Welcome to the USAID-funded Health Policy Plus project website.

Health Financing

Overview

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Strained government budgets and reductions in external funding mean that developing countries must find new and innovative ways to finance their health systems and cover healthcare costs. As countries move from low- to middle-income status and increase their tax revenues, they are being asked to shoulder greater financial responsibility for financing health services. This shared responsibility for funding health is reinforced by financing mechanisms such as the Global Financing Facility and PEPFAR, both of which emphasize the increasing role of domestic resource mobilization—a process by which countries raise and spend their own funds in order to finance public services like healthcare.

Publications

What We Do

HP+ provides technical support to governments in low- and middle-income countries, assisting them to  effectively engage in domestic resource mobilization, put in place sustainable financing mechanisms that will go beyond meeting the short-term needs of specific disease programs, and make progress toward universal health coverage (UHC) goals. HP+ also provides support to private sector players to help them effectively contribute to a sustainable health financing agenda; and to civil society to help them identify effective platforms from which to advocate for adequate and sustained health funding. Taken together, these efforts increase healthcare access, deepen the scale and depth of services, and increase financial protections for the most vulnerable.

Featured Activities

A mother and Child in Haiti, Photo by Dominic Chavez/World Bank
Health Financing for Family Planning

HP+ is examining how countries with near UHC have made progress; how social health insurance mechanisms are working in those countries and to what extent they cover FP services; and what drives variations in coverage between countries to help lessen disparities and make progress toward universal access to family planning. 

Where we work for assistive technologies

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Where We Work

Click on a highlighted country to read about our current activities.

The project’s health financing work falls into seven main categories:

Reforming Health Financing for Universal Health Coverage

To help countries reform their health financing and make progress toward UHC, HP+ is providing technical assistance to governments to develop and implement national health financing strategies to improve and sustain the quality, availability, and equity of health service delivery, while also protecting the poor.

Advancing Health Insurance

HP+ supports the scale up of health insurance mechanisms as a way to mobilize additional, sustainable revenue, promote cross-subsidization through risk pooling, and incentivize high-quality service delivery of essential health services through appropriate provider payment mechanisms.

Increasing Domestic Resources for Health

Under the USAID-led PEPFAR Sustainable Financing Initiative, HP+ is building evidence and working with country stakeholders to increase health funding, mobilize domestic resources, promote program based budgeting, and explore a range of innovate financing mechanisms. Other activities include developing the investment case for the Global Financing Facility for Reproductive, Maternal, Newborn, Child, and Adolescent Health; providing analytics on national health insurance systems; program-based budgeting; and crafting frameworks to determine appropriate levels of domestic health funding.

Improving Technical Efficiency

To help countries achieve technical efficiency and generate savings, HP+ is identifying bottlenecks that impact service delivery; harmonizing supply chains and reducing wastage; and supporting public financial management initiatives that promote better planning and budgeting.

Engaging the Private Sector

To achieve UHC and ensure healthcare is both affordable and sustainable, HP+ is supporting governments’ engagement with the private sector by generating evidence, building government stewardship capacity, and acting as a neutral convener.

Mainstreaming Vertical Health Programs

To achieve equitable and improved health outcomes and UHC, countries are now considering how they can allocate scarce health resources across various health areas instead of to vertical health programs (HIV and AIDS, family planning, etc.). To support this shift, HP+ is using policy models to generate evidence, inform strategic decisions, and build the capacity of ministries of health to advocate for increased health funding in the face of competing priorities.

Generating Evidence

To help mobilize resources, determine economic benefits, and inform policy and programmatic decision-making and priorities, HP+ is costing national strategic plans and program operational plans and conducting cost-effectiveness analyses.  

News

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