Overview

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In 2005 nine countries spent < 6% of their total government expenditure on health; 19 countries spent 6-10%; 13 countries spent 11-14%; and the remaining 5 countries over 15% of their total government expenditure on health. Thus, 41 (89%) countries had not reached the 15% target set by African Heads of State in 2001. In addition, 29 countries had not met the WHO Commission for Macroeconomics and Health (CMH) recommendation of US$ 34 per capita expenditure for health needed to buy an essential package of health services.

Thirteen countries received < 11% of their total health expenditure from external sources; 11 countries received 11-20%; 11 countries received 21-30%; 4 countries received 31 -40%; and the remaining 7 countries received over 40% of their total health expenditure from external sources.

On average forty-eight percent of the total health expenditure comes from private sources (households and businesses). The bulk of private spending is from direct out-of-pocket household expenditures. For example, Out-of-Pocket expenditure as a percentage of private expenditure on health was 15-50% in 7 countries; 51-90% in 20 countries; and 91-100% in 19 countries.

Countries of the Region are confronted with a number of key challenges including low investment in health; low economic growth rates; dearth of comprehensive health financing policies and strategic plans; extensive out-of-pocket payments; limited coverage by health insurance; lack of social safety nets to protect the poor; inefficient resource use; weak mechanisms for coordinating partner support in the health sector reducing aid effectiveness; and a dearth of health financing evidence-base.

For more information contact:

Dr  Laurent Musango
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Tel: +47 241 39871