Strategies for achieving health financing reform in Africa : synthesis of HFS project experience

The document reflects the following HFS experience: long-term TA in Niger and the Central African Republic; periodic research and analytical assistance in Senegal; and short-term TA in 10 other sub-Saharan countries. After an introduction, Section II provides a brief overview of health financing reform in Africa and the main policy and implementation issues that ministries have been discussing over the past decade. Section III identifies some of the main obstacles that African countries face in adopting and implementing health financing reform and strategies they have used to overcome these obstacles. Section IV draws lessons learned from this review of experience. The final part of the document provides a summary of research and analysis tools that have been used to inform and facilitate health sector reform decisions and to monitor and evaluate its impact.