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Madagascar’s National Universal Health Coverage (UHC) strategy includes a vision to develop a comprehensive health financing mechanism that will extend the reach of a high-quality essential package of services to more people, especially the poor. As part of this effort, the government is now piloting the National Health Solidarity Fund, a candidate mechanism, to advance the health system towards universal health coverage. To inform health reform decision-making, the USAID-funded Health Policy Plus project conducted an assessment of Madagascar’s current health financing arrangements. Findings from the assessment suggest that Madagascar has a low revenue base, and the health sector relies heavily on donors and out-of-pocket payments to fund key programs and health facility costs. Like many other low-income countries, use of health services is low, health financing pools are fragmented, and financing mechanisms cannot guarantee an essential package of services for most citizens. The assessment also identified opportunities to increase efficiency in budgetary allocation and execution. As the country pilots the National Health Solidarity Fund, this landmark assessment comes at a critical time to inform policies aimed at maximizing financial protection for the poor and vulnerable.
Madagascar’s National Universal Health Coverage (UHC) strategy includes a vision to develop a comprehensive health financing mechanism that will extend the reach of a high-quality essential package of services to more people, especially the poor. As part of this effort, the government is now piloting the National Health Solidarity Fund, a candidate mechanism, to advance the health system towards universal health coverage. To inform health reform decision-making, the USAID-funded Health Policy Plus project conducted an assessment of Madagascar’s current health financing arrangements. Findings from the assessment suggest that Madagascar has a low revenue base, and the health sector relies heavily on donors and out-of-pocket payments to fund key programs and health facility costs. Like many other low-income countries, use of health services is low, health financing pools are fragmented, and financing mechanisms cannot guarantee an essential package of services for most citizens. The assessment also identified opportunities to increase efficiency in budgetary allocation and execution. As the country pilots the National Health Solidarity Fund, this landmark assessment comes at a critical time to inform policies aimed at maximizing financial protection for the poor and vulnerable.
Madagascar’s National Universal Health Coverage (UHC) strategy includes a vision to develop a comprehensive health financing mechanism that will extend the reach of a high-quality essential package of services to more people, especially the poor. As part of this effort, the government is now piloting the National Health Solidarity Fund, a candidate mechanism, to advance the health system towards universal health coverage. To inform health reform decision-making, the USAID-funded Health Policy Plus project conducted an assessment of Madagascar’s current health financing arrangements. Findings from the assessment suggest that Madagascar has a low revenue base, and the health sector relies heavily on donors and out-of-pocket payments to fund key programs and health facility costs. Like many other low-income countries, use of health services is low, health financing pools are fragmented, and financing mechanisms cannot guarantee an essential package of services for most citizens. The assessment also identified opportunities to increase efficiency in budgetary allocation and execution. As the country pilots the National Health Solidarity Fund, this landmark assessment comes at a critical time to inform policies aimed at maximizing financial protection for the poor and vulnerable.
Madagascar’s National Universal Health Coverage (UHC) strategy includes a vision to develop a comprehensive health financing mechanism that will extend the reach of a high-quality essential package of services to more people, especially the poor. As part of this effort, the government is now piloting the National Health Solidarity Fund, a candidate mechanism, to advance the health system towards universal health coverage. To inform health reform decision-making, the USAID-funded Health Policy Plus project conducted an assessment of Madagascar’s current health financing arrangements. Findings from the assessment suggest that Madagascar has a low revenue base, and the health sector relies heavily on donors and out-of-pocket payments to fund key programs and health facility costs. Like many other low-income countries, use of health services is low, health financing pools are fragmented, and financing mechanisms cannot guarantee an essential package of services for most citizens. The assessment also identified opportunities to increase efficiency in budgetary allocation and execution. As the country pilots the National Health Solidarity Fund, this landmark assessment comes at a critical time to inform policies aimed at maximizing financial protection for the poor and vulnerable.