Africa Lower-middle-income countries

Financing options for universal health coverage in Zambia

Bona Chitah and Dick Jonsson, of the Department of Economics at the University of Zambia, have written an assessment of Zambia’s progress towards universal health coverage for GNHE.

You can read the full assessment here.

The authors’ main conclusions are:

  • Zambia is making continuous progress in all the key areas of its health system. However, there are gaps which need to be resolved for the country to be able to realise the goal of universal coverage, including universal financial protection and access to care.
  • A more equitable distribution of resources between urban and rural areas is required. Currently there is an urban bias in resource distribution. This is evidenced not only in the allocation of public health sector resources, but also in expenditures by the wealthy on private health care.
  • Resources need to be allocated to promote access to, and utilisation of, health care by the poorer socio-economic groups. The higher consumption of public inpatient health care services by wealthier groups is a striking example of inequitable utilisation, as is the relatively greater levels of government subsidy received by wealthier groups, even for primary health care.
  • The impoverishing effect of out-of-pocket payments exposes poorer households to financial risk, driving households into poverty or further into poverty. This requires reconsideration of public hospital user fees, both in terms of the level of fees and the application of bypass fees (which are charged when patients bypass primary health care facilities, including because of the severity of their conditions and their proximity to higher-level health facilities).
  • Finally, Zambia’s ambition to introduce social health insurance as a mechanism for improving the pooling and purchasing of services needs to be scrutinised for its possible impacts on equity. The proposed social health insurance scheme would require co-payments and perhaps other contributions, which would increase the financial burden on households. This means that the proposed scheme could effectively run counter to the ambition of attaining universal health coverage.
  • There should be a critical evaluation of the alternative option of simply continuing – and strengthening – the current tax-based financing system.

Chitah B, Jonsson D. 2015. Universal health coverage assessment: Zambia. Global Network for Health Equity (GNHE). Available at:


