Health Financing and Social Protection Experiences in P4H Countries
Explore the experiences of P4H countries in health financing and social protection, focusing on collaborative setups, main work areas, outcomes, challenges, and specificities. Partnerships in countries like Cambodia, Malawi, and Zambia are discussed, highlighting the importance of political economy and broader understanding of UHC beyond health financing. Challenges such as maintaining the agenda, partner collaboration, and intersectoral dialogue are addressed, along with support for National Health Insurance through integrated social protection strategies and regional initiatives linking performance-based financing and vouchers.
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Presentation Transcript
Global Network for Health Financing and Social Protection P4H countries experiences Phnom Penh, Cambodia, 6th February 2018
P4H focal point P4H country focal point
Partners in: Benin, Burkina Faso, Cambodia, Cameroon, Chad, Haiti, Mauritania, Mali, Malawi, Mozambic, Tanzania, Zambia
Collaborative set ups & practice Same weight on average Different practice in countries
Main work areas at country level SP Quality User fees / fee exemption / vouchers / HEF / SHI Health economics Focus: inclusion HFS GFM focus GFF Political economy Budget advocacy L4UHC Fiscal space analysis Legal provision
Outcome Malawi Zambia
Challenges that give P4H all reasons to be Maintaining the agenda Making partners work together The environment (State) Suboptimal intersectoral dialogue Time needed for processes that question P4H position UHC much broader than Health Financing Political economy more important than technical issue to our set up Dependance on the Focal Point person Visibility / P4H label in activities P4H weight in Focal Point position (ToR, agenda, evaluation)
Some specificities Support to NHI through a broader and integrated Social protection perspective Critical environment (extreme situation re- many partners & week State) At regional level linking PBF and Vouchers via the RFHP (Regional Funds for Health Promotion = Public Interest Groups with tripartite governance = State, Communities and Development partners) Look into GBD risk factors (Malnutrition, WASH, Environment) & their intersectoral approach as per UHC Collaboration model (consensus building, individual lobbying, relation building)
Regional level of P4H: WA insight P4H tentative work 1 + 2 + 4 State of State building Niger, Mali vs Ghana Togo, Guinea Bissau Ebola affected countries Discontinuity Benin P4H focal point needed to build: Senegal, Ivory Coast, Nigeria(+) for damage control Guinea, Niger Experiencein terms of regional network: an adapted support with specific set up
Regional level of P4H: EAC Currently MOU of collaboration being established between P4H and the EAC with focus to: Strengthen SHP and HF for UHC, Strengthen leadership, governance, coordination and harmonization in the EAC Partner States and at regional level Establishment of an EAC sub-regional network on SHP/ HF for UHC (continental & global linkages) Develop capacity of the EAC secretariat and individual PSs according to needs Support the SHP portability roadmap Once MOU signed it is foreseen to have a Regional Focal Person placed at the EAC Health Department to coordinate activities and partners under above objectives
