Financing of Health Services

The financing of health care ensures sufficient resources are generated to sustain services and meet the health needs of the entire population. MSH works with governments and nongovernmental organizations (NGOs) to design and implement strategies for financing health services, including health insurance schemes, government budgets, and other strategies such as tobacco taxes.

MSH also assists with developing resource allocation strategies so that governments can spread funding equitably across programs, services, facilities, and sub-national areas. Our resource tracking support helps leaders and managers determine how much is being spent on health programs and services.

MSH also helps stakeholders develop user fee systems for private and public health services. This support has helped public hospitals provide low-cost medicines, and it also has helped NGOs sustain service delivery without donor funding. To ensure the poor are protected, MSH incorporates waiver and exemption mechanisms into user fee systems and publishes international guidelines to help leaders effectively implement the systems.

  • MSH has helped develop public/private partnerships in several countries and such partnerships have expanded health service provision, generated revenue, and reduced costs. We also conduct economic analyses to evaluate health policies and interventions.


  • MSH recently conducted a global analysis to determine innovative and sustainable funding strategies for antiretroviral therapy programs in Vietnam.


  • In South Africa, MSH helped develop a partnership between a private hospital group and the Ministry of Health that resulted in significant service improvements and cost savings.


  • In Indonesia, MSH analyzed the national TB expenditure tracking system and used the results to help the ministry of health strengthen this system.


  • Through a Rockefeller Foundation grant, MSH analyzed household data to determine if Rwanda's community-based health insurance scheme has resulted in equitable access to health care.


  • Through the USAID-funded TB CARE I project, MSH is helping Indonesia's ministry of health design a package of TB services that will be covered under its new national health insurance scheme. MSH has also worked with the KNCV Tuberculosis Foundation under TB CARE I to develop a tool that estimates patient costs related to obtaining good quality care.