Here is a discussion on health financing in Africa. It is one of our most challenging barriers to UHC.
Annual budget negotiations with national parliaments are going on right now in a number of African countries. Difficult decisions are being made on which aspects of health budgets should be prioritized for funding. This gives us an opportunity to contribute to these ongoing national and regional budget discussions.
Let us start by gaining a common understanding of health financing. It is defined here as “the raising, pooling and spending of financial resources with the primary intention of improving health”. The sources of health financing are the general tax, donor aid, deficit funding (or borrowing), ear-marked taxes, and social and private health insurance. This should exclude out-of-pocket spending by individuals at the point of receiving health care. Expenditures are made in health facilities, on community and out-reach services, pharmacies, drug shops, sanitation, nutrition, training and research. Today, health financing remains the most intractable challenge for the health and development globally. Indeed, some have argued that Universal Health Coverage (UHC) in poor countries cannot be funded internally.