IDEAS home Printed from https://ideas.repec.org/p/wbk/wbrwps/457.html
   My bibliography  Save this paper

Financing health services in Africa : an assessment of alternative approaches

Author

Listed:
  • Mwabu, Germano

Abstract

This paper outlines a strategy for financing health services in sub-Saharan Africa. The individual components of the strategy are as follows: general tax revenues, international finance, a system of user charges, community finance, health insurance, and contributions from nongovernmental organizations, including the private sector. The author states that financial positions of public health care systems in sub-Saharan Africa would be greatly enhanced if governments in the region were to adopt policies that would use each of the above sources of finance. Since a strong financial base is a prerequisite for an effective health care system, such policies would considerably improve the health status of the population. It is important that for each country different policies be pursued at various levels of society, and in different sectors of the economy.

Suggested Citation

  • Mwabu, Germano, 1990. "Financing health services in Africa : an assessment of alternative approaches," Policy Research Working Paper Series 457, The World Bank.
    • Handle: RePEc:wbk:wbrwps:457
    as

    Download full text from publisher

    File URL: http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/1990/06/01/000009265_3960929235347/Rendered/PDF/multi0page.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ellis, Randall P., 1987. "The revenue generating potential of user fees in Kenyan government health facilities," Social Science & Medicine, Elsevier, vol. 25(9), pages 995-1002, January.
    2. Mwabu, Germano M, 1989. "Nonmonetary Factors in the Household Choice of Medical Facilities," Economic Development and Cultural Change, University of Chicago Press, vol. 37(2), pages 383-392, January.
    3. ALan Williams, 1988. "Priority setting in public and private health care: a guide through the ideological jungle," Working Papers 036chedp, Centre for Health Economics, University of York.
    4. Bitran-Dicowsky, Ricardo & Dunlop, David W., 1989. "The determinants of hospital costs : an analysis of Ethiopia," Policy Research Working Paper Series 249, The World Bank.
    5. Akin, John S & Griffin, Charles C & Guilkey, David K & Popkin, Barry M, 1986. "The Demand for Primary Health Care Services in the Bicol Region of the Philippines," Economic Development and Cultural Change, University of Chicago Press, vol. 34(4), pages 755-782, July.
    6. Vogel, R.J., 1988. "Cost Recovery In The Health Care Sector - Selected Country Studies In West Africa," Papers 82, World Bank - Technical Papers.
    7. Dunlop, David W., 1983. "Health care financing: Recent experience in Africa," Social Science & Medicine, Elsevier, vol. 17(24), pages 2017-2025, January.
    8. Yoder, Richard A., 1989. "Are people willing and able to pay for health services?," Social Science & Medicine, Elsevier, vol. 29(1), pages 35-42, January.
    9. Gertler, Paul & Locay, Luis & Sanderson, Warren, 1987. "Are user fees regressive? : The welfare implications of health care financing proposals in Peru," Journal of Econometrics, Elsevier, vol. 36(1-2), pages 67-88.
    10. Reinhardt, Uwe E, 1989. "Economists in Health Care: Saviors, or Elephants in a Porcelain Shop?," American Economic Review, American Economic Association, vol. 79(2), pages 337-342, May.
    11. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1.
    12. Cross, Peter N. & Huff, Maggie A. & Quick, Jonathan D. & Bates, James A., 1986. "Revolving drug funds: Conducting business in the public sector," Social Science & Medicine, Elsevier, vol. 22(3), pages 335-343, January.
    13. Bonair, Ann & Rosenfield, Patricia & Tengvald, Karin, 1989. "Medical technologies in developing countries: Issues of technology development, transfer, diffusion and use," Social Science & Medicine, Elsevier, vol. 28(8), pages 769-781, January.
    14. Bratton, Michael, 1989. "The politics of government-NGO relations in Africa," World Development, Elsevier, vol. 17(4), pages 569-587, April.
    15. Williams, Alan, 1988. "Priority setting in public and private health care : A guide through the ideological jungle," Journal of Health Economics, Elsevier, vol. 7(2), pages 173-183, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Dow, W.H., 1995. "Welfare Impacts of Health Case User Fees : A Health- Valuation Approach to Analysis with Imperfect Markets," Papers 95-21, RAND - Labor and Population Program.
    2. Ardeshir Sepehri & Robert Chernomas, 2001. "Are user charges efficiency- and equity-enhancing? A critical review of economic literature with particular reference to experience from developing countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 13(2), pages 183-209.
