Health financing and budgeting reforms in Gabon: process and challenges on the road to universal health coverage

Jun 2020 · World Health Organization

About this ebook

This book examines the health financing and budgeting reforms in Gabon, focusing on the progress and challenges faced in achieving universal health coverage. It highlights the increase in public funding for health, which significantly reduced out-of-pocket expenses for citizens. However, the book notes the volatility of this funding model due to macroeconomic challenges and policy changes, such as the termination of certain earmarked taxes. The structure of the health insurance system, managed by the Caisse Nationale d'Assurance Maladie et de Garantie Sociale (CNAMGS), is discussed, noting its fragmentation and the need for strategic purchasing policies to manage escalating costs. The book is intended for policymakers, health economists, and those interested in health system governance, offering insights into the complexities of implementing financial reforms in the health sector.