Background: In 2019, Zambia introduced the national health insurance (NHI) as a healthcare financing strategy to increase universal access to health care services. The private health sector can complement public sector providers as service providers under the NHI. As such, the NHI Management Authority seeks to accredit for-profit private healthcare facilities in the NHI.
View Article and Find Full Text PDFThe global burden of non-communicable diseases (NCDs) has been rising. A key risk factor for NCDs is obesity, which has been partly linked to consumption of sugar sweetened beverages (SSBs). A tax on SSBs is an attractive control measure to curb the rising trend in NCDs, as it has the potential to reduce consumption of SSBs.
View Article and Find Full Text PDFZambia has been using output-based approaches for over two decades to finance whole or part of the public health system. Between 1996 and 2006, performance-based contracting (PBC) was implemented countrywide with the Central Board of Health (CBoH) as the provider of health services. This study reviews the association between PBC and equity of access to maternal health services in Zambia between 1996 and 2006.
View Article and Find Full Text PDFHealth Syst Reform
September 2018
There is a realization worldwide that health expenditure can be catastrophic, exacerbate inequalities between poor and rich households, and drive people into poverty. As such, a number of countries seek to provide universal health coverage (UHC) to all of their citizens in order for everyone to access quality health care without financial adversity. However, attaining UHC is difficult.
View Article and Find Full Text PDFBackground: In order to address staff shortages and improve adherence counseling for people on antiretroviral therapy (ART), the Zambia Prevention, Care and Treatment Partnership (ZPCT) developed an innovative strategy of training community volunteers to provide adherence support at the health facility and community levels. The objective of this study was to assess the effectiveness of these 'adherence support workers' (ASWs) in adherence counseling, treatment retention and addressing inadequate human resources at health facilities.
Methodology/principal Findings: The study used quantitative and qualitative research techniques at five selected ART sites in four provinces in Zambia.