Universal Coverage of Essential Health Services in Sub-Saharan Africa: Projections of Domestic Resources

The project will work with partner countries to increase their domestic resources for health, manage those resources more effectively, and make wise purchasing decisions. This five-year, $209 million global project will increase the use of both primary and priority health services, including HIV/AIDS, tuberculosis, malaria, and reproductive health services. The project's primary goal is to achieve universal health care in sub-Saharan Africa. To achieve this, the project will support countries as they navigate economic transitions and strengthen their health systems. The project will focus on increasing domestic health spending, improving health financing, and enhancing governance. By doing so, the project aims to reduce the reliance on foreign assistance and increase the use of domestic resources for health. The project's methodology involves analyzing the current health spending outlook among countries in sub-Saharan Africa. The analysis includes projections of domestic resources, economic growth, and government commitments to allocate 15 percent of total public spending to health. The project also examines the impact of these developments on household out-of-pocket expenditures on health and the financing gap that will remain in 2020. The project's findings indicate that continued economic growth in sub-Saharan Africa can lift some countries' domestic health spending to the target of $60 per person per year by 2020. However, meeting the Abuja commitment to allocate 15 percent of total public spending to health will be crucial in achieving this target. The project's analysis shows that countries that meet this commitment will be more likely to reach the target of $60 per capita spending on health. The project's projections also indicate that the Abuja commitment will have a significant impact on household out-of-pocket expenditures on health. Assuming continued economic growth and the Abuja commitment is met, the project's analysis shows that the financing gap will remain in 2020. However, the project's findings suggest that the Abuja commitment will reduce the reliance on foreign assistance and increase the use of domestic resources for health. The project's implications for countries and donors are significant. The project's findings suggest that countries that meet the Abuja commitment will be more likely to achieve universal health care. Donors can play a crucial role in supporting countries in achieving this goal by providing technical assistance and financial support. The project's analysis also highlights the need for countries to strengthen their health systems and improve health financing to achieve universal health care. The project's methodology involved analyzing data from various sources, including the World Health Organization's Global Observatory Data and the Demographic and Health Survey. The project's analysis included projections of domestic resources, economic growth, and government commitments to allocate 15 percent of total public spending to health. The project's findings were presented in a series of tables and figures, which provided a comprehensive overview of the project's results. The project's authors acknowledge the contributions of various individuals and organizations, including the Africa Bureau, USAID, and the Health Finance and Governance Project. The project's authors also acknowledge the use of various data sources, including the World Health Organization's Global Observatory Data and the Demographic and Health Survey.