This brief aims to present the positive and negative implications of the different domestic revenue sources being explored, advocated and implemented in the East and Southern African (ESA) region. It presents issues to be considered in choosing between, and implementing, the different non-contributory and contributory options for revenue collection, given the policy commitments in the region to equity and universal health coverage (UHC). The brief draws information from experiences of other low and middle income countries globally, including on the fiscal, revenue, progressiveness and acceptability implications of different options. The brief highlights that revenue collection measures need to be accompanied by measures to strengthen strategic purchasing and access to equitable, effective, quality care.
Resource allocation and health financing
Title of publication Policy brief 45: Features of domestic revenue sources for universal health systems: a contribution to policy dialogue
Date of publication
Features of domestic revenue sources for universal health systems: a contribution to policy dialogue, Policy brief 45, University of the Witwatersrand and Training and Research Support Centre, EQUINET, Harare
health financing, domestic financing, policy, east and southern Africa, UHC
East and southern Africa region
Equinet Publication Type