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Seyni Mbaye, Ibrahima Seck

Sante Publique (Vandoeuvre-Les-Nancy, France)

|May 21, 2026

Summary

This summary is machine-generated.

Strengthening strategic purchasing in African health systems requires addressing governance challenges. Improving decision-making, transparency, and health information systems is crucial for effective resource allocation and universal health coverage.

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Area of Science:

Health Systems Strengthening
Health Economics
Public Health Policy

Background:

Strategic purchasing is vital for improving health system effectiveness, equity, and efficiency.
It directs funding towards high-impact interventions to achieve universal health coverage (UHC).
Effective governance ensures transparent decision-making aligned with national health priorities.

Purpose of the Study:

To analyze governance practices in strategic purchasing across selected African countries.
To identify key governance dimensions influencing strategic purchasing effectiveness.
To provide evidence-based recommendations for strengthening strategic purchasing.

Main Methods:

Literature review utilizing the Strategic Purchasing Africa Resource Center's (SPARC) progress-tracking framework.

Keywords:

Africa governance health financing strategic health purchasing

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Analysis of governance practices in Burkina Faso, Kenya, Nigeria, Morocco, and Tunisia.

Examination of decision-making, autonomy, health information systems, stakeholder engagement, and transparency.

Main Results:

Fragmented decision-making, unclear institutional roles, and weak regulatory oversight are common challenges.
Inadequate health information infrastructure hinders data-driven decision-making.
Limited transparency in resource allocation impacts trust and efficiency.

Conclusions:

Addressing governance challenges is essential for strengthening strategic purchasing.
Enhancing regulatory frameworks and investing in health information systems are critical.
Promoting transparency will improve resource allocation and stakeholder confidence.