In the SWAP, resources from government and other stakeholders are pooled so as to ensure efficient utilisation of resources. The mission of the health sector is to significantly increase life expectancy in Zambia by creating environments and encouraging life styles that support health.
Abstract The way a country finances its health care system is a key determinant of the health of its citizenry. Selection of an adequate and efficient method s of financing in addition to organizational delivery structure for health services is essential if a country is set to achieve its national health objective of providing health for all.
Health care in Nigeria is financed by tax revenue, out-of-pocket payments, donor funding, and health insurance social and community.
However, achieving successful health care financing system continues to be a challenge in Nigeria. This article examines the different financing mechanisms that have been used in Nigeria, including the National Primary Health Care Development Fund proposed for increasing the resource allocation to primary health care.
It draws on available and relevant literature to provide an overview and the state of public health care financing in Nigeria. This article concludes by recommending the need for Nigeria to explore and strengthen other mechanisms of health system and shift focus from out-of-pocket payments, address the issues that have undermined public health care financing in Nigeria, improve on evidence-based planning, and prompt implementation of the National Health Bill when signed into law.
Health care financing, Nigeria, primary health care How to cite this article: Public health care financing in Nigeria: Ann Nigerian Med ;6: There is empirical evidence that the health of a nation significantly enhances its economic development, and vice versa.
Nonetheless, it has been enunciated that the pursuit of better health should not await an improved economy, rather measures to improve health will themselves contribute to economic growth.
It has three basic functions of collecting revenues, pooling resources, and purchasing services. In fact, most health systems adopt a mixture of various methods.
This article is not a comprehensive review of all the available literature on health care financing in Nigeria. It includes a wide range of providers in both the public and private sectors private for profit providers, non-governmental organizations, community-based organizations, religious, and traditional care providers.
The FMOH is the overall health policy formulating body. It coordinates and supervises the activities of the other levels. In addition, it provides tertiary care through teaching hospitals and federal medical centers.
Although the local governments have the main responsibility of managing the PHC, all the three tiers of government and various agencies participate in the management of the PHC.
This at times results in duplication, overlap, and confusion of roles and responsibilities. Limited institutional capacity, corruption, unstable economic, and political context have been identified as factors why some mechanisms of financing health care have not worked effectively.
Although the Nigerian government generates revenue through taxation, the bulk of the revenue is derived from the sale of oil and gas. Revenues are raised at the federal, state, or local government levels.
However, the federally generated revenue which is shared according to a formula forms the majority of the funds for the other tiers of government. The states and local governments being closer to PHC are expected to provide adequate funding for PHC, but owing to their low internal revenue generation capacities, most of them still largely depend on the allocation from the federal government.
The federal allocations to the states and local governments are not earmarked neither do the states and local governments are required to provide budget and expenditure reports to the federal government.
The total government health expenditure as a proportion of THE was estimated as It increased from 1. Out-of-Pocket Payments This involves payment for health care at the point of service.
The charges levied for health care services are referred to as user fees.Founded in , Macmillan Publishers is one of the largest global trade book publishers and home to numerous bestselling and award-winning fiction, nonfiction, and children’s books, from St.
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Update: The Law and Legal research in Zambia By Alfred S. Magagula Alfred S. Magagula is a graduate fellow from the University of Swaziland. He holds B.A. law and LLB degree from the same university.
He has done research with various consultancy firms in Swaziland before. the public administration reform agenda in the lates). at about 34, while in this figure was at 98, representing a percent increase.
Public service reforms not an entirely new concept to Africa as a whole and Zambia in particular.
Several initiatives at. The Public Service Reform Programme (PSRP). Government of the Republic of Zambia, Cabinet Office, - Administrative agencies. 0 Reviews The Public Service Reform Programme, Zambia.
Cabinet Office: Contributor: Zambia. Cabinet Office: Publisher. Zambia - Economic Recovery Program Project (English) Details.
Document Date /11/02; Privatization and Industrial Reform Credit;efficiency of the public sector;food for work;civil service reform program; TFECONOMIC MANAGEMENT IN ZAMBIA.