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NHI4UHC Day 2 Session 3-B: Purchasing Needed Health Services - Determining How Service Providers and Goods Will Be Paid
NHI4UHC Day 2 Session 3-B: Purchasing Needed Health Services - Determining How Service Providers and Goods Will Be Paid
author and do not necessarily reflect the views or policies of the Asian Development
Bank (ADB), or its Board of Governors, or the governments they represent. ADB does
not guarantee the accuracy of the data included in this paper and accepts no
responsibility for any consequence of their use. Terminology used may not
necessarily be consistent with ADB official terms.
Claude Meyer
P4H Network Coordinator
WHO Headquarters - Geneva
P4H in 2016
Purchasers
- West Africa and Madagascar: recently, formation of
numerous national purchasers (Cte dIvoire, Benin,
Burkina Faso) usually called universal health insurance
schemes but not only based on contributions
- Colombia: two schemes - one national health insurance
and one national health assistance
- East Africa and part of Southern Africa: historically the
Government (Uganda, Tanzania, Zambia) but recent
trends towards health insurance
- Many small scale purchasers remaining (CBHI, non
integrated PBF units, etc.)
Provision structure
- West Africa and Madagascar: more private providers in
urban settings, only public in remote areas. Estimated
share at 50% - 50% but data are scarce and not reliable
about the private sector.
- Colombia: predominantly private at all levels, unusually
high share of private pharmacies in THE
- East Africa and part of Southern Africa: similar to West
Africa with a higher share of faith-based providers in rural
settings