Key issues in equitable health care
financing in East and Southern Africa
Di McIntyre1, Veloshnee Govender1, Esther Buregyeya2,
Derek Chitama3, Edward Kataika4, Eunice Kyomugisha2,
Rosette Kyomuhangi5, Thomas Mbeeli6, Amon Mpofu7,
Susan Nzenze1, Aliyi Walimbwa8, Bona Chitah9
1. Health Economics Unit, University of Cape Town, South
Africa; 2. Makerere University School of Public Health, Uganda;
3. Department of Economics, Open University of Tanzania; 4.
Ministry of Health, Malawi; 5. Human Capital Development
Consult, Uganda; 6. Ministry of Health, Namibia; 7. National
AIDS Council, Zimbabwe; 8. Ministry of Health, Uganda; 9.
Department of Economics, University of Zambia
With support from IDRC Canada
and Trainin
Regional Network for Equity in Health in east and
southern Africa (EQUINET)
in co-operation with Health Economics Unit,
University of Cape Town
EQUINET DISCUSSION PAPER 66
July 2008
g and Research Support Centre
Table of contents
Executive summary......................................................................................................2
1. Background.............................................................................................................1
2. Key principles guiding the ‘Fair Financing Theme’ work .........................................1
3. Framework for analysis ...........................................................................................2
4. Revenue collection..................................................................................................3
4.1
Source of funds ....................................................................................................... 3
4.2
Contribution mechanisms........................................................................................ 7
4.3
Collecting organisations ........................................................................................ 10
5. Pooling of funds .................................................