Reforms for improving the efficiency of health systems: lessons from 10 country cases
Synthesis report
1 September 2015
| Meeting report

Overview
The report applies a causal framework to synthesize lessons from ten case studies of various health system reforms which aimed to improve the efficiency in health systems of Burundi, Chile, China, the Democratic Republic of the Congo, El Salvador, Ethiopia Mexico, the Republic of Korea, South Africa and Uruguay. The report summarizes the main forms of inefficiency, policy reforms undertaken to address these, and the results in each country. The authors derive key lessons learnt from these experiences and suggest promising future directions for improving efficiency in health systems.
Country case studies
- Burundi: Performance based financing of priority health services
- China: The Zero Mark-up Policy for essential medicines at primary level facilities
- Chile: Implementation of the Universal Access with Explicit Guarantees (AUGE) reform
- Democratic Republic of the Congo: Improving aid coordination in the health sector
- El Salvador: The New Law on Medicines and its implementation
- Ethiopia: Human Resources for Health reforms
- Mexico: Catastrophic Health Expenditure Fund
- Republic of Korea: Merger of statutory health insurance funds
- South Africa: Implementation of reforms under the National Drug Policy
- Uruguay: Building up the national integrated health system
Related links
WHO Team
Health Financing (HEF)
Editors
Elisabeth Heseltine
Number of pages
35
Reference numbers
WHO Reference Number: WHO/HIS/HGF/SR/15.1