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Resource Tracking/National Health Accounts

As health systems have grown and become more complex, planners and policymakers need tools to analyze health financing to better understand their own system and to make comparisons with the experiences of other nations. National Health Accounts (NHA) is a tool being used today in more than 50 low- and middle-income countries as a framework for measuring total public and private national health expenditures. NHA methodology tracks the flow of funds through the health sector, from their sources, through financial institutions, to providers and functions. Health Systems 20/20 is providing technical assistance for the National Health Accounts in Cote d'Ivoire, Kenya, Namibia, Liberia, Rwanda, Uganda, Tanzania, Democratic Republic of Congo, Egypt, and Yemen.

For copies of World Health Organization documents related to NHA, please visit: http://www.who.int/nha/docs/en/.

NHA Subaccount Guideline publications will be available soon. Please contact Stephen Musau at stephen_musau@abtassoc.com for prepublication copies and for more information on NHA.

Health Systems 20/20 and Resource Tracking Brief


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Governorate Health Account Data in Amran, Yemen – A Powerful Tool for Decision-makers

Jan 27 2010

Health Systems 20/20 (known in Yemen as the Yemen Partners for Health Reform YPHR Project) recently disseminated the results of the 2006 Amran Governorate Health Accounts (GHA) work at a conference held in Amran. Various representatives from the governorate and district authorities, including district health directors and the Amran General Director of Health, attended the conference.

Click here to watch a short broadcast clip of the Amran GHA conference.

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Building Capacity to Institutionalize National Health Accounts in Egypt

Jun 16 2009

Health Systems 20/20 is working with the Egyptian Ministry of Health (MOH) on Egypt's fourth round of National Health Accounts (NHA) estimates to capture public, private, and donor contributions, in addition to examining overall health care expenditures.

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National Health Accounts Used to Expand Access to Health Care in Kenya

May 5 2009

Speaking at the March 27th launch of the third round of National Health Accounts (NHA) in Kenya, the Honorable Prof Anyang’ Nyong’o, Minister of Medical Services, noted that although household expenditure on health services in Kenya has declined, the current levels are too high and present a barrier to accessing health care services for poor households. “I will raise this issue with the government to ensure that more resources are allocated to the health sector and we are seen to be moving towards the Abuja target” stated the Minister.

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Minister of Health Launches NHA Work in Egypt

Apr 23 2009

His Excellency (H.E.), the Minister of Health, Prof. Dr. Hatem El Gabaly, defined NHA as a key tool in improving the effectiveness of health systems to achieve Egypt’s health reform objectives in opening a two-day NHA workshop in Cairo March 31-April 1.

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New Brief: National Health Accounts and Public Expenditure Reviews: Redundant or Complementary Tools?

Mar 11 2009

Government and donor promotion of both National Health Accounts (NHA) and Public Expenditure Reviews (PER) raises the question, Is there a need to conduct NHA in countries that are undertaking PER and vice versa, or are these tools redundant?

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NHA Policy implication: Armenia Experience (Policy Formulation and Implementation, General, Europe & Eurasia, 2004)

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