African Renaissance Trust
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Research & Analysis

Deep Dives

Explore proven case studies, innovative policy frameworks, and rigorous research charting the path to sustainable health financing and universal coverage across the continent.

Featured Deep Dives

Case StudyWestern Africa

Revitalising Primary Healthcare Through Local Management Reforms in Kano State, Nigeria

An evaluation of Kano State primary healthcare reforms aiming to enable facilities to meet national Minimum Service Package (MSP) standards through local resource optimisation, bottom-up budgeting, and standardised recruitment of temporary staff.

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Case StudyEastern Africa

Community-Based Health Insurance in Ethiopia is Changing Health Seeking Behaviour Among the Insured

An analysis of the nationwide scale-up of community-based health insurance (CBHI) in Ethiopia, demonstrating how removing financial barriers has increased service utilisation and significantly reduced catastrophic health expenditures.

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Case StudyPan-African

State Partnerships with Faith-Based Organisations to Offer Healthcare in Sub-Saharan Africa

Exploring how formal agreements and resource-sharing between governments and Faith-Based Organisations (FBOs) bridge critical gaps in access, affordability, and clinical outcomes for universal health coverage in sub-Saharan Africa.

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Case StudyNorthern Africa

A Closer Look at Egypt's Transition to Universal Health Insurance

A study evaluating Egypt's 2018 Universal Health Insurance (UHI) law, showing how UHI beneficiaries experienced improved patient satisfaction, accessibility, and physical infrastructure compared to those under older insurance plans.

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Showing 9 of 14 deep dives

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Revitalising Primary Healthcare Through Local Management Reforms in Kano State, Nigeria
Case Study
Western Africa
10 min

Revitalising Primary Healthcare Through Local Management Reforms in Kano State, Nigeria

An evaluation of Kano State primary healthcare reforms aiming to enable facilities to meet national Minimum Service Package (MSP) standards through local resource optimisation, bottom-up budgeting, and standardised recruitment of temporary staff.

Primary Healthcare Strengthening
Community-Based Health Insurance in Ethiopia is Changing Health Seeking Behaviour Among the Insured
Case Study
Eastern Africa
10 min

Community-Based Health Insurance in Ethiopia is Changing Health Seeking Behaviour Among the Insured

An analysis of the nationwide scale-up of community-based health insurance (CBHI) in Ethiopia, demonstrating how removing financial barriers has increased service utilisation and significantly reduced catastrophic health expenditures.

Community Health Insurance
State Partnerships with Faith-Based Organisations to Offer Healthcare in Sub-Saharan Africa
Case Study
Pan-African
10 min

State Partnerships with Faith-Based Organisations to Offer Healthcare in Sub-Saharan Africa

Exploring how formal agreements and resource-sharing between governments and Faith-Based Organisations (FBOs) bridge critical gaps in access, affordability, and clinical outcomes for universal health coverage in sub-Saharan Africa.

Public–Private Partnerships
A Closer Look at Egypt's Transition to Universal Health Insurance
Case Study
Northern Africa
10 min

A Closer Look at Egypt's Transition to Universal Health Insurance

A study evaluating Egypt's 2018 Universal Health Insurance (UHI) law, showing how UHI beneficiaries experienced improved patient satisfaction, accessibility, and physical infrastructure compared to those under older insurance plans.

Universal Health Insurance
Trading National Debt for Healthcare in Cameroon
Case Study
Central Africa
10 min

Trading National Debt for Healthcare in Cameroon

This deep dive reviews the Spain-Cameroon Debt2Health project, demonstrating how bilateral debt cancellation translates into Global Fund investments that strengthen local HIV and tuberculosis treatment systems.

Innovative Health Financing
Rwanda: Domestic Financing and Sustainability of Neglected Tropical Diseases Programs
Case Study
Eastern Africa
10 min

Rwanda: Domestic Financing and Sustainability of Neglected Tropical Diseases Programs

Examining how Rwanda transitioned Neglected Tropical Disease (NTD) services to community insurance and domestic funding, dramatically increasing the national budget line to achieve domestic self-sufficiency and health equity.

Community Health Insurance
Improving Medicines Pricing Policy Implementation in Ghana
Case Study
Western Africa
10 min

Improving Medicines Pricing Policy Implementation in Ghana

Analysing Ghana's VAT exemption and Framework Contracting policies, illustrating how centralised procurement achieved significant medicine price reductions despite macroeconomic challenges like currency depreciation.

Medicines Pricing Policy
Applying Economic Approaches to Address a Cross-Border Malaria Challenge Between South Africa and Mozambique
Case Study
Southern Africa
10 min

Applying Economic Approaches to Address a Cross-Border Malaria Challenge Between South Africa and Mozambique

How South Africa used an economic investment case and mathematical transmission modelling to secure a 36% increase in domestic malaria funding, including targeted cross-border source reduction in neighbouring Mozambique.

Regional Health Cooperation
Outcomes of Result-Based Financing in Northern Zambia
Case Study
Southern Africa
10 min

Outcomes of Result-Based Financing in Northern Zambia

Evaluating the impact of Results-Based Financing (RBF) in Zambia's Northern Province, which achieved significant improvements in antenatal care, institutional deliveries, medicine availability, and health worker motivation.

Performance-Based Financing

In-Depth Spotlights

Revitalising Primary Healthcare Through Local Management Reforms in Kano State, Nigeria
Case Study
Western Africa

Revitalising Primary Healthcare Through Local Management Reforms in Kano State, Nigeria

An evaluation of Kano State primary healthcare reforms aiming to enable facilities to meet national Minimum Service Package (MSP) standards through local resource optimisation, bottom-up budgeting, and standardised recruitment of temporary staff.

49

primary healthcare facilities assessed

Read full deep dive
Community-Based Health Insurance in Ethiopia is Changing Health Seeking Behaviour Among the Insured
Case Study
Eastern Africa

Community-Based Health Insurance in Ethiopia is Changing Health Seeking Behaviour Among the Insured

An analysis of the nationwide scale-up of community-based health insurance (CBHI) in Ethiopia, demonstrating how removing financial barriers has increased service utilisation and significantly reduced catastrophic health expenditures.

80%

of Ethiopian districts reached by 2020

Read full deep dive
State Partnerships with Faith-Based Organisations to Offer Healthcare in Sub-Saharan Africa
Case Study
Pan-African

State Partnerships with Faith-Based Organisations to Offer Healthcare in Sub-Saharan Africa

Exploring how formal agreements and resource-sharing between governments and Faith-Based Organisations (FBOs) bridge critical gaps in access, affordability, and clinical outcomes for universal health coverage in sub-Saharan Africa.

30-70%

of health services delivered by FBOs in some regions

Read full deep dive
A Closer Look at Egypt's Transition to Universal Health Insurance
Case Study
Northern Africa

A Closer Look at Egypt's Transition to Universal Health Insurance

A study evaluating Egypt's 2018 Universal Health Insurance (UHI) law, showing how UHI beneficiaries experienced improved patient satisfaction, accessibility, and physical infrastructure compared to those under older insurance plans.

80%

more likely to report good accessibility

Read full deep dive