Framework for assessing maturity of health accounts institutionalization

Overview

This document provides a framework for assessing the maturity of the institutionalization of Health Accounts (HA). The framework is based on elements commonly used in general governance and institutional assessment, and is tailored to the specific characteristics of HA institutionalization. The common factors are grouped into four domains: (1) demand, (2) governance and financing, (3) institutional technical capacity, and (4) dissemination and use of data. For each domain, a set of questions is proposed to facilitate the application of the framework and provide a clear picture to understand the progress and challenges in each country and for cross-country comparisons. The framework aims to assess where countries are in the process of institutionalizing HA, to identify areas where more effort is needed to advance or sustain progress in institutionalization, and to enable cross-country learning, mainly targeting policy makers and health accounts teams.