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Health Sector Reform

HERA has supported national authorities worldwide in formulating or monitoring health sector reforms. This consists of reviewing and eventually adapting the health policy, translating the policy into health strategies and suggesting concrete ways of implementing those strategies (who, what, how and when).

Sector reforms can also focus on a sub-sector such as pharmaceutical sector reforms, which HERA has supported in Ethiopia, Suriname, South Africa, Tanzania, Zambia, Zimbabwe, Kenya, Lesotho and Rwanda.

Examples include:

Supporting national authorities in formulating health sector reforms

Djibouti: Study of the national health sector and technical support to the MOH in reorganising the health system, on behalf of the WB (1992-93);
Benin: Preparation of the health sector round table. Proposal for health system reform (1993-1994) and Assistance to the Ministry of Planning in developing the 5 year national development plan and its financing strategy (1994-1997);
Mongolia: Support to the MOH in implementing health sector reform concepts, on behalf of the AsDB (1997, 1999);
Mongolia: Strategy for reorganising first line health provision through initiating family group practices in not-for-profit private sector, on behalf of AsDB (1997);
Belgium: Blue Print for the Flemish Health System in the 21st Century, on behalf of the Flemish Government (1999);
St. Lucia: Support to the MOH in formulating health sector reform options (1998); costing of major hospitals in the context of the reform (2000); developing national health strategic plan (2005);
Palestine: Health sector review in West bank and Ghaza strip with a view to formulate sector reforms, on behalf of several development partners (2003);
Zanzibar: Technical support to the MOH for defining the health sector reform process and content, on behalf of Danida (2003-2005).
Armenia: Support to strengthening of health legislation (2005)
Rwanda: Development of a strategic health plan for Kigali City (2006)
RDC: Feasibility study for the 9th EDF, resulting in proposals for reforming health financing strategies (2004) and Institutional support to the MOH (2006);

Monitoring ongoing health sector reforms

Namibia: Evaluation of the Namibian Integrated Health programme, supporting the health system reforms, on behalf of the EC (1997) and resulting in a change review in 1998;
Zambia: Support to the MOH in costing the transition of the health sector in the context of the health sector reforms, on behalf of Danida (1997); and joint health appraisal of the Zambia national health strategic plan 2001-2005, reviewing the progress of the health sector reforms and making proposals for change, on behalf of several donors (2000-2001).
Egypt: Monitoring the process and the impact of the health sector reform programme on behalf of the EC (2001-2005);
Morocco: Monitoring the health sector reform and health insurance reform programme on behalf of the EC (2002-2008);
Lesotho: Mid-term review of the support to the health sector reform on behalf of the EC (2004);
Morocco: Monitoring of the support to health insurance on behalf of the EC (2009-2012)