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.
In 2014, Nigeria established the Basic Healthcare Provision Fund with the aim to remove financial barriers to accessing heath coverage, especially amongst the poor.
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.
The Family Planning Financing Roadmap allows family planning stakeholders to learn more about health financing concepts and how they relate to family planning and understand options for financing family planning given a particular country’s context.
HP+ partnered with the National Team for Accelerating Poverty Reduction, known as TNP2K, and other actors within the Government of Indonesia to conduct a comprehensive assessment of JKN. The assessment considers the impact of JKN from four perspectives—the payer, patient, provider, and private sector.
Where we work for assistive technologies
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Where We Work
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- Malawi: Providing embedded health financing support to the Malawi Ministry of Health to improve coordination and stewardship of health sector reform and evaluate government spending to reduce out-of-pocket expenses
- Madagascar: Furthering comprehensive health financing reforms through advocacy and evidence generation in Madagascar to improve resource mobilization, allocation, and use; supporting a Global Finance Facility investment case and health financing assessment
- Ghana: Calculating the resource needs for the scale-up of ART to meet UNAIDS' 90-90-90 targets in Ghana
- Kenya: Supporting Kenya's national and county governments to mobilize and allocate domestic resources for health through program-based budgeting, evidence generation, private sector engagement, and health financing reform
- Indonesia: Evaluating the national health insurance system for sustainability, equity, and efficiency; conducting private sector assessments and engagements to identify opportunities for improved maternal and newborn health in Indonesia
- Guatemala: Supporting comprehensive health financing reforms through advocacy and evidence generation in Guatemala to improve resource mobilization, allocation, and use
- Tanzania: Developing a framework to determine appropriate levels of domestic health funding in Tanzania; conducting an actuarial valuation of the proposed single national health insurer; and evaluating user fee reduction for maternal health
- Mali: Supporting the Malian government and partners to better understand the costs of a community health strategy and to mobilize resources
- LAC Region: Analyzing the integration of family planning financing into universal health coverage initiatives in Chile, Colombia, Costa Rica, Dominican Republic, Guatemala, Haiti, Honduras, Jamaica, and Peru
- Mozambique: Supporting the Mozambican government and partners to finalize a new health financing strategy and an investment case for reproductive, maternal, newborn, child, and adolescent health, informed by the Global Financing Facility
- Pakistan: Using modeling tools such as DemDiv and RAPID to assess the contribution of specific health areas to Pakistan's overall development
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.
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.