Health financing at district level in Malawi: an analysis of the distribution of funds at two points in time

Health Policy and Planning
Josephine BorghiMelisa Martinez-Alvarez

Abstract

There is growing attention to tracking country level resource flows to health, but limited evidence on the sub-national allocation of funds. We examined district health financing in Malawi in 2006 and 2011, and equity in the allocation of funding, together with the association between financing and under five and neonatal mortality. We explored the process for receiving and allocating different funding sources at district level. We obtained domestic and external financing data from the Integrated Financial Management Information System (2006-11) and AidData (2000-12) databases. Out-of-pocket payment data came from two rounds of integrated household budget surveys (2005; 2010). Mortality data came from the Multiple Indicator Cluster Survey (2006) and Demographic and Health Survey (2010). We described district level health funding by source, ran correlations between funding and outcomes and generated concentration curves and indices. 41 semi-structured interviews were conducted at the national level and in 10 districts with finance and health managers. Per capita spending from all sources varied substantially across districts and doubled between 2006 and 2011 from 7181 Kwacha to 15 312 Kwacha. In 2011, external funding accounted ...Continue Reading

References

Jun 13, 2003·Reproductive Health Matters·Susannah H Mayhew
Jun 24, 2008·World Health & Population·Asnawi Abdullah, Johannes Stoelwinder
Dec 11, 2008·Health Policy and Planning·Azmat Gani
Nov 11, 2010·BMC International Health and Human Rights·Eyob ZereEdward Kataika
Dec 27, 2011·International Archives of Medicine·Thomas MbeeliJoses M Kirigia
Aug 31, 2012·Cost Effectiveness and Resource Allocation : C/E·Tim EnsorPatrick Vaughan
Dec 26, 2012·International Journal of Health Care Finance and Economics·Marwa FaragCan Erbil
Feb 22, 2013·Globalization and Health·Elizabeth StiermanSara Bennett
Mar 19, 2013·International Archives of Medicine·Luis Gomes SamboJuliet Nabyonga Orem
Jun 15, 2013·International Journal for Equity in Health·Qian LongShenglan Tang
Mar 19, 2014·International Journal of Health Policy and Management·Mohammad Hossein MehrolhassaniMina Ansari
Apr 18, 2015·Globalization and Health·Casey M GravesJoseph L Dieleman
May 1, 2015·The Lancet Global Health·Joseph L DielemanJohn G Meara
Jun 17, 2015·JAMA : the Journal of the American Medical Association·Joseph L DielemanChristopher J L Murray
Oct 3, 2015·BMC Health Services Research·Claire ChaumontLeticia Avila-Burgos
Jan 26, 2016·The Lancet Global Health·Mercy KanyukaTim Colbourn
Feb 10, 2016·Health Affairs·Annie HaakenstadJoseph L Dieleman
Apr 18, 2016·Lancet·Tim Evans, Ariel Pablos-Méndez
Apr 18, 2016·Lancet·Joseph L DielemanChristoph Kurowski
Mar 24, 2017·Health Economics, Policy, and Law·Di McintyreJohn-Arne Røttingen
Mar 24, 2017·Health Economics, Policy, and Law·Filip Meheus, Di McIntyre

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