The vision of the Zimbabwe Ministry of Health and Child Care is to have the highest possible level of health quality of life for all its citizens.
... See More + This National Health Strategy 2016-2020, Equity and Quality of Health: Leaving No One Behind sets out the strategic direction for the health sector over the next five years to attain this vision. The 2016-2020 National Health Strategy builds on the 2009-2013 strategy and its extension in 2014-15 by addressing existing gaps and, more importantly, seeks to sustain the gains achieved thus far through a comprehensive response to the burden of disease and strengthening of the health system to deliver quality health services to all Zimbabweans. The strategy lays out the health agenda for 2016- 2020 considering the broader policy context that is largely defined by the Zimbabwe Agenda for Sustainable Socio-Economic Transformation (Zim-Asset) and the Sustainable Development Goals. The current challenges of economic growth worsened by a turbulent global market means that this strategy cannot be business as usual as the country needs to find innovative ways of supporting the health sector. Equally important is the need to ensure that other sectors directly and indirectly linked to health align their programs and activities to contribute towards a healthy population - hence the ZimAsset’s clusters approach.
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Fiscal space is the capacity of government to provide additional budgetary resources for a desired purpose without any prejudice to the sustainability of its financial position.
... See More + Creating fiscal space makes additional resources available for government spending on health. Government can generate fiscal space for health through: establishing conducive macroeconomic and fiscal conditions; prioritizing health within the government budget; allocating health sector, specific financing from other sources; negotiating higher development assistance for health; and improving efficiency of outlays for health. There is a growing interest in fiscal space analysis for health in low and middle-income countries. As countries are faced with the challenge of increasing domestic spending on health in the wake of decreasing external assistance, underfunding of the sector, unmet needs and poor health outcomes, fiscal space analysis is a useful tool for assessing a country’s constraints and identifying areas for generating additional health sector resources.
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Report 139173 JUN 27, 2019
Lannes,Laurence Elisabeth Marie-Paule; Mutasa,Ronald UpenyuDisclosed
The Government of Zimbabwe (GoZ) is mandated to deliver quality and equitable health services to the population of Zimbabwe with the desire to have the highest possible level of health and quality of life for all Zimbabweans.
... See More + This is to be attained through the combined efforts of individuals, communities, organizations and the Government which will allow Zimbabweans to participate fully in the development of the country. This vision will be attained through guaranteeing every Zimbabwean access to an essential health services package. The Ministry of Health and Child Care (MOHCC) has therefore committed to the following Goals or Key Result Areas (KRAs): strengthening priority health programs; improving service delivery platforms or entities; and improving the enabling environment for service delivery. The goal is to have a healthy population with equitable access to quality services through a strengthened health system. As part of its mandate to give strategic direction in health sector financing, the MOHCC has developed this first Health Financing Policy (HFP): ‘Resourcing Pathway to Universal Health Coverage’, 2016-2026. The policy will be followed by an implementation strategy to be developed by the GoZ. The HFP is fully based on evidence gathered from a large range of documents produced by MOHCC in collaboration with partners such as the Public Expenditure Review (2015), Health Sector Resource Mapping (2015), the National Health Strategy (2016), the National Monitoring and Evaluation Framework (2016), and the National Health Accounts (NHA) 2010. In addition, the development of the policy was highly informed by work done under the Universal Health Coverage Technical Working Group and the Rebuild Consortium in the evaluation of various health financing options for Zimbabwe towards universal health coverage. The HFP also greatly benefitted from recent survey and government data compiled to produce National Health Accounts.
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Zimbabwe’s first national Health Financing Strategy (HFS) translates the goals and principles expressed in the 2016 Health Financing Policy (HFP) into actionable financing reforms and interventions, with the overarching goal of achieving Universal Health Coverage (UHC).
... See More + The development of the HFS has been led by the Ministry of Health and Child Care, through a Technical Working Group comprising stakeholders from other ministries, development partners, civil society organizations and academia. Poor economic performance over the past two decades has had adverse effects on employment, poverty levels and available public resources for the health sector. Health financing is heavily dependent on donor assistance and household contributions. The government health budget has consistently grown and other innovative financing reforms have been introduced to increase available funding for health. However with a growing and changing disease burden associated with other socio-economic challenges, the resource needs still exceed available resources and more still needs to be done to effectively translate government goals into quality health outcomes. Key areas of intervention and specific strategies for addressing these are informed by evidence from reviews of the Zimbabwean health system and international best-practice. Consultations with a wide range of stakeholders provided guidance in ensuring feasibility of the proposed strategies, and in identifying important implementation and governance arrangements necessary to ensure that the strategies are successfully implemented. Key areas of intervention and strategies are listed below in three tables, according to the main health financing functions of raising revenue, pooling resources and purchasing health services.
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