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Financing health services in Sub-Saharan Africa: Options for decision makers during adjustment

Author

Listed:
  • Korte, R.
  • Richter, Heide
  • Merkle, F.
  • Görgen, H.

Abstract

The financing of health services has become an increasingly critical and urgent issue in many developing countries particularly in Sub-Saharan Africa. This paper analyses options available to policy makers. The possible effects and side effects of strategies are described based on the experience from different countries. The dangers of simplistic solutions are discussed. A cautious approach is recommended taking into consideration the lessons learned in other regions accompanied by a careful ongoing evaluation especially regarding the ability to pay of the poorer sections of the population. Providing for equity in health care should be an important guiding principle. It therefore appears to be necessary to find an appropriate mix of public and private sector interventions with elements of cost-sharing for services and drugs, insurance schemes and more efficient use of available resources.

Suggested Citation

  • Korte, R. & Richter, Heide & Merkle, F. & Görgen, H., 1992. "Financing health services in Sub-Saharan Africa: Options for decision makers during adjustment," Social Science & Medicine, Elsevier, vol. 34(1), pages 1-9, January.
    • Handle: RePEc:eee:socmed:v:34:y:1992:i:1:p:1-9
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    Citations

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    Cited by:

    1. Gilson, Lucy & Mills, Anne, 1995. "Health sector reforms in sub-Saharan Africa: lessons of the last 10 years," Health Policy, Elsevier, vol. 32(1-3), pages 215-243.
    2. Hammer, Jeffrey S, 1997. "Economic Analysis for Health Projects," The World Bank Research Observer, World Bank, vol. 12(1), pages 47-71, February.
    3. Woode, Maame Esi & Nourry, Carine & Ventelou, Bruno, 2014. "Childhood preventive care, adult healthcare and economic growth: The role of healthcare financing," Economics Letters, Elsevier, vol. 124(1), pages 41-47.
    4. Amazigo, Uche & Okeibunor, Joseph & Matovu, Victoria & Zouré, Honorat & Bump, Jesse & Seketeli, Azodoga, 2007. "Performance of predictors: Evaluating sustainability in community-directed treatment projects of the African programme for onchocerciasis control," Social Science & Medicine, Elsevier, vol. 64(10), pages 2070-2082, May.
    5. Gertler, Paul J. & Hammer, Jeffrey S., 1997. "Strategies for pricing publicly provided health services," Policy Research Working Paper Series 1762, The World Bank.

    More about this item

    Keywords

    financing equity insurance planning;

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