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About this report
This report provides a concise summary of the Health Financing Progress Matrix assessment in Zambia, identifying strengths and weaknesses in the health financing system and, extending from this, priority issues which need to be addressed to accelerate progress towards UHC. Findings are presented in several different summary tables, with each providing varying levels of detail.
The first section providers an overarching summary of the assessment, highlighting the substantial progress over the past twenty years, and highlight four areas of policy which can support continued progress on a positive trajectory. Table 1 provides a high-level summary for each of the seven assessment areas, based on the core health financing functions, directed toward senior officials interested in the broader picture of health financing. Table 2 then provides a more detailed summary using by each of the nineteen desirable attributes of health financing, which signal what a high performing health financing system looks like and will be of interest to those working on the details of policy design and implementation.
By focusing both on the current situation, as well as priority directions for future reforms, this report provides an agenda for priority analytical work and related technical support for the coming years. The latest information on Zambia’s performance in terms of Universal Health Coverage (UHC) and key health expenditure indicators, are also presented. Detailed responses to individual questions are available on the WHO HFPM database or alternatively upon request.
This assessment is a living document and is published with a view to receiving further feedback and comments from those engaged in health financing policy development and implementation in Zambia, to further improve it over time.