Authors :
Morris Dzingai; Rodwell Musiiwa; Henry Chihwayi; Justine Mbudaya
Volume/Issue :
Volume 9 - 2024, Issue 1 - January
Google Scholar :
http://tinyurl.com/4dckhan7
Scribd :
http://tinyurl.com/mryzv98f
DOI :
https://doi.org/10.5281/zenodo.10539223
Abstract :
This paper provides an insight as to how the
health finance and health insurance in Southern Africa
should work. It highlights the health finance paradox in
Africa post COVID 19 Pandemics. This paper hinges its
analysis on Musgrave (1959) theory X and Y of health
finance and health insurance. Southern African health
care system, infrastructures and finance systems are
inadequate and are financed by out-of pocket systems
which are very rudimentary and inadequate especially
for the poor majority comprising of more than 70% of
the population in the region. Benchmarking on the
Obama health care systems, the German Bismarck
systems, or the British Cap system it was highlighted
that Africa need to come up with health finance reform
systems. In light with the COVID 19 pandemics, it was
highlighted that health systems does not have adequate
infrastructure, it does not have adequate emergency and
response systems, does not have adequate health
promotion and information systems. In response it is
suggested that Southern Africa nations need a robust
public health care infrastructure, proper legal
framework, and responsive systems to address infectious
diseases outbreak such as COVID 19, Ebola, and
Cholera among others. In addition a multi-stakeholders
approach involving the central government, local
government, NGOs, private sector organisations in
ensuring health financing and health care system to
enhance accessibility and availability. In conclusion, it
was observed that African nations need to undertake
urgent health care reforms, strengthening primary
health care systems, improving health infrastructure.
Expand health information systems and enhancing
capacity building on its human resources workforce and
at times ensure that reserve army of health employees is
maintained.
This paper provides an insight as to how the
health finance and health insurance in Southern Africa
should work. It highlights the health finance paradox in
Africa post COVID 19 Pandemics. This paper hinges its
analysis on Musgrave (1959) theory X and Y of health
finance and health insurance. Southern African health
care system, infrastructures and finance systems are
inadequate and are financed by out-of pocket systems
which are very rudimentary and inadequate especially
for the poor majority comprising of more than 70% of
the population in the region. Benchmarking on the
Obama health care systems, the German Bismarck
systems, or the British Cap system it was highlighted
that Africa need to come up with health finance reform
systems. In light with the COVID 19 pandemics, it was
highlighted that health systems does not have adequate
infrastructure, it does not have adequate emergency and
response systems, does not have adequate health
promotion and information systems. In response it is
suggested that Southern Africa nations need a robust
public health care infrastructure, proper legal
framework, and responsive systems to address infectious
diseases outbreak such as COVID 19, Ebola, and
Cholera among others. In addition a multi-stakeholders
approach involving the central government, local
government, NGOs, private sector organisations in
ensuring health financing and health care system to
enhance accessibility and availability. In conclusion, it
was observed that African nations need to undertake
urgent health care reforms, strengthening primary
health care systems, improving health infrastructure.
Expand health information systems and enhancing
capacity building on its human resources workforce and
at times ensure that reserve army of health employees is
maintained.
