Strategic purchasing (SP) for health is an important policy lever to influence health service provision and accelerate progress toward universal health coverage (UHC). The effectiveness of SP in reaching UHC goals is limited if there is poor coordination and fragmentation between schemes. We...

Kenya has progressed towards implementing and institutionalizing strategic health purchasing (SHP) practices as a key strategy to achieving universal health coverage (UHC). However, multiple challenges are faced such as fragmentation of pooling arrangements, inadequate health funding, rigid...

This study explored strategic purchasing of health services in Sierra Leone. Purchasing of healthservices in Sierra Leone is at a formative stage. Our study identified nine such purchasing schemes, which can be grouped into five major categories of purchasers: a) the ministry of health and...

Although strategic purchasing is increasingly advocated as one of the solutions for improving the performance of the health system, purchasing in Senegal has been mostly passive. Some active purchasing mechanisms have been recently introduced as part of the country’s health financing strategy...