Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Oct 10;6(Suppl 1):S29-S40.
doi: 10.9745/GHSP-D-18-00271. Print 2018 Oct 10.

The Role of Digital Strategies in Financing Health Care for Universal Health Coverage in Low- and Middle-Income Countries

Affiliations

The Role of Digital Strategies in Financing Health Care for Universal Health Coverage in Low- and Middle-Income Countries

Bruno Meessen. Glob Health Sci Pract. .

Abstract

Countries finance health care using a combination of 3 main functions: raising resources for health, pooling resources, and purchasing health services. In this paper, we examine how digital health technologies can be used to enhance these health financing functions in low- and middle-income countries and can thus contribute to progress toward universal health coverage. We illustrate our points by presenting some recent innovations in digital technologies for financing health care, identifying their contributions and their limits. Some examples include a mobile-health wallet application used in Kenya that encourages households to put money aside for future health expenses; an online software platform developed by a startup in Tanzania in partnership with a private insurance provider to give individuals and families the opportunity to choose among different health coverage options; and digital maps by a number of startups that bring together data on health facility locations and capacity, including equipment, staff, and types of services offered. We also sketch an agenda for future research and action for digital strategies for health financing. The development and adoption of effective solutions that align well with the universal health coverage agenda will require strong partnerships between stakeholders and enough proactive stewardship by authorities.

PubMed Disclaimer

Figures

FIGURE.
FIGURE.
4+1 Functions of Strategic Purchasing

References

    1. Labrique AB, Vasudevan L, Kochi E, Fabricant R, Mehl G. mHealth innovations as health system strengthening tools: 12 common applications and a visual framework. Glob Health Sci Pract. 2013;1(2):160–171. - PMC - PubMed
    1. Bloom G, Standing H. Pluralism and Marketisation in the Health Sector: Meeting Health Needs in Contexts of Social Change in Low and Middle Income Countries. Institute of Development Studies (IDS) Working Paper 136. Brighton, UK: IDS; 2001. https://www.ids.ac.uk/files/Wp136.pdf Accessed September 14, 2018.
    1. Meessen B, Bigdeli M, Chheng K, et al. Composition of pluralistic health systems: how much can we learn from household surveys? An exploration in Cambodia. Health Policy Plan. 2011;26 (suppl 1):i30–i44. 10.1093/heapol/czr026. - DOI - PubMed
    1. Bloom G, Standing H, Lucas H, Bhuiya A, Oladepo O, Peters DH. Making health markets work better for poor people: the case of informal providers. Health Policy Plan. 2011;26(suppl 1):i45–i52. 10.1093/heapol/czr025. - DOI - PubMed
    1. Berendes S, Heywood P, Oliver S, Garner P. Quality of private and public ambulatory health care in low and middle income countries: systematic review of comparative studies. PLoS Med. 2011;8(4):e1000433. 10.1371/journal.pmed.1000433. - DOI - PMC - PubMed

Publication types

LinkOut - more resources