The way countries finance health care influences how well a health system performs and achieves its expected outcomes, including how equitable and efficient it is. Countries decide how to mobilize revenues from different sources for financing health care, how to pool revenues in public and private insurance and in a national health system with automatic coverage (risk pooling), and how to purchase care from health care providers. The World Bank has implemented health financing activities in 68 countries during FY03-12. Health financing interventions are found in about 40 percent of the Bank s Health, Nutrition, and Population portfolio. Most projects include interventions on revenue collection from public sources. Almost half of the projects support public health insurance and automatic coverage. More recently, results-based financing (RBF) operations became more prominent. The International Finance Corporation (IFC) delivered a small program in health financing. The evaluation makes five main recommendations: support government commitment and build technical and information capacity
address health financing as a cross-cutting issue at the country level
focus on health financing as a core comparative advantage
integrate all health financing functions
and strengthen monitoring and evaluation in Bank and IFC projects.