潘天欣等

    [摘要] 目的 从卫生筹资角度出发，了解非洲国家实现全民健康覆盖的进展与挑战，并对未来中非卫生合作提供参考。 方法 数据来源于世界卫生组织全球卫生费用数据库，并对非洲国家筹资水平、筹资来源、经济风险保护水平进行分析。 结果 非洲地区各国人均卫生费用平均155.6美元；卫生总费用中24.0%来源于外方援助，广义政府卫生支出占卫生总费用比重为51.1%，家庭直接现金支出占卫生总费用比重为37.0%。 结论 非洲国家卫生筹资水平总体偏低，政府筹资能力不足，依赖外部资金严重，无法有效提供经济风险保护，建立预付制和统筹基金进展缓，未来中非可在提升政府筹资能力，制定国家卫生筹资战略方面开展合作。

    [关键词] 全民健康覆盖；非洲；卫生筹资

    [中图分类号] R197.1 [文献标识码] A [文章编号] 1673-7210(2015)05(b)-0147-06

    Discussing of actions and challenges towards universal health coverage (UHC) in Africa from health financing prospective analysis

    PAN Tianxin1，2 DAI Tao2 MA Lin2 ZHENG Ying2

    1. Peking Union Medical College， Beijing 100730， China； 2. The Center for Health Policy and Management， Chinese Academy of Medical Sciences， Beijing 100020， China

    [Abstract] Objective To analyze progress and challenges towards UHC in Africa from health financing prospective and provided thoughts on future China-Africa cooperation. Methods Data was acquired from WHO global health expenditure database， and they was analyzed in respect of the financing level， finaning sources and economic risk protection level. Results In 2012 ......