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Year: 2018 Publisher: Washington, D.C. : The World Bank,
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The Zambian health care system continues to undergo various reforms. The system has experienced health financing and organizational reforms since 2006. Among the notable and common themes underpinning all the health reforms across the different timelines have been the following: the policy commitment continues to be associated with the desire to ensure that resources and health care services are distributed and provided as close to the household or family as possible; and access to quality and affordable health care services continues to be one of the central themes of the reform process. In this regard, health services are supposed to be generally available, adequate, and of reasonable quality and cost. Given that a number of health financing reforms have been implemented in Zambia over the years, this study provides an updated analysis on the extent to which government expenditures on health provide an effective intervention in redistributing health care resources in an equitable manner. The study looks at the health system holistically and does not look at each of the individual reforms.
Developing countries --- Zambia --- Developing countries. --- Zambia.
Book
Year: 2019 Publisher: Washington, D.C. : The World Bank,
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Zambia's health sector has continued to evolve with the government undertaking several reforms aimed at improving the performance of the sector to achieve the Sustainable Development Goals (SDGs) and their precursor, the Millennium Development Goals (MDGs). Amid the ongoing reforms, the health sector has recorded a number of achievements, but some challenges remain. This Public Expenditure Tracking and Quantitative Service Delivery Survey (PET-QSDS) assesses the financing and delivery of health services, and whether the reform objectives have been made. This was achieved by reviewing the flow of financial and other resources in the public health sector from administrative units to service delivery points at the facility level. The data were collected from administrative units, health workers, and patients to gauge the various dimensions of the health system that include financial flows, management of infrastructure, human resources for health, and patient management. Specifically, the issues which were reviewed are: Availability, adequacy, and timeliness of resources for service delivery; implementation of some key policy reforms such as user fee removal and adherence to policy guidelines; donor resource coordination, ownership, and fragmentation at the district level; assessment of human resources management at the district and facility levels; and comparison of staff satisfaction, absenteeism, and service delivery in districts implementing the Results-based Financing (RBF) model and non-RBF districts.
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