Health Financing in Zambia
The 2012 national health policy is the overarching health policy framework in Zambia. The policy takes a human rights approach to health care provision, where all citizens are entitled to basic health care (Ministry of Health 2012). The policy is a...
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| Format: | Policy Note |
| Language: | English |
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World Bank, Washington, DC
2019
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| Online Access: | http://documents.worldbank.org/curated/en/475421559626961946/Health-Financing-in-Zambia http://hdl.handle.net/10986/31786 |
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okr-10986-317862021-05-25T09:24:16Z Health Financing in Zambia Masiye, Felix Chansa, Collins PUBLIC EXPENDITURES HEALTH CARE FINANCING HEALTH EXPENDITURE HEALTH POLICY REFORM HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH FINANCING STRATEGY HEALTH FINANCE DONOR RESOURCES HEALTH CARE WORKERS SERVICE DELIVERY RESOURCE ALLOCATION EQUITY REVENUE MOBILIZATION PUBLIC FINANCIAL MANAGEMENT The 2012 national health policy is the overarching health policy framework in Zambia. The policy takes a human rights approach to health care provision, where all citizens are entitled to basic health care (Ministry of Health 2012). The policy is actualized through successive five-year national health strategic plans. Operationally, Zambia’s health system is centralized, with delegated responsibilities from the center to lower levels of the health care delivery system. The Ministry of Health plays a dual role of policy formulation and strategic planning and delivery of health services, with provincial and district health offices being upwardly accountable to the Ministry of Health headquarters. Going forward, Zambia is in the process of launching two major reforms which will further affect the organization of the health sector. These are (a) implementation of the National Decentralization Policy, and (b) introduction of a National Health Insurance (NHI) scheme. The PHC function (including transfer of PHC staff to local government authorities) is among the front runner for decentralization. If national decentralization is fully implemented, it will affect the way health services are organized, delivered, and financed in the country. Thus, adequate preparations in the health sector are required to minimize challenges. Secondly, Zambia enacted the NHI Act in April 2018 which provides the legal mandate to establish the NHI management authority, and the NHI scheme. At the time of this study, it was envisaged that implementation of the NHI scheme will be done in a phased manner with a view of covering the entire population in the medium to long term. However, depending on the final design and implementation process, the NHI will have a substantial effect on the financing and delivery of health programs and services in Zambia. One of the immediate challenges will be providing insurance cover to the informal sector and indigent people in rural areas. 2019-06-05T16:01:44Z 2019-06-05T16:01:44Z 2019-05 Policy Note http://documents.worldbank.org/curated/en/475421559626961946/Health-Financing-in-Zambia http://hdl.handle.net/10986/31786 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Economic & Sector Work :: Policy Note Economic & Sector Work Africa Zambia |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
PUBLIC EXPENDITURES HEALTH CARE FINANCING HEALTH EXPENDITURE HEALTH POLICY REFORM HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH FINANCING STRATEGY HEALTH FINANCE DONOR RESOURCES HEALTH CARE WORKERS SERVICE DELIVERY RESOURCE ALLOCATION EQUITY REVENUE MOBILIZATION PUBLIC FINANCIAL MANAGEMENT |
| spellingShingle |
PUBLIC EXPENDITURES HEALTH CARE FINANCING HEALTH EXPENDITURE HEALTH POLICY REFORM HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH FINANCING STRATEGY HEALTH FINANCE DONOR RESOURCES HEALTH CARE WORKERS SERVICE DELIVERY RESOURCE ALLOCATION EQUITY REVENUE MOBILIZATION PUBLIC FINANCIAL MANAGEMENT Masiye, Felix Chansa, Collins Health Financing in Zambia |
| geographic_facet |
Africa Zambia |
| description |
The 2012 national health policy is the
overarching health policy framework in Zambia. The policy
takes a human rights approach to health care provision,
where all citizens are entitled to basic health care
(Ministry of Health 2012). The policy is actualized through
successive five-year national health strategic plans.
Operationally, Zambia’s health system is centralized, with
delegated responsibilities from the center to lower levels
of the health care delivery system. The Ministry of Health
plays a dual role of policy formulation and strategic
planning and delivery of health services, with provincial
and district health offices being upwardly accountable to
the Ministry of Health headquarters. Going forward, Zambia
is in the process of launching two major reforms which will
further affect the organization of the health sector. These
are (a) implementation of the National Decentralization
Policy, and (b) introduction of a National Health Insurance
(NHI) scheme. The PHC function (including transfer of PHC
staff to local government authorities) is among the front
runner for decentralization. If national decentralization is
fully implemented, it will affect the way health services
are organized, delivered, and financed in the country. Thus,
adequate preparations in the health sector are required to
minimize challenges. Secondly, Zambia enacted the NHI Act in
April 2018 which provides the legal mandate to establish the
NHI management authority, and the NHI scheme. At the time of
this study, it was envisaged that implementation of the NHI
scheme will be done in a phased manner with a view of
covering the entire population in the medium to long term.
However, depending on the final design and implementation
process, the NHI will have a substantial effect on the
financing and delivery of health programs and services in
Zambia. One of the immediate challenges will be providing
insurance cover to the informal sector and indigent people
in rural areas. |
| format |
Policy Note |
| author |
Masiye, Felix Chansa, Collins |
| author_facet |
Masiye, Felix Chansa, Collins |
| author_sort |
Masiye, Felix |
| title |
Health Financing in Zambia |
| title_short |
Health Financing in Zambia |
| title_full |
Health Financing in Zambia |
| title_fullStr |
Health Financing in Zambia |
| title_full_unstemmed |
Health Financing in Zambia |
| title_sort |
health financing in zambia |
| publisher |
World Bank, Washington, DC |
| publishDate |
2019 |
| url |
http://documents.worldbank.org/curated/en/475421559626961946/Health-Financing-in-Zambia http://hdl.handle.net/10986/31786 |
| _version_ |
1764475066502873088 |