title: Health financing reform in sub-Saharan Africa: major constraints, goals, and strategies.
abstract: Health financing reform became a critical element of public sector reform in sub-Saharan Africa during the past decade. Within the framework of health sector reform, this article reviews the major constraints, goals, and strategies for health financing reform in sub-Saharan Africa. It identifies shrinking budgetary resources, increasing demand for health services, and rising health care costs as the primary factors driving the sub-region's health financing reform agenda. In light of these constraints, the article defines the major goals and the strategies for health care financing reform employed by many sub-Saharan African countries.
authors.affiliation: Institute of Government, Tennessee State University, USA.
authors.forename: Alex
authors.initials: A
authors.lastname: Sekwat
mesh_terms: D017954:Africa South of the Sahara / Q000453:epidemiology; D003906:Developing Countries / Q000191:economics*; D005380:Financing, Government; D005381:Financing, Organized; D018166:Health Care Reform / Q000191:economics*; D006295:Health Resources / Q000600:supply & distribution; D006297:Health Services Accessibility / Q000191:economics / Q000331:legislation & jurisprudence; D006304:Health Status; D006801:Humans; D017149:Private Sector; D011635:Public Health Administration / Q000191:economics*; D012935:Social Justice; D012959:Socioeconomic Factors