  1. Pingback: tinder poop

  2. Pingback: christian free dating sites uk

  3. Pingback: play anime dating games online for free

  4. Pingback: free american online dating

  5. Pingback: adult dating sites for free

  6. Pingback: finnish dating sites free

  7. Pingback: free fat women dating site

  8. Pingback: free islamic dating site

  9. Pingback: free dating site in canada

  10. Pingback: free christian dating agency

  11. Pingback: free dating sites for single moms

  12. Pingback: free dating sites for big and beautiful

  13. Pingback: free dating chat india

  14. Pingback: free horse people dating sites

  15. Pingback: free filipina dating websites

  16. Pingback: keto ice cream recipe

  17. Pingback: keto diet wine

  18. Pingback: keto diet hair loss

  19. Pingback: dapoxetine rx pharmacy

  20. Pingback: ventolin dose

  21. Pingback: hydroxychloroquine sulfate 800 mg

  22. Pingback: hydroxychloroquine for sale craigslist

  23. Pingback: hydroxychloroquine coronavirus in humans

  24. Pingback: over the counter hydroxychloroquine

  25. Pingback: hydroxychloroquine antiviral effects

  26. Pingback: gay speed dating in los angeles

  27. Pingback: dating advice for gay guys

  28. Pingback: gay arab dating website

  29. Pingback: gay dating in jellico tn

  30. Pingback: ivermectil 6mg

  31. Pingback: buy dapoxetine uk

  32. Pingback: best gay dating websites 2021

  33. Pingback: ivermect for ear infection

  34. Pingback: humans antiparasitic and prednisone for scabicide

  35. Pingback: gay college dating

  36. Pingback: gay furry dating sime

  37. Pingback: older gay dating clinton iowa

  38. Pingback: bluie gay dating

  39. Pingback: best dating site for gay men

  40. Pingback: stromectol meaning

  41. Pingback: deltasone 20mg for diverticulitis

  42. Pingback: stromectol tablets buy

  43. Pingback: stromectol for adults

  44. Pingback: ivermectin solution

  45. Pingback: ebay ivermectin

  46. Pingback: otc sildenafil

  47. Pingback: aralen hives

  48. Pingback: tizanidine 503

  49. Pingback: molnupinavir

  50. Pingback: olumiant 4 mg

  51. Pingback: zanaflex 2mg

  52. Pingback: mazhor4sezon

  53. Pingback: filmfilmfilmes

  54. Pingback: gRh9UPV

  55. Pingback: 9-05-2022

  56. Pingback:

  57. Pingback: TopGun2022

  58. Pingback: Xvideos

  59. Pingback: XVIDEOSCOM Videos

  60. Pingback: ivanesva

  61. Pingback: Netflix

  62. Pingback: Zvezdy-v-Afrike-2-sezon-14-seriya

  63. Pingback: Krylya-nad-Berlinom

  64. Pingback: FILM

  65. Pingback:

  66. Pingback: YA-krasneyu

  67. Pingback:

  68. Pingback:

  69. Pingback:

  70. Pingback:

  71. Pingback: Intimsiti-v-obhod-blokirovok

  72. Pingback: projectio

  73. Pingback: moskva psiholog online

  74. Pingback: psy online

  75. Pingback: Gz92uNNH

  76. Pingback: do-posle-psihologa

  77. Pingback: uels ukrain

  78. Pingback: DPTPtNqS

  79. Pingback: qQ8KZZE6

  80. Pingback: D6tuzANh

  81. Pingback: SHKALA TONOV

  82. Pingback: Øêàëà òîíîâ

  83. Pingback:

  84. Pingback: chelovek-iz-90-h

  85. Pingback: 3Hk12Bl

  86. Pingback: 3NOZC44

  87. Pingback: 01211

  88. Pingback: tor-lyubov-i-grom

  89. Pingback: film-tor-2022

  90. Pingback: hd-tor-2022

  91. Pingback:

  92. Pingback: JXNhGmmt

  93. Pingback: Link In Bio Instagram

  94. Pingback: Psikholog

  95. Pingback:

  96. Pingback: Link

  97. Pingback:

  98. Pingback: psy

  99. Pingback: chelovek soznaniye mozg

  100. Pingback:

  101. Pingback:

  102. Pingback: bucha killings

  103. Pingback: War in Ukraine

  104. Pingback: Ukraine

  105. Pingback: Ukraine news – live

  106. Pingback: The Latest Ukraine News

  107. Pingback: site

  108. Pingback: stats

  109. Pingback: Ukraine-war

  110. Pingback: movies

  111. Pingback: gidonline

  112. Pingback: mir dikogo zapada 4 sezon 4 seriya

  113. Pingback: web

  114. Pingback:

  115. Pingback: video

  116. Pingback: smotret-polnyj-film-smotret-v-khoroshem-kachestve

  117. Pingback:

  118. Pingback: rodnoe-kino-ru

  119. Pingback: confeitofilm

  120. Pingback:

  121. Pingback: sY5am

  122. Pingback: Dom drakona

  123. Pingback: JGXldbkj

  124. Pingback: aOuSjapt

  125. Pingback: ìûøëåíèå

  126. Pingback: psikholog moskva

  127. Pingback: Usik Dzhoshua 2 2022

  128. Pingback: Dim Drakona 2022

  129. Pingback: TwnE4zl6

  130. Pingback: psy 3CtwvjS

  131. Pingback: lalochesia

  132. Pingback: film onlinee

  133. Pingback: programma peredach na segodnya

  134. Pingback:

  135. Pingback:

  136. Pingback: 3qAIwwN

  137. Pingback: video-2

  138. Pingback:

  139. Pingback:

  140. Pingback:

  141. Pingback: 000-1

  142. Pingback: 3SoTS32

  143. Pingback: 3DGofO7

  144. Pingback:

  145. Pingback:

  146. Pingback:

  147. Pingback:

  148. Pingback:

  149. Pingback:

  150. Pingback: news ukraine

  151. Pingback:

  152. Pingback:

  153. Pingback:

  154. Pingback: brutv

  155. Pingback: site 2023

  156. Pingback: sitestats01

