Resource allocation and health financing

RESEARCH ON RESOURCE MOBILISATION AND ALLOCATION FOR EQUITY IN HEALTH

EQUINET through the Health Economics Unit University of Cape Town, Cape Town South Africa is supporting research in East and Southern Africa on resource mobilisation, mechanisms for strengthening cross-subsidies in the overall health system and lessons from application of equity oriented resource allocation policies. The focal point for queries on this programme is Vimbayi Mutyambizi at the Health Economics Unit University of Cape Town, Cape Town South Africa.

EQUINET WORK ON FAIR FINANCING

Equinet has focused in recent years on the public- private mix in health financing and on promoting the equitable allocation of limited government (and donor) funds within countries in the SADC region. Research has been undertaken in a number of SADC countries (particularly Namibia, South Africa, Tanzania, Zambia and Zimbabwe) to evaluate the equity of existing allocation mechanisms of public sector health care resources and to develop appropriate mechanisms to promote equity in resource allocation (including but not restricted to needs-based formulae). A regional workshop in April 2005 compared the methodologies and approaches that were used to evaluate existing resource allocation patterns and proposals for promoting greater equity and provided an opportunity to undertake collaborative cross-country comparisons. Steps have been initiated to ensure that this research is translated not only into policy, but also into tangible changes ‘on-the-ground’, and these will be continued. In 2005 a policy overview of equitable resource mobilisation strategies in Africa is being implemented to lay the groundwork for the next phase of work.

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