Health Financing in Zambia

The 2012 national health policy is the overarching health policy framework in Zambia. The policy takes a human rights approach to health care provision, where all citizens are entitled to basic health care (Ministry of Health 2012). The policy is actualized through successive five-year national health strategic plans. Operationally, Zambia’s health system is centralized, with delegated responsibilities from the center to lower levels of the health care delivery system. The Ministry of Health plays a dual role of policy formulation and strategic planning and delivery of health services, with provincial and district health offices being upwardly accountable to the Ministry of Health headquarters. Going forward, Zambia is in the process of launching two major reforms which will further affect the organization of the health sector. These are (a) implementation of the National Decentralization Policy, and (b) introduction of a National Health Insurance (NHI) scheme. The PHC function (including transfer of PHC staff to local government authorities) is among the front runner for decentralization. If national decentralization is fully implemented, it will affect the way health services are organized, delivered, and financed in the country. Thus, adequate preparations in the health sector are required to minimize challenges. Secondly, Zambia enacted the NHI Act in April 2018 which provides the legal mandate to establish the NHI management authority, and the NHI scheme. At the time of this study, it was envisaged that implementation of the NHI scheme will be done in a phased manner with a view of covering the entire population in the medium to long term. However, depending on the final design and implementation process, the NHI will have a substantial effect on the financing and delivery of health programs and services in Zambia. One of the immediate challenges will be providing insurance cover to the informal sector and indigent people in rural areas.

Saved in:
Bibliographic Details
Main Authors: Masiye, Felix, Chansa, Collins
Format: Policy Note biblioteca
Language:English
Published: World Bank, Washington, DC 2019-05
Subjects:PUBLIC EXPENDITURES, HEALTH CARE FINANCING, HEALTH EXPENDITURE, HEALTH POLICY REFORM, HEALTH SERVICE DELIVERY, HEALTH SERVICES, HEALTH FINANCING STRATEGY, HEALTH FINANCE, DONOR RESOURCES, HEALTH CARE WORKERS, SERVICE DELIVERY, RESOURCE ALLOCATION, EQUITY, REVENUE MOBILIZATION, PUBLIC FINANCIAL MANAGEMENT,
Online Access:http://documents.worldbank.org/curated/en/475421559626961946/Health-Financing-in-Zambia
https://hdl.handle.net/10986/31786
Tags: Add Tag
No Tags, Be the first to tag this record!
id dig-okr-1098631786
record_format koha
spelling dig-okr-10986317862024-08-07T19:09:31Z Health Financing in Zambia Masiye, Felix Chansa, Collins Chansa, Collins PUBLIC EXPENDITURES HEALTH CARE FINANCING HEALTH EXPENDITURE HEALTH POLICY REFORM HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH FINANCING STRATEGY HEALTH FINANCE DONOR RESOURCES HEALTH CARE WORKERS SERVICE DELIVERY RESOURCE ALLOCATION EQUITY REVENUE MOBILIZATION PUBLIC FINANCIAL MANAGEMENT The 2012 national health policy is the overarching health policy framework in Zambia. The policy takes a human rights approach to health care provision, where all citizens are entitled to basic health care (Ministry of Health 2012). The policy is actualized through successive five-year national health strategic plans. Operationally, Zambia’s health system is centralized, with delegated responsibilities from the center to lower levels of the health care delivery system. The Ministry of Health plays a dual role of policy formulation and strategic planning and delivery of health services, with provincial and district health offices being upwardly accountable to the Ministry of Health headquarters. Going forward, Zambia is in the process of launching two major reforms which will further affect the organization of the health sector. These are (a) implementation of the National Decentralization Policy, and (b) introduction of a National Health Insurance (NHI) scheme. The PHC function (including transfer of PHC staff to local government authorities) is among the front runner for decentralization. If national decentralization is fully implemented, it will affect the way health services are organized, delivered, and financed in the country. Thus, adequate preparations in the health sector are required to minimize challenges. Secondly, Zambia enacted the NHI Act in April 2018 which provides the legal mandate to establish the NHI management authority, and the NHI scheme. At the time of this study, it was envisaged that implementation of the NHI scheme will be done in a phased manner with a view of covering the entire population in the medium to long term. However, depending on the final design and implementation process, the NHI will have a substantial effect on the financing and delivery of health programs and services in Zambia. One of the immediate challenges will be providing insurance cover to the informal sector and indigent people in rural areas. 2019-06-05T16:01:44Z 2019-06-05T16:01:44Z 2019-05 Policy Note Document de politique générale Documento de políticas http://documents.worldbank.org/curated/en/475421559626961946/Health-Financing-in-Zambia https://hdl.handle.net/10986/31786 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank application/pdf text/plain World Bank, Washington, DC
