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Universal coverage in Tanzania and South Africa: Monitoring and evaluating progress

Objective

The goal of universal health coverage is receiving growing attention. How best to improve risk pooling and to ensure that the most socially disadvantaged receive priority in having their health care costs met, are questions yet to be answered, particularly within the African context where very few countries have achieved universal health systems. South Africa is introducing National Health Insurance, where formal sector workers will make mandatory contributions which will be pooled with allocations from general tax revenue. Tanzania is integrating existing health insurance schemes for formal and informal sector workers under the management of a single insurer. Translating such health financing reforms into intended changes ‘on the ground’ requires a well functioning monitoring and evaluation system which provides data that allow policies to be improved over time, and consequently strengthen their potential to achieve universal health coverage.

This research aims to support these reforms intended to achieve universal coverage in South Africa and Tanzania by monitoring and evaluating the policy processes. Specifically, it seeks to: track policy formulation and planning for implementation; monitor the progress of policy implementation at both the national and district levels, with an emphasis on identifying implementation problems and serving as an ‘early warning system’ for policy makers and implementers; evaluate the impact of interventions aimed at progressing towards the goal of universal coverage; engage with policy makers and implementers at all levels about the research findings throughout the study period; and synthesise the results from the studies in the two countries, and compare these with experiences in other countries, to draw out policy implications on health financing mechanisms and implementation strategies supporting the achievement of universal coverage for quality health care in low- and middle-income countries.

Call for proposal

FP7-HEALTH-2010-single-stage
See other projects for this call

Funding Scheme

CP-FP-SICA - Small/medium-scale focused research project for specific cooperation actions dedicated to international cooperation partner countries(SICA)

Coordinator

LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE ROYAL CHARTER
Address
Keppel Street
WC1E 7HT London
United Kingdom
Activity type
Higher or Secondary Education Establishments
EU contribution
€ 571 238,43
Administrative Contact
Nicola Lord (Ms.)

Participants (6)

UNIVERSITY OF CAPE TOWN
South Africa
EU contribution
€ 949 601,97
Address
Private Bag X3
7701 Rondebosch
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Diane Mcintyre (Prof.)
IFAKARA HEALTH INSTITUTE TRUST
Tanzania
EU contribution
€ 823 427,99
Address
Kiko Avenue Off Old Bagamoyo Road Plot 463
Dar Es Salaam
Activity type
Research Organisations
Administrative Contact
Barnabas Lugenda (Mr.)
PRINS LEOPOLD INSTITUUT VOOR TROPISCHE GENEESKUNDE
Belgium
EU contribution
€ 93 957,60
Address
Nationalestraat 155
2000 Antwerpen
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Jef Van Lint (Mr.)
UNIVERSITY OF THE WITWATERSRAND JOHANNESBURG
South Africa
EU contribution
€ 305 605,26
Address
Jan Smuts Avenue 1
2001 Johannesburg
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Jane Goudge (Dr.)
UNIVERSITY OF KWAZULU-NATAL
South Africa
EU contribution
€ 196 764,97
Address
University Road, Chiltern Hills
3630 Westville
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Suzette Grobler (Ms.)
UNIVERSITY OF DAR ES SALAAM
Tanzania
EU contribution
€ 59 403,78
Address
Dar Es Salaam
- Dar Es Salaam
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Edmund Kiwenge (Mr.)