The Economic Transition of Health in Africa: A Call for Progressive Pragmatism to Shape the Future of Health Financing

doi:10.1080/23288604.2017.1325549

Publication:
The Economic Transition of Health in Africa: A Call for Progressive Pragmatism to Shape the Future of Health Financing

dc.contributor.author	Ly, Caroline
dc.contributor.author	Eozenou, Patrick
dc.contributor.author	Nandakumar, Allyala
dc.contributor.author	Pablos-Mendez, Ariel
dc.contributor.author	Evans, Timothy
dc.contributor.author	Adeyi, Olusoji
dc.date.accessioned	2017-11-02T20:42:02Z
dc.date.available	2017-11-02T20:42:02Z
dc.date.issued	2017-05-16
dc.description.abstract	The new financing landscape for the Sustainable Development Goals has a larger emphasis on domestic resource mobilization. But, given the significant role of donor assistance for health, the fungibility of government health spending, and the downward revision of global growth, this article looks at what is possible with regard to a country's own ability to finance priority health services. Using cross-sectional and longitudinal economic and health spending data, we employ a global multilevel model with regional and country random effects to develop gross domestic product (GDP) projections that inform a dynamic panel data model to forecast health spending. We then assess sub-Saharan African countries' abilities to afford to finance their own essential health needs and find that there are countries that will still rely on high out-of-pocket or donor spending to finance an essential package of health services. To address this, we discuss policy opportunities for each set of countries over the next 15 years. This longer-term view of the economic transition of health in Africa stresses the imperative of engaging policy now to prioritize customized strategies and institutional arrangements to increase domestic financing, improve value for money, and ensure fairer and sustainable health financing. We address the need for rhetoric on UHC to incorporate “progressive pragmatism,” a proactive joint approach by developing country governments and their development partners to ensure that policies designed to achieve universal health coverage align with the economic reality of available domestic and donor financing.	en
dc.identifier.citation	Health Systems & Reform
dc.identifier.doi	10.1596/28628
dc.identifier.issn	2328-8604
dc.identifier.uri	https://hdl.handle.net/10986/28628
dc.publisher	Taylor and Francis
dc.rights	CC BY-NC-ND 3.0 IGO
dc.rights.holder	World Bank
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.subject	ECONOMIC TRANSITION
dc.subject	HEALTH FINANCE
dc.subject	UNIVERSAL HEALTH COVERAGE
dc.title	The Economic Transition of Health in Africa	en
dc.title.subtitle	A Call for Progressive Pragmatism to Shape the Future of Health Financing	en
dc.type	Journal Article	en
dc.type	Article de journal	fr
dc.type	Artículo de revista	es
dspace.entity.type	Publication
okr.associatedcontent	http://www.tandfonline.com/doi/full/10.1080/23288604.2017.1325549 Journal website (version of record)
okr.date.disclosure	2018-11-16
okr.doctype	Publications & Research::Journal Article
okr.doctype	Publications & Research
okr.externalcontent	External Content
okr.identifier.doi	10.1080/23288604.2017.1325549
okr.identifier.doi	10.1596/28628
okr.identifier.report	121457
okr.journal.nbpages	290-300
okr.language.supported	en
okr.peerreview	Academic Peer Review
okr.region.administrative	Africa
okr.region.geographical	Sub-Saharan Africa
okr.topic	Finance and Financial Sector Development::Insurance & Risk Mitigation
okr.topic	Health, Nutrition and Population::Health Economics & Finance
okr.topic	Health, Nutrition and Population::Health Policy and Management
okr.topic	Health, Nutrition and Population::Health and Poverty
okr.topic	Poverty Reduction::Poverty and Health
okr.unit	Health, Nutrition & Population Global Practice
okr.volume	3(4)