    3. Gertler, Paul J. & Hammer, Jeffrey S., 1997. "Strategies for pricing publicly provided health services," Policy Research Working Paper Series 1762, The World Bank.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gertler, Paul J. & Hammer, Jeffrey S., 1997. "Strategies for pricing publicly provided health services," Policy Research Working Paper Series 1762, The World Bank.
    2. Magnus Lindelow, 2004. "The Utilization of Curative Health Care in Mozambique: Does Income Matter?," Development and Comp Systems 0409057, University Library of Munich, Germany.
    3. Ardeshir Sepehri & Robert Chernomas, 2001. "Are user charges efficiency- and equity-enhancing? A critical review of economic literature with particular reference to experience from developing countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 13(2), pages 183-209.
    4. Mocan, H. Naci & Tekin, Erdal & Zax, Jeffrey S., 2004. "The Demand for Medical Care in Urban China," World Development, Elsevier, vol. 32(2), pages 289-304, February.
    5. Somanathan, Aparnaa, 2008. "Use of modern medical care for pregnancy and childbirth care : does female schooling matter ?," Policy Research Working Paper Series 4625, The World Bank.
    6. Dzator, Janet & Asafu-Adjaye, John, 2004. "A study of malaria care provider choice in Ghana," Health Policy, Elsevier, vol. 69(3), pages 389-401, September.
    7. Magnus Lindelow, 2003. "The Utilization of Curative Health Care in Mozambique: Does Income Matter?," Economics Series Working Papers WPS/2004-11, University of Oxford, Department of Economics.
    8. Germano Mwabu, 1996. "Health Effects of Market-Based Reforms in Developing Countries," WIDER Working Paper Series wp-1996-120, World Institute for Development Economic Research (UNU-WIDER).
    9. Lindelow, Magnus, 2004. "Health care decisions as a family matter - intra-household education externalities and the utilization of health services," Policy Research Working Paper Series 3324, The World Bank.
    10. Bedi, A.S. & Kimalu, P. & Kimenyi, M.S. & Manda, D.K. & Mwabu, G. & Nafula, N., 2003. "User charges and utilisation of health services in Kenya," ISS Working Papers - General Series 19140, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
    11. Majid S. Kermani & Hossein Ghaderi & Ayoub Yousefi, 2008. "Demand for medical care in the urban areas of Iran: an empirical investigation," Health Economics, John Wiley & Sons, Ltd., vol. 17(7), pages 849-862, July.
    12. Germano Mwabu, 1997. "User Charges for Health Care: A Review of the Underlying Theory and Assumptions," WIDER Working Paper Series wp-1997-127, World Institute for Development Economic Research (UNU-WIDER).
    13. Mwabu, Germano, 2007. "Health Economics for Low-Income Countries," Center Discussion Papers 10118, Yale University, Economic Growth Center.
    14. Lindelow, Magnus, 2002. "Health care demand in rural Mozambique," FCND discussion papers 126, International Food Policy Research Institute (IFPRI).
    15. Magnus Lindelow, 2003. "Understanding spatial variation in the utilization of health services: does quality matter?," Economics Series Working Papers WPS/2004-12, University of Oxford, Department of Economics.
    16. Martine Audibert & Yong He & Jacky Mathonnat, 2013. "Two-Period Comparison of Healthcare Demand with Income Growth and Population Aging in Rural China: Implications for Adjustment of the Healthcare Supply and Development," Working Papers halshs-00846088, HAL.
    17. Kasirye, Ibrahim & Ssewanyana, Sarah & Nabyonga, Juliet & Lawson, David, 2004. "Demand for health care services in Uganda: Implications for poverty reduction," MPRA Paper 8558, University Library of Munich, Germany.
    18. Jimenez, Emmanuel & DEC, 1994. "Human and physical infrastructure : public investment and pricing policies in developing countries," Policy Research Working Paper Series 1281, The World Bank.
    19. Mandy Ryan, 1994. "Agency in Health Care: Lessons for Economists from Sociologists," American Journal of Economics and Sociology, Wiley Blackwell, vol. 53(2), pages 207-217, April.
    20. Virginia Wiseman & Craig Mitton & Mary M. Doyle‐Waters & Tom Drake & Lesong Conteh & Anthony T. Newall & Obinna Onwujekwe & Stephen Jan, 2016. "Using Economic Evidence to Set Healthcare Priorities in Low‐Income and Lower‐Middle‐Income Countries: A Systematic Review of Methodological Frameworks," Health Economics, John Wiley & Sons, Ltd., vol. 25(S1), pages 140-161, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wbk:wbrwps:457. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Roula I. Yazigi (email available below). General contact details of provider: https://edirc.repec.org/data/dvewbus.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.