Resources on Strategic Purchasing for Primary Health Care

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

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A Balancing Act: Health Financing in Devolved Settings

Report that examines how devolution influences health financing arrangements

June 2022

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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

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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

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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

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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

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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

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Framework for Purchasing in Community Health Worker Programs

August 2021

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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