Click on the hyperlinks below to find the resources you’re looking for.
3,007 total views, 8 views today

Is Decentralization Friend or Foe to Agile Public Financial Management in Health?
Report that explores how decentralization has shaped public financial management processes in the health sector
June 2022
Download

A Balancing Act: Health Financing in Devolved Settings
Report that examines how devolution influences health financing arrangements
June 2022
Download

Three Decades of Devolution in the Philippines: How This Has Shaped Health Financing and Public Financial Management Reforms
Case study that details health financing and health-related public financial management process in the Philippines, a country with three decades of experience with a devolved system of the government
April 2022
Download

The Pendulum of Power in Uganda: How Decentralization has Shaped the Role of Local Governments, Public Financial Management, and Health Financing
Case study that analyzes health financing and health-related public financial management process in Uganda, a country with nearly 35 years of experience with decentralization
April 2022
Download

Intergovernmental Rivalry and Fragmentation: How Federalism Shapes Public Financial Management and Health Financing in Nigeria
Case study that details health financing and health-related public financial management process in Nigeria, a federation with nearly 70 years of experience with devolved
April 2022
Download

How decentralization has shaped health financing arrangements and PFM practices in the health sector in Kenya
Case study that details health financing and health-related public financial management process in Kenya, which transitioned to a devolved system of government in 2013
April 2022
Download

Devolution of the Health Sector to Communes: A Misfit in the National Health System Governance Framework and Management Shortfalls in Burkina Faso
Case study that details health financing and health-related public financial management process in Burkina Faso, a country where decentralized governance was introduced 30 years ago when the country established a democratic government
April 2022
Download

Framework for Purchasing in Community Health Worker Programs
August 2021
Download

Financing Family Planning in the Philippines: Mapping Roles, Functions, and Spending of Public and Private Agents for Family Planning from 2018 to 2019
This report presents key results and recommendations to support the development of a roadmap for family planning in the Philippines
February 2022
Download

Strengthening Public Financial Management Systems and Practices for Health in Response to COVID-19: A Perspective from the Philippines
Report describes the public financial management adjustments made by the country to finance its COVID-19 response
February 2022
Download

Examining Health Facility Financing in Kenya in the Context of Devolution
Study jointly produced by ThinkWell and KEMRI Wellcome Trust that examines how public health facilities in Kenya are financed in the context of devolution
October 2021
Download

Policy and Implementation Insights on Provider Payment Reforms of the Philippines Health Insurance Corporation
Report that documents discussions and recommendations from ThinkWell’s learning sessions with PhilHealth to inform the development of health financing and provider payment policies
June 2021
Download

Overview of Health Financing Flows in Uganda
This report documents the nature and magnitude of financial flows to Uganda’s health sector and the purchase of primary health care services.
April 2021
Download

Reproductive Health Voucher Schemes in Uganda: How They Worked and Lessons for the Future
This report documents the experiences and lessons learned from the recent Uganda Reproductive Health Voucher Project and the Uganda Voucher Plus Activity to inform future demand-side purchasing reforms.
February 2021
Download

An Overview of the User Fee Exemption Policy (Gratuité) in Burkina Faso (French)
Comprehensive review of the Gratuité policy explaining how it works, analyzing its performance, and identifying areas for potential improvement.
September 2020
Download

How Primary Health Care Services are Financed in Uganda: A Review of the Purchasing Landscape
In-depth landscaping assessment on Uganda’s health purchasing policies and practices
September 2020
Download

Uganda’s Emergency Response to the Covid-19 Pandemic: A Case Study
Case study on Uganda’s initial institutional, financial, and operational responses to the Covid-19 pandemic
September 2020
Download

An Overview of the User Fee Exemption Policy (Gratuité) in Burkina Faso
Comprehensive review of the Gratuité policy explaining how it works, analyzing its performance, and identifying areas for potential improvement.
September 2020
Download

ThinkWell’s Short-Term Technical Assistance to the Council of Governors’ Covid-19 Secretariat in Kenya
This report summarizes ThinkWell's short-term technical assistance to Kenya's Covid-19 Secretariat and makes recommendations for the country's ongoing Covid-19 response.
July 2020
Download

Bringing Private Midwives into Indonesia’s National Health Insurance Scheme: A Landscape Analysis
Landscaping assessment of how private midwives provide a significant proportion of maternal services (at variable levels of quality) but are choosing not to enroll in Indonesia’s expanding national health insurance scheme.
August 2020
Download

Purchasing at the County Level in Kenya
Report synthesizing findings from a landscaping exercise to understand how county governments allocate and manage resources for primary health care service delivery in public facilities
October 2019
Download

Leveraging Private Sector Primary Care Providers to Increase Access to Family Planning in the Philippines
Report explaining the process through which PhilHealth purchases family planning services, focusing on private midwives and exploring reasons for their limited engagement with PhilHealth
September 2019
Download
Load More
Subscribe to Our Newsletter
Sign up for our quarterly SP4PHC newsletter to receive project updates, insights from our work, and resources on strategic purchasing.
View our current newsletter and visit
our Latest News
page to catch up on the latest insights from our country teams.
SP4PHC aims to improve how governments purchase primary health care services, with a focus on family planning and maternal, newborn, and child health. SP4PHC is supported by a grant from the Bill & Melinda Gates Foundation.