2007) studied this question.

synapsesocial.com/papers/6a0c6f9de8a76b3043887c04https://doi.org/10.4314/eamj.v83i9.9492
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