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Summary

In Afghanistan, ThinkWell worked closely with the Ministry of Public Health (MOPH) to help identify approaches to increase domestic health sector financing. Our health sector fiscal space analysis identified and assessed potential revenue sources to expand fiscal space for health (e.g., innovative financing mechanisms and increasing the health sector’s share of the federal budget). Based on the analysis, and with the MOPH, we developed an advocacy plan for MOPH staff to advocate more effectively for increased domestic health sector resources and for fundamental health system design reforms. We also developed a health investment case to guide the MOPH’s strategy for increased domestic financing for health to improve financial protection and increase health service coverage. This process involved considerable knowledge and skills transfer to the Health Economics and Financing Directorate of MOPH through on-the-ground working sessions and webinars.

Achievements in Year 1 (2015-2016)

  • Supported the design of an advocacy plan informed by actors analysis to tailor strategies and key messages to key target audiences like the Ministry of Finance and members of parliament
  • Strengthened the capacity of the MoPH to understand the fundamentals of advocacy and conduct an effective advocacy campaign
  • Strengthened the analytical skills of the HEFD through joint preparation and dissemination of a fiscal space analysis report and policy brief
  • Supported the MoPH’s Health Economics Exchange Forum (HEEF) by organizing a webinar on user fees, linking Afghanistan with practitioners from other countries to learn about regional and international experiences

Achievements in Year 2 (2016-2017)

  • Supported the implementation of the strategic advocacy plan
  • Developed a position paper to support MoPH articulate a vision for achieving UHC in Afghanistan
  • Prepared an investment case for health to demonstrate the health, economic, and social returns of increased domestic financing for health
  • Prepared an in-depth analysis of opportunities for raising additional resources for health by introducing earmarked taxes
  • Supported HEEF by organizing webinars on provider payment mechanisms and universal health coverage drawing on the experiences of Kyrgyzstan, Thailand, and Turkey
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