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. 2023 Oct 10;9(10):e20573. doi: 10.1016/j.heliyon.2023.e20573

Table 1.

Healthcare financing system characteristicsA,.

Country GGHE-D PVT-D EXT HFST SHI
Angola 52.3 45.1 2.7 Public No
Benin 23.7 52.0 24.3 Private Yes
Botswana 62.6 27.7 9.7 Public No
Burkina Faso 33.0 38.8 28.3 Mixed Yes
Burundi 26.2 48.3 25.6 Mixed Yes
Cabo Verde 66.6 26.9 6.5 Public Yes
Cameroon 14.1 79.0 6.9 Private No
Central African Rep. 21.0 54.2 24.8 Private No
Chad 24.7 64.3 11.1 Private No
Comoros 11.9 77.0 11.1 Private Yesa
Congo (Republic) 37.0 48.4 14.6 Mixed No
Congo (Dem. Rep.) 9.3 58.5 32.2 Private Yesb
Côte d'Ivoire 16.6 72.9 10.6 Private Yes
Djibouti 51.3 33.4 15.3 Public Yes
Equatorial Guinea 19.3 77.2 3.4 Private Yes
Eswatini (Kingdom of) 46.3 29.4 24.3 Mixed No
Ethiopia 27.3 45.3 27.4 Mixed No
Gabon 50.1 48.4 1.4 Public Yes
Gambia 18.7 20.6 60.7 External No
Ghana 38.8 47.8 13.4 Mixed Yesc
Guinea 10.8 67.6 21.7 Private Yes
Guinea-Bissau 22.8 50.5 26.7 Private No
Kenya 32.8 46.0 21.2 Mixed Yes
Lesotho 54.4 24.2 21.4 Public No
Liberia 12.5 62.1 25.4 Private No
Madagascar 38.5 39.5 22.0 Mixed No
Malawi 26.3 17.0 56.8 External No
Mali 22.7 52.3 25.0 Private Yes
Mauritania 29.0 64.6 6.4 Private Yesd
Mauritius 45.6 53.5 0.9 Private No
Mozambique 29.6 17.3 53.1 External No
Namibia 45.6 43.5 10.9 Mixed No
Niger 27.9 59.7 12.5 Private Yes
Nigeria 17.9 73.7 8.4 Private Yese
Rwanda 27.4 26.4 46.2 Mixed Yes
Sao Tome and Principe 34.1 26.1 39.7 Mixed Yesf
Senegal 32.3 57.8 9.9 Private Yes
Seychelles 71.1 27.6 1.3 Public No
Sierra Leone 12.5 64.3 23.2 Private No
South Africa 48.2 47.2 4.6 Mixed No
Sudan 29.9 66.8 3.3 Private Yes
Zambia 34.0 31.4 34.7 Mixed No
Zimbabwe 26.1 49.9 24.0 Mixed No

GGHE-D = Domestic General Government Health Expenditure as a percentage of Current Health Expenditure; PVT-D = Domestic Private Health Expenditure as a percentage of Current Health Expenditure; EXT = External Health Expenditure as a percentage of Current Health Expenditure; HFST = Healthcare Financing System Type; SHI = Social Health Insurance.

AThe healthcare financing characteristics were assessed solely based on data in World Health Organization's Global Health Expenditure Database (GHED). Twenty-year (from 2000 to 2019) averages of the three sources of financing healthcare (Public, Private, and External) were computed for each health system and the source that predominated (i.e. provided 50 % or more) was used to characterize the health system. If none of the three sources predominated (i.e. each source provided less than 50 %) the health system is characterized as Mixed. With regard to Social Health Insurance (SHI), ‘Yes’ under SHI for a country means that the country had Social Health Insurance as one of the healthcare financing policy tools while ‘No’ indicated otherwise.

a

Since 2012.

b

Since 2016.

c

Since 2005.

d

Since 2007.

e

Since 2006.

f

Since 2014.