Publication:
Fresh Money for Health? The (False?) Promise of 'Innovative Financing' for Health in Malawi

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dc.contributor.authorMwase, Takondwa
dc.contributor.authorMatsebula, Thulani Clement
dc.contributor.authorKandoole, Priscilla
dc.contributor.authorRevill, Paul
dc.contributor.authorMakumba, John Bosco
dc.contributor.authorLindenow, Magnus
dc.contributor.authorChansa, Collins
dc.date.accessioned2019-01-11T17:20:56Z
dc.date.available2019-01-11T17:20:56Z
dc.date.issued2018-10-29
dc.description.abstractSince 2013, the government of Malawi has been pursuing a number of health reforms, which include plans to increase domestic financing for health through “innovative financing.” As part of these reforms, Malawi has sought to raise additional tax revenue through existing and new sources with a view to earmarking the revenue generated to the health sector. In this article, a systematic approach to assessing feasibility and quantifying the amount of revenue that could be generated from potential sources is devised and applied. Specifically, the study applies the Delphi forecasting method to generate a qualitative assessment of the potential for raising additional tax revenues from existing and new sources, and the gross domestic product (GDP)-based effective tax rate forecasting method to quantify the amount of tax revenue that would be generated. The results show that an annual average of 0.30 USD, 0.46 USD, and 0.63 USD per capita could be generated from taxes on fuel and motor vehicle insurance over the period 2016/2017–2021/2022 under the low, medium, and high scenarios, respectively. However, the proposed tax reform has not been officially adopted despite wide consultations and generation of empirical evidence on the revenue potential. The study concludes is that revenue generation potential of innovative financing for health mechanisms in Malawi is limited, and calls for efforts to expand fiscal space for health to focus on efficiency-enhancing measures, including strengthening of governance and public financial management.en
dc.identifier.citationHealth Systems & Reform
dc.identifier.doi10.1596/31143
dc.identifier.issn2328-8604
dc.identifier.urihttps://hdl.handle.net/10986/31143
dc.publisherTaylor and Francis
dc.rightsCC BY 4.0
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/4.0
dc.subjectRESOURCE MOBILIZATION
dc.subjectTAXATION
dc.subjectEARMARKS
dc.subjectFISCAL SPACE
dc.subjectHEALTH FINANCE
dc.subjectFINANCIAL INNOVATION
dc.titleFresh Money for Health? The (False?) Promise of 'Innovative Financing' for Health in Malawien
dc.typeJournal Articleen
dc.typeArticle de journalfr
dc.typeArtículo de revistaes
dspace.entity.typePublication
okr.associatedcontenthttps://www.tandfonline.com/doi/full/10.1080/23288604.2018.1506643 Journal website (version of record)en
okr.crossref.titleFresh Money for Health? The (False?) Promise of 'Innovative Financing' for Health in Malawi
okr.date.disclosure2019-01-11
okr.date.doiregistration2025-04-07T08:41:09.387345Z
okr.date.doiregistration2025-04-08T16:20:09.099422Z
okr.date.doiregistration2025-04-09T02:51:43.743412Z
okr.doctypePublications & Research::Journal Article
okr.doctypePublications & Research
okr.externalcontentExternal Content
okr.guid919621550211266847
okr.identifier.doi10.1080/23288604.2018.1506643
okr.identifier.doi10.1596/31143
okr.identifier.doihttps://doi.org/10.1596/31143
okr.identifier.report134670
okr.journal.nbpages324-35
okr.language.supporteden
okr.peerreviewAcademic Peer Review
okr.region.administrativeAfrica
okr.region.countryMalawi
okr.topicPublic Sector Development::Public Sector Expenditure Policy
okr.topicPublic Sector Development::Public Sector Economics
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicMacroeconomics and Economic Growth::Taxation & Subsidies
okr.unitHealth, Nutrition and Population Global Practice
okr.volume4(4)
relation.isAuthorOfPublication0f1b945d-c47d-5dd5-9bef-1611a8a3222c
relation.isAuthorOfPublication8ca23890-f83e-4509-8079-f2ab7e2a3282
relation.isAuthorOfPublication.latestForDiscovery0f1b945d-c47d-5dd5-9bef-1611a8a3222c
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