Exemplars
Explore proven health finance and UHC coverage policies from across Africa
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Showing 15 of 15 exemplars
African Collaborative Action
Blended Financing, Vaccine Manufacturing and Procurement in Africa
This exemplar examines the continental blended-financing and pooled-procurement architecture built after COVID-19 — AVATT, AVMA and the African Pooled Procurement Mechanism — and how it is rebuilding Africa's vaccine manufacturing base and negotiating power.
Pan-African • Health Financing
Africa
Mauritius · Cameroon · Kenya · South Africa
Public-Private Partnerships in African Health Financing
This exemplar compares four distinct public-private partnership models — investment-led in Mauritius, service delivery in Cameroon, provider contracting in Kenya, and manufacturing through Biovac in South Africa — and sets out the governance conditions each one depends on.
Pan-African • Public-Private Partnerships
Cameroon
Performance-Based Financing and a Public-Private Partnership Pilot for Universal Health Coverage in Cameroon
This exemplar examines Cameroon’s attempt to move toward universal health coverage through a public-private partnership pilot built on a longer performance-based financing experience. It considers both the promise of that approach and the constraints created by the absence of a full legal and fiscal framework.
ECCAS • CEMAC
Egypt
Scaling Health System Reform through Universal Health Insurance in Egypt
Egypt's exemplar examines the institutional restructuring introduced under the 2018 Universal Health Insurance Law — separating purchaser, provider and regulator roles for a 110-million-person system — and the phased rollout now accelerated from 2032 to 2027.
COMESA • CEN-SAD
Ethiopia
Scaling Community-Based Health Insurance through the Health Extension Programme in Ethiopia
Ethiopia's exemplar explores how a 40,000-strong community health workforce became the delivery platform for community-based health insurance, and how sliding-scale premiums are now being used to improve equity and enrolment in a largely informal economy.
IGAD • COMESA
Ghana
A Tax-Funded Health Insurance Model for Universal Coverage in Ghana
Ghana’s exemplar examines one of Africa’s longest-running national health insurance schemes and the continent’s clearest example of earmarked-tax financing for health, demonstrating how the 2025 uncapping reform restored its financial base.
ECOWAS
Kenya
Scaling Health System Reform through Universal Health Insurance in Kenya
Kenya’s exemplar examines the legislative overhaul that created the Social Health Authority and established three specialized funds to replace the NHIF, restructuring health insurance pooling, purchasing, and facility financing.
EAC
Malawi
Expanding the Health Budget through Sector Collaboration in Malawi
Malawi's exemplar traces how a structured multi-stakeholder dialogue on domestic resource mobilisation drove a 6.7-fold increase in the domestic health allocation, and how that coordination held when the 2025 aid shocks arrived.
SADC • COMESA
Mauritius
Private-Sector-Led Health Financing Innovation in Mauritius
Mauritius's exemplar examines how an investment-promotion agency, a Health PPP Framework and the National Social Inclusion Fund were used to mobilise domestic private capital for health while keeping a public-interest focus — and the ageing costs that model must still absorb.
COMESA • SADC
Mozambique
eSISTAFE and the Digitalization of Health Systems in Mozambique
Mozambique’s exemplar examines how public financial management reform and digitalization improve efficiency, accountability, and evidence-based planning in a resource-constrained, donor-dependent health system.
SADC
Nigeria
Strengthening Primary Healthcare Through Ring-Fenced Financing and Direct Facility Funding in Nigeria
This exemplar reviews Nigeria's use of ring-fenced primary health care financing through the Basic Health Care Provision Fund (BHCPF) and Direct Facility Funding (DFF) to bypass administrative layers and strengthen frontline clinics.
ECOWAS
Senegal
Community-Based Health Insurance, Digital Enrolment and the Informal Sector Strategy in Senegal
Senegal’s exemplar looks at how digital enrolment, payment systems, and department-level pooling strengthen community mutuelles and extend health coverage in the informal sector.
ECOWAS
South Africa
Cross-Border Cooperation for Medicines, Vaccines, Procurement, and Health Workforce in South Africa
South Africa’s exemplar looks beyond national reform to its wider continental role in vaccine manufacturing, regulatory maturity, and cross-border support to strengthen Southern Africa's health sovereignty.
SADC
Tanzania
Sequencing Reforms Toward Mandatory Universal Health Insurance in Tanzania
This exemplar traces Tanzania’s phased path to mandatory universal health insurance, showing how consolidating voluntary schemes and implementing capitation-based payments prepared the system for national consolidation.
EAC
Zambia
Roll Out of Low-Cost Mandatory Health Insurance in Zambia
Zambia’s exemplar analyses how low-cost mandatory insurance under NHIMA has been strengthened through partner alignment, especially Global Fund support, alongside subsidy design and digital systems.
SADC