African UHC Literature

Introduction

The African Literature tier focuses on:

• Continental and subregional frameworks (African Union, WHO Afro).

• Strategic purchasing case studies from sub-Saharan Africa.

• Evidence from Ghana, Kenya, Nigeria, Rwanda, and others.

• Public-private integration lessons unique to African health systems.

Use Cases:

• Months 5–6 of webinars focusing on African implementation.

• Master’s-level comparative research and policy analysis.

1. Africa CDC & WHO Africa (2021). New Public Health Order for Africa: Transformation Plan for the Africa CDC (2017-2027)

• URL: https://africacdc.org/programme/strategic-planning/
• Research Value: Continental health security and financing integration framework

2. African Union (2019). Africa Health Strategy 2016-2030

• URL: https://au.int/sites/default/files/pages/32895-file-africa_health_strategy.pdf
• Research Value: Continental UHC policy framework and implementation roadmap

3. Strategic Purchasing Africa Resource Centre (2022). Making Progress on Strategic Health Purchasing in Africa – Special Issue

• Citation: Health Systems & Reform, Vol. 8, No. 2
• URL: https://www.tandfonline.com/doi/full/10.1080/23288604.2022.2129026
• Research Value: Comprehensive collection of 17 African strategic purchasing studies

4. Gatome-Munyua, A., & Cashin, C. (2022). Why Is Strategic Purchasing Critical for Universal Health Coverage in Sub-Saharan Africa?

• Citation: Health Systems & Reform, 8(2), e2051795
• URL: https://www.tandfonline.com/doi/full/10.1080/23288604.2022.2051795
• Research Value: Evidence base for strategic purchasing implementation across SSA

Regional Health Financing Studies

5. Abiiro, G., & McIntyre, D. (2013). Universal Financial Protection Through National Health Insurance: A Stakeholder Analysis of the Proposed One-Time Premium Payment Policy in Ghana

• Citation: Social Science & Medicine, 96, 178-187
• URL:  https://www.researchgate.net/publication/229082567_Universal_financial_protection_through_National_Health_Insurance_A_stakeholder_analysis_of_the_proposed_one-time_premium_payment_policy_in_Ghana
• Research Value: Political economy analysis methodology for health financing reform

6. Agyepong, I., Abankwah, D., Abroso, A., et al. (2016). The “Universal” in UHC and Ghana’s National Health Insurance Scheme: Policy and Implementation Challenges and Dilemmas of a Lower Middle Income Country

• Citation: BMC Health Services Research, 16, Article 504
• URL: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-016-1758-y
• Research Value: Implementation challenges analysis for African UHC schemes

7. Onwujekwe, O., Mbachu, C., Okeke, C., et al. (2022). Evidence of Strategic Health Purchasing and Impact on Health System Improvements: Nigeria Case Study

• Citation: Health Systems & Reform, 8(2), e2068229
• URL: https://www.tandfonline.com/doi/full/10.1080/23288604.2022.2111785
• Research Value: Strategic purchasing implementation evidence from West Africa

8. Barasa, E., Nguhiu, P., & McIntyre, D. (2018). Measuring Progress Towards Sustainable Development Goal 3.8 on Universal Health Coverage in Kenya

• Citation: BMJ Global Health, 3(3), e000904
• URL: https://gh.bmj.com/content/3/3/e000904
• Research Value: UHC measurement methodology adapted for African contexts

Country Case Studies

9. Sekabaraga, C., Diop, F., & Soucat, A. (2011). Can Innovative Health Financing Policies Increase Access to MDG-Related Services? Evidence from Rwanda

• Citation: Health Policy and Planning, 26(suppl 2), ii52-ii62
• URL: https://academic.oup.com/heapol/article/26/suppl_2/ii52/634877
• Research Value: Innovation in health financing and community-based insurance

10. Lagarde, M., & Palmer, N. (2008). The Impact of User Fees on Health Service Utilization in Low- and Middle-Income Countries: How Strong is the Evidence?

