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

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...

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Main Authors:	Ly, Caroline, Eozenou, Patrick, Nandakumar, Allyala, Pablos-Mendez, Ariel, Evans, Timothy, Adeyi, Olusoji
Format:	Journal Article
Published:	Taylor and Francis 2017
Subjects:	ECONOMIC TRANSITION HEALTH FINANCE UNIVERSAL HEALTH COVERAGE
Online Access:	http://hdl.handle.net/10986/28628

id	okr-10986-28628
recordtype	oai_dc
spelling	okr-10986-286282021-05-25T10:54:36Z The Economic Transition of Health in Africa : A Call for Progressive Pragmatism to Shape the Future of Health Financing Ly, Caroline Eozenou, Patrick Nandakumar, Allyala Pablos-Mendez, Ariel Evans, Timothy Adeyi, Olusoji ECONOMIC TRANSITION HEALTH FINANCE UNIVERSAL HEALTH COVERAGE 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. 2017-11-02T20:42:02Z 2017-11-02T20:42:02Z 2017-05-16 Journal Article Health Systems & Reform 2328-8604 http://hdl.handle.net/10986/28628 CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Taylor and Francis Publications & Research :: Journal Article Publications & Research Africa Sub-Saharan Africa
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
topic	ECONOMIC TRANSITION HEALTH FINANCE UNIVERSAL HEALTH COVERAGE
spellingShingle	ECONOMIC TRANSITION HEALTH FINANCE UNIVERSAL HEALTH COVERAGE Ly, Caroline Eozenou, Patrick Nandakumar, Allyala Pablos-Mendez, Ariel Evans, Timothy Adeyi, Olusoji The Economic Transition of Health in Africa : A Call for Progressive Pragmatism to Shape the Future of Health Financing
geographic_facet	Africa Sub-Saharan Africa
description	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.
format	Journal Article
author	Ly, Caroline Eozenou, Patrick Nandakumar, Allyala Pablos-Mendez, Ariel Evans, Timothy Adeyi, Olusoji
author_facet	Ly, Caroline Eozenou, Patrick Nandakumar, Allyala Pablos-Mendez, Ariel Evans, Timothy Adeyi, Olusoji
author_sort	Ly, Caroline
title	The Economic Transition of Health in Africa : A Call for Progressive Pragmatism to Shape the Future of Health Financing
title_short	The Economic Transition of Health in Africa : A Call for Progressive Pragmatism to Shape the Future of Health Financing
title_full	The Economic Transition of Health in Africa : A Call for Progressive Pragmatism to Shape the Future of Health Financing
title_fullStr	The Economic Transition of Health in Africa : A Call for Progressive Pragmatism to Shape the Future of Health Financing
title_full_unstemmed	The Economic Transition of Health in Africa : A Call for Progressive Pragmatism to Shape the Future of Health Financing
title_sort	economic transition of health in africa : a call for progressive pragmatism to shape the future of health financing
publisher	Taylor and Francis
publishDate	2017
url	http://hdl.handle.net/10986/28628
_version_	1764467320616386560

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

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