Learning from Experience: Health Care Financing in Low- and Middle-Income Countries

This report offers a framework to assess the performance of health care financing systems and improve their equitability, efficiency and sustainability. By reviewing health care financing in low and middle income countries, this report presents possibilities for optimizing the three main functions of health care financing: revenue collection, pooling of funds and purchasing. The report presents a range of country case studies that highlight factors that have contributed to the successful set-up and implementation of these functions.

Health Financing Revisited

This report from the World Bank provides an overview of health financing tools, policies, and trends, with a focus on challenges facing developing countries. Countries operate within highly variable economic, cultural, political, demographic, and epidemiological contexts that affect the development of their health delivery and financing systems. This report highlights some key lessons in this area and provides policy recommendations based on underlying economic principles, political environments, socioeconomic conditions, and institutional realities.

Reaching the Poor with Health, Nutrition, and Population Services

This report from the World Bank presents eleven case studies commissioned by the Reaching the Poor Program, that point to numerous strategies that can help health programs reach the poor much more effectively than at present. The studies look at four countries in Africa, four in Asia and three in Latin America. The studies document how well or how poorly health, nutrition, and population programs have performed in reaching disadvantaged groups. Overall, they demonstrate that health programs can reach the poor far better than they presently do. 

More Money for Health, and More Health for the Money

This report by the Taskforce on Innovative International Financing for Health Systems discusses ways to address the challenge of the global squeeze on resources due to the financial crisis. More and better resources are needed if the health Millennium Development Goals are to be reached in 2015. The taskforce makes six recommendations for more money for health and three for better health for the money, as well as a final recommendation for monitoring progress.

World Bank Development Outreach Special Issue on Reaching the Poor with Health Services

The Reaching the Poor Program (RPP) is an effort to begin finding better ways of ensuring that the benefits of health, nutrition, and population (HNP) programs flow to disadvantaged population groups. Its two main objectives are to determine which HNP programs do and do not reach disadvantaged groups effectively and encourage others to undertake similar determinations of HNP program effectiveness in reaching the poor.

Paris Declaration on Aid Effectiveness

In February 2005 the international community came together at the Paris High Level Forum on Aid Effectiveness. More than 100 signatories from donor and developing-country governments, multilateral donor agencies, regional development banks and international agencies, endorsed the Paris Declaration on Aid Effectiveness. It represents a broader consensus among the international community about how to make aid more effective. It focuses on the principles of ownership, alignment, harmonization, results, and mutual accountability.

Accelerating Sustainable Domestic Health Financing in Africa

This report is a presentation that was given at the 4th Conference of African Ministers of Health (CAMH4), 4 to 8 April 2009, Addis Ababa by Rotimi Sankore, Coordinator Africa Public Health Alliance & 15% Campaign. It discusses the need for African countries to move toward spending at least 15% of their budgets on health in order to build viable health systems. Without adequate resources, and efficient management of those resources, all health systems will fail and eventually grind to halt.

Mutual Accountability at the Country Level

Mutual accountability lies at the heart of the Paris (and Accra) Declaration’s commitment to reforming the aid relationship. Despite the Paris Declaration’s strong focus on mutual accountability, it remains little explored in conceptual and practical terms. This report seeks to lessen this void by clarifying the concepts underpinning country-level mutual accountability and highlighting emerging good practices.

Compendium of Donor Reporting on Implementing the Paris Declaration - Summary

This reporting exercise was an integral part of the contributions to the Third High Level forum on Aid Effectiveness, to be held in Accra, Ghana on 2-4 September 2008. It provides, in particular, an opportunity for agencies to assess how far the aid effectiveness agenda has been mainstreamed into agencies’ activities and to identify the key advances and challenges ahead. This compendium of donor reports on implementing the Paris Declaration provides a source of information and innovative practices for donors and partners alike.

Global Health: Making Partnerships Work

This briefing paper puts forth seven recommendations for building effective global public-private health partnerships. Based on research and interviews from some of these partnerships along with findings from external evaluations, the briefing suggests what is going wrong, what is going well and what could and should be going better. It lists seven contributions of global public-private health partnerships and seven habits that result in problems within the partnership.

  • MLI Voices

    Jun 22 2009 - 4:25pm

    Sierra Leone

    Even though I have worked in Sierra Leone in the past, the role of MLI Country Lead has given me the opportunity to build upon these previous experiences and to work closely with members of the Ministry of Health and Sanitation (MOHS), to support the implementation of health policies and reforms that they have prioritized.


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