Systematic Review of Financing Functions for Universal Health Coverage in Low- and Middle-Income Countries: Reforms, Challenges, and Lessons Learned.

IF 4.1 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

PUBLIC HEALTH REVIEWS Pub Date : 2025-09-23 eCollection Date: 2025-01-01 DOI:10.3389/phrs.2025.1607745

Othmane Hajji, Bouchra El Abbadi, El Houcine Akhnif

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Abstract

Objective: The systematic review reveals a lack of research on financing universal health coverage (UHC) in low- and middle-income countries (LMICs). This study aims to examine the financing mechanisms used, identify the main challenges faced, and gather insights from successful experiences to inform future reforms in LMICs.

Methods: We conducted a literature search across seven academic databases, limiting our systematic review to studies published in English and French between 2010 and 2022, which were then included in our qualitative analysis.

Results: A total of 45 studies met the inclusion criteria-most used qualitative (n = 23) or documentary (n = 15) approaches. The majority (n = 37) were published between 2015 and 2022. Using Kutzin's framework, we analyzed health financing functions in LMICs. Key challenges and lessons learned were summarized to improve understanding of ongoing financing issues and opportunities for reform.

Conclusion: This study emphasizes key financing strategies and ongoing challenges in LMICs and provides specific recommendations for countries to prioritize reforms and address health financing gaps. The goal is to speed up progress toward UHC.

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低收入和中等收入国家全民健康覆盖筹资职能的系统审查：改革、挑战和经验教训。

目的：系统评价揭示了在低收入和中等收入国家（LMICs）全民健康覆盖（UHC）融资方面缺乏研究。本研究旨在审查所使用的融资机制，确定面临的主要挑战，并从成功经验中收集见解，为中低收入国家未来的改革提供信息。方法：我们在七个学术数据库中进行了文献检索，将我们的系统综述限制在2010年至2022年期间用英语和法语发表的研究，然后将其纳入我们的定性分析。结果：共有45项研究符合纳入标准，其中大多数采用定性方法（n = 23）或文献方法（n = 15）。大多数（n = 37）发表于2015年至2022年之间。利用Kutzin的框架，我们分析了中低收入国家的卫生筹资功能。总结了主要挑战和吸取的经验教训，以增进对当前融资问题和改革机会的了解。结论：本研究强调了中低收入国家的关键融资战略和面临的挑战，并为各国优先改革和解决卫生融资缺口提供了具体建议。目标是加快实现全民健康覆盖的进展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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