Health systems and reform
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Health systems and reform · Jan 2018
Can Ethiopia Finance the Continued Development of Its Primary Health Care System If External Resources Decline?
Ethiopia's recent improvements in health outcomes benefited from the large increase in development assistance for health received in recent years, most of which supported its primary care system. Increased domestic resource mobilization for health will be needed to sustain progress given recent and likely future declines in external support. We estimate a projection model of Ethiopian government domestic resource mobilization potential compared with future health care delivery costs in order to assess Ethiopia's ability to finance its planned primary health care system. ⋯ Our modeling suggests that Ethiopia can substantially support further development of primary care services, even in the face of declining external support. However, it is unlikely to achieve its goals solely through "business as usual." Ethiopia is already moving forward with timely adoption of sound strategies to maintain progress. External partners should support these trends to enable transition plans to greater domestic funding with minimal disruption to positive progress that has been and is being made.
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Health systems and reform · Jan 2018
Making Universal Health Care Effective in Argentina: A Blueprint for Reform.
The reform of a health care system requires attention to specific components but also to the creation of an environment that supports change. Argentina has achieved nominal universal health coverage (UHC) but it still needs to work on achieving effective universal health coverage, especially with regard to quality and equity. ⋯ The article includes an overview of Argentina's health system, then introduces the driving forces for reform, and finally analyzes four key issues where we provide our action plan to implement health reform for moving Argentina forward. Overall, our ultimate goal is to provide actual UHC and not aspirational UHC in Argentina by strengthening provincial health systems through enforcing public insurance schemes; utilizing an explicit priority-setting approach to make decisions on health coverage; reducing health disparities in coverage and outcomes, at least on prioritized health problems; and building a primary care-oriented health care system.