• Citation: Bulletin of the World Health Organization, 86(11), 839-848C
• URL: https://iris.who.int/handle/10665/270312
• Research Value: Evidence synthesis on user fee removal impacts in Africa

11. Witter, S., Fretheim, A., Kessy, F., & Lindahl, A. (2012). Paying for Performance to Improve the Delivery of Health Interventions in Low- and Middle-Income Countries

• Citation: Cochrane Database of Systematic Reviews, (2), CD007899
• URL: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007899.pub2/full
• Research Value: Systematic review of P4P implementation in African contexts

12. Munge, K., & Briggs, A. (2014). The Progressivity of Health-Care Financing in Kenya

• Citation: Health Policy and Planning, 29(7), 912-920
• URL: https://academic.oup.com/heapol/article/29/7/912/2937362
• Research Value: Equity analysis methodology for health financing assessment

Private Sector Integration in Africa

13. Mackintosh, M., Channon, A., Karan, A., et al. (2016). What is the Private Sector? Understanding Private Provision in the Health Systems of Low-Income Countries

• Citation: The Lancet, 388(10044), 596-605
• URL: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)00342-1/fulltext
• Research Value: Conceptual framework for private sector analysis in African health systems

14. Basu, S., Andrews, J., Kishore, S., Panjabi, R., & Stuckler, D. (2012). Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries: A Systematic Review

• Citation: PLoS Medicine, 9(6), e1001244
• URL: https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001244
• Research Value: Comparative effectiveness evidence for public-private partnerships

15. Hanson, K., Ranson, M., Oliveira-Cruz, V., & Mills, A. (2003). Expanding Access to Priority Health Interventions: A Framework for Understanding the Constraints to Scaling-Up

• Citation: Journal of International Development, 15(1), 1-14
• URL: https://onlinelibrary.wiley.com/doi/abs/10.1002/jid.963
• Research Value: Scaling framework for health intervention delivery including private providers

Health Systems Strengthening

16. Gilson, L., Doherty, J., Loewenson, R., & Francis, V. (2007). Challenging Inequity Through Health Systems: Final Report of the Knowledge Network on Health Systems

• Citation: WHO Commission on Social Determinants of Health, 2007
• Research Value: Health systems strengthening framework addressing equity challenges

17. Sheikh, K., Gilson, L., Agyepong, I., et al. (2011). Building the Field of Health Policy and Systems Research: Framing the Questions

• Citation: PLoS Medicine, 8(8), e1001073
• URL: https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001073
• Research Value: Research methodology framework for health policy and systems research

18. Kress, D. H., Su, Y., & Wang, H. (2016). Assessment of Primary Health Care System Performance in Nigeria: Using the Primary Health Care Performance Indicator Conceptual Framework

Citation: Health Systems & Reform, 2 (4), 302–318.

URL: https://www.tandfonline.com/doi/full/10.1080/23288604.2016.1234861

Research Value: This study uses the PHC Performance Indicator (PHCPI) conceptual framework to assess Nigeria’s primary health care (PHC) system.

Innovation and Technology in African Context

19. Mehl, G., Vasudevan, L., Gonsalves, L., et al. (2018). Harnessing mHealth in Low-Resource Settings to Overcome Health System Constraints

• Citation: Global Health: Science and Practice, 6(2), 240-249
• URL: https://www.researchgate.net/publication/282606949_Harnessing_mHealth_in_low-resource_settings_to_overcome_health_system_constraints_and_achieve_universal_access_to_health
• Research Value: Digital health innovation frameworks adapted for African resource constraints

20. Ridde, V., & Morestin, F. (2011). A Scoping Review of the Literature on the Abolition of User Fees in Health Care Services in Africa

• Citation: Health Policy and Planning, 26(1), 1-11
• URL: https://academic.oup.com/heapol/article/26/1/1/628715
• Research Value: Policy implementation evidence synthesis on user fee removal across Africa