Apply Now: $170,000 to Study Digital Financial Services for Health Systems

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Financial protection is at the core of universal health coverage and is one of the final coverage goals of the Sustainable Development Goals. Financial protection is achieved when direct payments made to obtain health services do not expose people to financial hardship and do not threaten living standards.
Yet, out-of-pocket payments for healthcare can cause households to incur catastrophic expenditures.

  • About 100 million people are still being pushed into extreme poverty (living on $1.90 or less a day) because they have to pay for health care.
  • Over 800 million people (almost 12 percent of the world’s population) spend at least 10 percent of their household income to pay for health care.
  • Women are especially vulnerable to extreme poverty as they typically have more restricted access to financial and productive assets than men, and they shoulder a greater burden of unpaid time use.

The ubiquity of mobile phone usage provides opportunities for digital financial services to protect people through prepayment (savings) and pooling of resources (insurance) for healthcare needs.
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RFA for Digital Financial Services on Health Outcomes
USAID is considering commissioning a landscaping assessment on the role of digital financial solutions to advance financial protection and to support improved health system performance in the Digital Financial Services on Health Outcomes and Health Systems Request for Application.
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The assessment may seek to understand the following questions:

  • How can digital financial services contribute to:
    • Increased financial protection among health system clients, including the poor and vulnerable.
    • Increased demand and use of health services among clients, including the poor and most vulnerable.
    • Improved health systems performance, defined as improved quality and responsiveness of service providers.
  • What are key implementation considerations, including:
    • Barriers and challenges faced in DFS implementation?
    • What were the critical components in implementation?
    • How programs adapted to find success?
    • How providers incorporated DFS into broader digital solutions?
    • What are examples of successful change management processes?

Through a literature review and remote consultations at minimum, this assessment will engage leading digital health service providers, associated health facilities, and their clients in key geographies to understand results and gather lessons.
The main deliverable is expected to be a final, detailed landscape report that describes the context, methodology, findings, and conclusions of this work.
Apply Now! Deadline is October 18.
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