1 / 14

Towards UHC in the African Region – How to argue for “more” money?

Towards UHC in the African Region – How to argue for “more” money?. Dr. Gemini Mtei | Tanzania. THE GLOBAL HEALTH PARADIGM. DEVELOPMENT AID FOR HEALTH SIGNIFICANT IN AFRICA. ca.$ 9.3 bil. Gross bi- and multilateral disbursements for health to Africa in 2011. 45.4%. Tanzania: $0.7 bil.

lucia
Download Presentation

Towards UHC in the African Region – How to argue for “more” money?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Towards UHC in the African Region – How to argue for “more” money? Dr. Gemini Mtei | Tanzania

  2. THE GLOBAL HEALTH PARADIGM

  3. DEVELOPMENT AID FOR HEALTH SIGNIFICANT IN AFRICA ca.$9.3 bil. Gross bi- and multilateral disbursements for health to Africa in 2011 45.4% Tanzania: $0.7 bil. Share of health aid received by the top 10 largest recipients (out of 145 recipients) Source: WHO Global Health Expenditure Database; Development Initiatives (2013)

  4. TZ INVESTMENT IN HEALTH NOT REACHING ABUJA TARGET 10.4% of Government budget allocated to the health sector (2012/13) The health sector is increasingly dependent on donor funding Source: MTR October 2013

  5. WHO FUNDS HEALTH IN TANZANIA? Total health expenditure by source Per capita expenditure on health of THE 41USD Share of household contribution increased from 25% in 2005/06 to 32% in 2009/10. GOT share 39%. There is a serious equity concern as high out-of-pocket expenditures limit access to care for the poorest groups. Source: MTR October 2013

  6. COMPLEMENTARY FUNDING FOR HEALTH 16% of Tanzanians are covered by a SHI SHI contributes only 4.3% of funding at LGA level against the HSSP III set target of 10% Relying on the current SHI schemes to increase financing has not proven successful

  7. Challenges in expanding SHI • Large informal sector >70% • Difficult to collect premiums • How to incorporate the poor • Who to pay their premiums • Fragmentation of insurance pools • Too many small pools target small segments of population

  8. INNOVATIVE FUNDING MECHANISMS DISCUSSED IN TZ • Introducingefficiency and • effectiveness • Improving financial management • Performance management • Alignment of resources

  9. STILL MANY UNMET NEEDS IN THE SECTOR Lack of medicines No trained professionals

  10. STRATEGIC HEALTH FINANCING TO MOVE CLOSER TO UHC A health financing strategy was envisioned within HSSP III to guide financing policy

  11. Fiscal Space Assessment, Institutional Capacity Assessment HF Strategy Vision HSSP linked/ Creation of ISC SHP Option Papers finalized Feb 2014/ Regional & Parliamentary Consultations April 2014 1st Draft of HF Strategy June 2014

  12. CHALLENGES FOR DEDICATING DOMESTIC RESOURCE TO HEALTH IN TZ • Lack of political appetite for UHC (not priority on political agenda of the GoT) • Decisions based on politics and economics – influence choices of where the money goes • Political leadership – need for UHC champion within the country • Consequences of health aid fungibility on allocation of resources - Diversion of public resources to other sectors through strong focus of foreign aid on health

  13. SOME QUESTIONS TO DISCUSS

  14. THANK YOU! gmtei@ihi.or.tz; nina.siegert@giz.de

More Related