Thoughts & Opinions

A New Era of Financing PHC in Uganda: A deep dive into RBF as a strategic purchasing reform

06 June 2024

Webinar, June 18, 2024 2-3:30PM-Kampala (11:00AM-UTC) In recent years, results-based financing (RBF) has emerged as a context-specific transformative approach to development, revolutionizing how governments allocate resources for health. With its emphasis on delivering tangible and measurable results, RBF has gained significant attention as a mechanism to enhance the effectiveness and efficiency of development interventions through […]

Learning from the past: A systems approach to facility financing reforms

15 November 2023

By Nirmala Ravishankar (ThinkWell), Edwine Barasa (KEMRI Wellcome Trust Research Programme), Sophie Witter (Queen Margaret University), Angellah Nakyanzi (ThinkWell), and Joseph Kutzin (WHO) There is a growing consensus among health financing specialists that low- and middle-income countries (LMICs) should ensure that government-owned health facilities receive some public funding directly and have the flexibility to spend […]

Counterpoint, Provider Payment Reforms in Indonesia: Lessons and future directions

29 May 2024

Like South Korea, Thailand, and other countries in the region, Indonesia rolled out foundational provider payment reform with its national health insurance scheme, Jaminan Kesehatan Nasional (JKN). Years of research show that the use of capitation-based payments for primary care is the most cost-effective way to deliver a set of services; thus, Indonesia adopted this […]

ThinkWell convenes 60 stakeholders to share COVID-19 vaccine delivery costing study results in Uganda

29 January 2024

Last week, ThinkWell convened a dissemination event on the COVID-19 vaccine delivery costing study in Kampala, Uganda, that was conducted in collaboration with Kampala Capital City Authority (KCCA) and Ndejje University. The event was attended by 60 stakeholders including the World Bank, Uganda Healthcare Federation, representatives from the private sector and health care providers, the […]

Purchasing Integrated Health Services from Health Care Provider Networks: Early insights from the Philippines

20 November 2023

On December 7, 2023, we explored how the Philippines is reforming its health financing to purchase integrated health services from networks of providers. Watch the recording Integration of care is defined by the World Health Organization as a means “to ensure everybody has access to a continuum of care that is responsive, coordinated and in […]

USAID Health Financing Activity at InaHEA 2023 Scientific Meeting

19 October 2023

As a partner of the Indonesia Health Economics Association (InaHEA), ThinkWell is excited to showcase its achievements in the last year at the 8th Biennial InaHEA Scientific Meeting. Our USAID Health Financing Activity (HFA) is one of our most influential projects in Indonesia and will be featured in several topic areas. HFA is a five-year […]

Kenya’s new facility autonomy bill: Can we make a good thing even better?

11 October 2023

By Nirmala Ravishankar, John Kinuthia, Agnes Gatome Munyua, Boniface Mbuthia, and Anne Musuva The Facility Improvement Financing (FIF) Bill unveiled by the Government of Kenya in August 2023 is a win for health facilities in the public sector. If passed, the FIF Bill will allow them to directly receive funds and spend them on some […]

Kenya’s new social health insurance bill: What, why, and how?

25 September 2023

One month ago, the Government of Kenya released four new health bills to accelerate progress towards the goal of universal health coverage. If passed, the bills will set in motion far-reaching reforms to how health services are financed and delivered in Kenya. Among these bills is the Social Health Insurance Bill, which proposes extending health […]

Moving Towards Universal Health Care Through Stronger Subnational Health Systems: Lessons from Western Visayas Regional Summit

21 September 2023

By Kristan Jela Tambio, Helena Lagon Alvior, Pura Angela Co, Maria Eufemia Yap, Mary Camille Samson, and Rosario Dizon As the Philippines continues its progress towards fully implementing its Universal Health Care (UHC) Law (RA 11223), it is crucial to harness ground-level insights and best practices that can be shared across the different provinces and […]

Is primary health care financing in Kenya in jeopardy?

20 September 2023

By Anne Musuva, Country Director, ThinkWell Kenya Much has been written about the inadequate or delayed flow of funds to frontline providers and its contribution to poor service delivery. The Lancet Global Health Commission on financing primary health care notes that because of insufficient public spending in many places, primary health care is not fully […]