institution Banco Mundial
collection DSpace
country Estados Unidos
countrycode US
component Bibliográfico
access En linea
databasecode dig-okr
tag biblioteca
region America del Norte
libraryname Biblioteca del Banco Mundial
language English
topic PUBLIC EXPENDITURES
HEALTH CARE FINANCING
HEALTH EXPENDITURE
HEALTH POLICY REFORM
HEALTH SERVICE DELIVERY
HEALTH SERVICES
HEALTH FINANCING STRATEGY
HEALTH FINANCE
DONOR RESOURCES
HEALTH CARE WORKERS
SERVICE DELIVERY
RESOURCE ALLOCATION
EQUITY
REVENUE MOBILIZATION
PUBLIC FINANCIAL MANAGEMENT
PUBLIC EXPENDITURES
HEALTH CARE FINANCING
HEALTH EXPENDITURE
HEALTH POLICY REFORM
HEALTH SERVICE DELIVERY
HEALTH SERVICES
HEALTH FINANCING STRATEGY
HEALTH FINANCE
DONOR RESOURCES
HEALTH CARE WORKERS
SERVICE DELIVERY
RESOURCE ALLOCATION
EQUITY
REVENUE MOBILIZATION
PUBLIC FINANCIAL MANAGEMENT
spellingShingle PUBLIC EXPENDITURES
HEALTH CARE FINANCING
HEALTH EXPENDITURE
HEALTH POLICY REFORM
HEALTH SERVICE DELIVERY
HEALTH SERVICES
HEALTH FINANCING STRATEGY
HEALTH FINANCE
DONOR RESOURCES
HEALTH CARE WORKERS
SERVICE DELIVERY
RESOURCE ALLOCATION
EQUITY
REVENUE MOBILIZATION
PUBLIC FINANCIAL MANAGEMENT
PUBLIC EXPENDITURES
HEALTH CARE FINANCING
HEALTH EXPENDITURE
HEALTH POLICY REFORM
HEALTH SERVICE DELIVERY
HEALTH SERVICES
HEALTH FINANCING STRATEGY
HEALTH FINANCE
DONOR RESOURCES
HEALTH CARE WORKERS
SERVICE DELIVERY
RESOURCE ALLOCATION
EQUITY
REVENUE MOBILIZATION
PUBLIC FINANCIAL MANAGEMENT
Masiye, Felix
Chansa, Collins
Chansa, Collins
Health Financing in Zambia
description The 2012 national health policy is the overarching health policy framework in Zambia. The policy takes a human rights approach to health care provision, where all citizens are entitled to basic health care (Ministry of Health 2012). The policy is actualized through successive five-year national health strategic plans. Operationally, Zambia’s health system is centralized, with delegated responsibilities from the center to lower levels of the health care delivery system. The Ministry of Health plays a dual role of policy formulation and strategic planning and delivery of health services, with provincial and district health offices being upwardly accountable to the Ministry of Health headquarters. Going forward, Zambia is in the process of launching two major reforms which will further affect the organization of the health sector. These are (a) implementation of the National Decentralization Policy, and (b) introduction of a National Health Insurance (NHI) scheme. The PHC function (including transfer of PHC staff to local government authorities) is among the front runner for decentralization. If national decentralization is fully implemented, it will affect the way health services are organized, delivered, and financed in the country. Thus, adequate preparations in the health sector are required to minimize challenges. Secondly, Zambia enacted the NHI Act in April 2018 which provides the legal mandate to establish the NHI management authority, and the NHI scheme. At the time of this study, it was envisaged that implementation of the NHI scheme will be done in a phased manner with a view of covering the entire population in the medium to long term. However, depending on the final design and implementation process, the NHI will have a substantial effect on the financing and delivery of health programs and services in Zambia. One of the immediate challenges will be providing insurance cover to the informal sector and indigent people in rural areas.
format Policy Note
topic_facet PUBLIC EXPENDITURES
HEALTH CARE FINANCING
HEALTH EXPENDITURE
HEALTH POLICY REFORM
HEALTH SERVICE DELIVERY
HEALTH SERVICES
HEALTH FINANCING STRATEGY
HEALTH FINANCE
DONOR RESOURCES
HEALTH CARE WORKERS
SERVICE DELIVERY
RESOURCE ALLOCATION
EQUITY
REVENUE MOBILIZATION
PUBLIC FINANCIAL MANAGEMENT
author Masiye, Felix
Chansa, Collins
Chansa, Collins
author_facet Masiye, Felix
Chansa, Collins
Chansa, Collins
author_sort Masiye, Felix
title Health Financing in Zambia
title_short Health Financing in Zambia
title_full Health Financing in Zambia
title_fullStr Health Financing in Zambia
title_full_unstemmed Health Financing in Zambia
title_sort health financing in zambia
publisher World Bank, Washington, DC
publishDate 2019-05
url http://documents.worldbank.org/curated/en/475421559626961946/Health-Financing-in-Zambia
https://hdl.handle.net/10986/31786
work_keys_str_mv AT masiyefelix healthfinancinginzambia
AT chansacollins healthfinancinginzambia
AT chansacollins healthfinancinginzambia
_version_ 1807155436660457472