Increasing the fiscal space for health in Africa

Tax-based financing is increasingly recognised as one of the better ways to finance universal health coverage.

But how feasible is it for low- and middle-income countries to increase tax revenue, and how likely is it that the public health sector will benefit from additional revenue? In other words, how easy is it to increase the fiscal space for health?

I have contributed to a study by the research consortium RESYST which explores some of these issues, using Kenya, Lagos State (in Nigeria) and South Africa as case studies.

See here for documents from this study.

 

 

 

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GNHE universal health coverage assessments for Bangladesh, Peru, South Africa, Taiwan, Tanzania and Uganda

To celebrate Universal Health Coverage Day, GNHE (the Global Network on Health Equity) is releasing a series of assessments about the progress towards financial risk protection and access to quality health care for all in:

Bangladesh

Peru

South Africa

Taiwan

Tanzania

Uganda

Go to the GNHE website to download the assessments.

Further assessments will be released over coming weeks.

Leadership from ‘below’?: clinical staff and public hospitals in South Africa

In earlier posts I’ve referred to two relatively lengthy reports on clinical leadership – one a literature review and the other reporting findings from interviews with clinical leaders in South African district hospitals.

The main findings from these reports are now summarised in a policy note that is applicable to practitioners from other sectors.

 

 

Clinical leadership in district hospitals in South Africa

Here is a report based on interviews with clinical staff at South African district hospitals about their leadership roles:

2014_Improving public hospitals through clinical leadership

 

The study was conducted for the Municipal Services Project which is located at the School of Government, University of the Western Cape, Republic of South Africa, and funded by the International Development Research Centre of Canada.

Harnessing clinical academic leadership to transform rural health systems

Here are the powerpoint slides for a presentation I gave on behalf of colleagues at the most recent Prince Mahidol Award Conference which was held in Thailand between 27 and 31 January 2014.

The theme of the conference “Transformative Learning for Health Equity” and it focused on issues around the production of human resources to achieve universal health coverage. You can look at more presentations from the conference on the conference website.

The title of our paper was:  Doherty J, Couper I, Campbell D, Walker J. 2014. Transforming rural health systems through clinical academic leadership: lessons from South Africa:  PS2.1 Jane Doherty

 

Legislation on the for-profit private health sector in East and Southern Africa

Here is some information on my latest policy brief, as well as the report on which it is based:

 

EQUINET Policy Brief 35: Legislation on the for-profit private health sector in East and Southern Africa

Doherty J (2013) with UCT HEU, TARSC. Wemos Foundation,  Policy brief 35, EQUINET, Harare

At http://www.equinetafrica.org/bibl/docs/Pol%2035%20finregs.pdf

 

While the private sector contributes new resources to the health system, international evidence shows that if left unregulated it may distort the quantity, distribution and quality of health services, and lead to anti-competitive behaviour. As the for-profit private sector is expanding in east and southern African (ESA) countries, governments need to strengthen their regulation of the sector to align it to national health system objectives. This policy brief examines how existing laws in the region address the quantity, quality, distribution and price of private health care services, based on evidence made available from desk review and in-country experts. It proposes areas for strengthening the regulation of individual health care practitioners, private facilities and health insurers.  A more detailed discussion paper (#87) on the laws and information in the brief is available at www.equinetafrica.org/bibl/docs/EQ%20Diss%2087%20Private%20HS.pdf.

Regulating the for-profit private health sector in Africa

EQUINET (the Network on Equity in Health in Southern Africa) have just published an editorial and report on legislation governing the for-profit private health sector in east and southern Africa. To access these publications, click on the links below:

 

Doherty J. 2013. We cannot afford to leave the for-profit private health sector unregulated in Africa (editorial). EQUINET Newsletter 150: 01 August 2013. Available at: http://www.equinetafrica.org/newsletter/

 

Doherty J. 2013. Legislation on the for-profit private health sector in east and southern Africa. EQUINET Discussion Paper 99.  Harare: HEU, EQUINET. Available at: http://www.equinetafrica.org/bibl/docs/Diss%2099%20privsector%20laws%20Aug2013.pdf