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National Health Accounts

National Health Accounts for the Democratic Republic of Congo

At the request of USAID, Health Systems 20/20 is supporting the DRC Ministry of Health in conducting a National Health Accounts (NHA) assessment to trace total health expenditures through the health system, from the source of the funding to the end users and uses. This activity will provide policymakers and stakeholders with the big picture on financing in the country’s health system, track how and where donor funds are spent, and allow DRC to measure progress of government reforms such as decentralization (40% of public funding is supposed to be allocated to the provinces). Additionally, the NHA estimation will serve as a baseline for DRC as a PEPFAR compact country.

Health Systems 20/20’s objective for this activity is to assist the Ministry of Health and appropriate in-country institutions develop a National Health Account estimate, including subaccounts for reproductive health, child health, and HIV/AIDS. To collect the data, a representative household survey, a targeted PLHIV survey, and institutional surveys for donors, NGOs, and government entities will be undertaken. All results will be disseminated to the broader community including civil society.

See September 2009 USAID-DRC newsletter highlighting the National Health Accounts activity (page 2)