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Resource Tracking

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Challenge

Resource tracking monitors the flow of financial resources within the health sector. Governments and development partners depend on health expenditure data to assess past performance of health policies and programs and guide decision-making.

Despite the significant value that resource tracking provides for a country’s health sector, substantial obstacles prevent regular production and use of this information. National Health Accounts (NHA) estimations, a widely used resource tracking methodology, often happen only if donor funding and external technical assistance is available.

Approach

Health Systems 20/20 works to ensure that sustainable resource tracking mechanisms fit into the fabric of national financial resource planning, maximizing the quality and availability of data to improve health policy and outcomes. Health Systems 20/20 provides support to countries that have never done an NHA estimation, and to help experienced countries institutionalize the methodology.

To facilitate data collection and analysis, Health Systems 20/20 developed the NHA Production Tool, a desktop software that provides step-by-step directions to guide country teams through an NHA estimation. Read a brief or view a presentation to learn more.

Health Systems 20/20 is providing technical assistance for the National Health Accounts in Cote d'Ivoire, Democratic Republic of Congo, Egypt, Kenya, Liberia, Namibia, Rwanda, Tanzania, Uganda, and Yemen.

Most Recent Policy Impacts

Directing Attention at Reproductive Health Issues in Rwanda (Policy Formulation and Implementation, RH Subaccount, Sub-Saharan Africa, 2006)
Comparing Policy Effectiveness Across Countries in Malawi (Policy Dialogue, CH Subaccount, Sub-Saharan Africa)
NHA Policy implication: Armenia Experience (Policy Formulation and Implementation, General, Europe & Eurasia, 2004)
Supporting Collaboration and Dialogue Between Health Stakeholders in Benin (Policy Dialogue, General, Sub-Saharan Africa)
Evaluating the Status of the Health Sector in Benin (Advocacy, General, Sub-Saharan Africa)

NHA Production Tool: Streamlining the NHA Estimation Process

Douglas Glandon
Jan 2012 | Health Systems 20/20  | Presentation 

Kenya NHA 2009/10 - Tuberculosis Subaccount Brochure

Jan 2012 | Health Systems 20/20  | Flyer 
Kenya 

Kenya NHA 2009/10 - Reproductive Health Subaccount Brochure

Jan 2012 | Health Systems 20/20  | Flyer 
Kenya 

Kenya NHA 2009/10 General Brochure

Health Systems 20/20
Jan 2012 | Health Systems 20/20  | Flyer 
Kenya 

Kenya NHA 2009/10 - HIV Subaccount Brochure

Jan 2012 | Health Systems 20/20  | Flyer 
Kenya 

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Kenyan Minister Lauds NHA Findings

Jan 9 2012

At a recent launch of the 2009/10 National Health Accounts (NHA) report results, Kenyan Minister for Medical Services Hon Anyang’ Nyon’go encouraged stakeholders to utilize NHA findings to shape health financing reform in Kenya.

More...

NHA Production Tool Facilitates Collection of Health Expenditure Data

Dec 15 2011
National Health Accounts (NHA) is an internationally standardized methodology for measuring financial resource flows in a health system. NHA is a critical policy tool that provides health expenditure information to policymakers and stakeholders in ways that can be clearly and directly linked to a country’s health financing challenges and health system performance. More...

Introducing the Better Health Systems: Strategies that Work Briefs

Dec 9 2011
How can a Ministry of Health determine if its HIV/AIDS programs are sustainable? Should a government subsidize community-based health insurance to reduce out-of-pocket spending? What are the best ways to strengthen the health systems of a low- or middle-income country? More...

The Poor Shoulder the Burden of Health Expenses in DRC

Oct 26 2011
Health Systems 20/20, the Democratic Republic of Congo Ministry of Health, and USAID recently released the country’s first National Health Accounts (NHA) estimation, which captures health spending by the public sector, private sector (including households), NGOs, and donors for the years 2008 and 2009. More...

National Health Accounts Findings Open Health Financing Dialogue in Egypt

Jul 21 2011
Health Systems 20/20 joined Egypt’s Ministry of Health and Population (MOHP) and other government leaders in Cairo in June 2011, to release findings from a new round of National Health Accounts (NHA). More...

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Democratic Republic of Congo NHA Policy Impact (Institutionalization, General, Sub-Saharan Africa)
Egypt NHA Policy Impact (Policy Formulation and Implementation, General, Europe & Eurasia)
Afghanistan NHA Policy Impact (General, Europe & Eurasia)
Health Systems 20/20 Work Contributes to Policy Reform in Namibia (Policy Formulation and Implementation, General, Sub-Saharan Africa, 2008)
Policy Impact Database Story: Burkina Faso (Inform Resource Allocation Decisions, General, Sub-Saharan Africa, 2003, 2004, 2005, 2006, 2007, 2008)

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