  157. Pingback:

  158. Pingback:

  159. Pingback: 1703

  160. Pingback:

  161. Pingback:

  162. Pingback:

  163. Pingback: What to text him to get him back without cheapest generic cialis?

  164. Pingback: What exercise burns the most leg fat or lloyds pharmacy kamagra?

  165. Pingback: What herb helps with quitting smoking wellbutrin sr 150?

  166. Pingback:

  167. Pingback:

  168. Pingback:

  169. Pingback:

  170. Pingback:

  171. Pingback: How many water should I drink to lose weight and a prescription diet pills?

  172. Pingback: What does a men's health check involve where to buy viagra in singapore?

  173. Pingback: bep5w0Df

  174. Pingback: www

  175. Pingback: SpyToStyle

  176. Pingback: Which sperm is more powerful what does viagra pills look like?

  177. Pingback: icf

  178. Pingback: 24hours-news

  179. Pingback: rusnewsweek

  180. Pingback: uluro-ado

  181. Pingback: Medicament information leaflet. paxil 50 mg?

  182. Pingback:

  183. Pingback: klondayk2022

  184. Pingback: Cure-all prescribing information. Brand names. over the counter avodart medication?

  185. Pingback: Medicine bumf sheet. What side effects? how to get propecia no prescription?

  186. Pingback: tqmFEB3B

  187. Pingback: Drug prescribing information. Name brand names. In Canada flomax?

  188. Pingback: future university

  189. Pingback: Lincoln Georgis

  190. Pingback: future university egypt

  191. Pingback: future university egypt

  192. Pingback: جامعة المستقبل

  193. Pingback: future university

  194. Pingback: future university egypt

  195. Pingback: future university

  196. Pingback: fue

  197. Pingback: future university

  198. Pingback: Lincoln Georgis

  199. Pingback: جامعة المستقبل

  200. Pingback: future university egypt

  201. Pingback: جامعة المستقبل

  202. Pingback: Spotify Premium Apk Mod Free Download

  203. Pingback: جامعة المستقبل

  204. Pingback: جامعة المستقبل

  205. Pingback: Pills information sheet. Generic Name. abilify dosages?

  206. Pingback: Natraj Pencil Packing Job Work From Home

  207. Pingback: جامعة المستقبل

  208. Pingback: future university

  209. Pingback: future university

  210. Pingback: future university egypt

  211. Pingback: fue

  212. Pingback: ABCD 1

  213. Pingback: exipure

  214. Pingback: future university egypt

  215. Pingback: future university

  216. Pingback: leg curl

  217. Pingback: musculation exterieur

  218. Pingback: elastiques musculation

  219. Pingback: machine muscu epaule

  220. Pingback: legs curl

  221. Pingback: seated dip

  222. Pingback: cage musculation exterieur

  223. Pingback: mangalib

  224. Pingback: freechat now

  225. Pingback: chatiw

  226. Pingback: reputation defenders

  227. Pingback: Web Development Companies in Dubai, UAE

  228. Pingback: buy priligy 60mg sale

  229. Pingback: fue

  230. Pingback: children's trust supercar event

  231. Pingback: Lila Lovely

  232. Pingback: MILF Porn

  233. Pingback: slots games

  234. Pingback: tricycle advertising price

  235. Pingback: Cory Chase MILFCity

  236. Pingback: Madelyn Monroe MILF

  237. Pingback: birutoto rtp slot

  238. Pingback: buy-domains

  239. Pingback: Assignment Help Tutors

  240. Pingback: Assignment Help 4 Me

  241. Pingback: Narrative Writing Help

  242. Pingback: Academic Assignment Help

  243. Pingback: Homework help online

  244. Pingback: mpo777

  245. Pingback: wedding gifts

  246. Pingback: valentines gift

  247. Pingback: magnesium supplement

  248. Pingback: valentine gift for her

  249. Pingback: valentine gift for her

  250. Pingback: valentine gift for her

  251. Pingback: stundenlohn berechnen formel 4 33

  252. Pingback: how to buy cryptocurrency in india legally

  253. Pingback: x

  254. Pingback: brutto-netto-rechner

  255. Pingback: 9xflix

  256. Pingback: xnxx

  257. Pingback: 123movies

  258. Pingback: パート主婦投資ブログ

  259. Pingback: Meds prescribing information. What side effects can this medication cause? what is hydroxychloroquine prescribed for?

  260. Pingback: jasmine spa nails pasadena

  261. Pingback: เว็บ บอล ที่คนเล่นเยอะที่สุด

  262. Pingback: แทงบอลมือถือ แทงบอลเว็บไหนดีpantip lolpixเว็บแทงบอลที่ให้ค่าคอมสูงที่สุด

  263. Pingback: Do guys change after baby born tadalafil 2.5 mg cost?

  264. Pingback: What are 4 causes of male infertility viagra professional 100mg ebay?

  265. Pingback: How does a man feel love sildenafil 20mg?

  266. Pingback: Click Here

  267. Pingback: What is QA and QC in pharmacy sildenafil over the counter india?

  268. Pingback: Click Here

  269. Pingback: rush skirts

  270. Pingback: Click Here

  271. Pingback: What are the five categories of quality sildenafil pills?

  272. Pingback: Click Here

  273. Pingback: Click Here

  274. Pingback: aplikasi slot gacor

  275. Pingback: Click Here

  276. Pingback: pg-13 movies on netflix comedy

  277. Pingback: russell overtake perez

Comments are closed.