Making Policy Work for a Fairer World
TEKANO Group brings together researchers and practitioners to develop evidence, tools, and expertise that drive improvements in policies and institutions in lower-income countries.
TEKANO means equity in Sesotho, and our work rests on one central premise: It is unacceptable that, in a time of immense human capability, vast numbers of people still cannot meet their most basic needs.
Health Financing
In health, it is well established which interventions work and how to organize systems to deliver them at scale. Yet billions do not receive the most essential services, and hundreds of millions face costs they cannot afford.
Delivery shortfalls result from weaknesses in core health system functions such as workforce development, service delivery, and governance. Among these, health financing stands out. Health financing arrangements determine how funds are raised, pooled, and spent, thereby setting the conditions under which all other functions operate. Effective health financing is therefore necessary to bring better health within reach for everyone.
Better health is within reach for everyone when people face fewer health risks in their daily lives and receive appropriate care when it matters, without cutting back on essentials, depleting savings, selling belongings, or borrowing, and regardless of who they are or their circumstances.
Health Financing Practice
In Focus
Nigeria Health Financing: States Matter
Large differences in state government health spending and prioritization shape access to essential services and raise questions about state and federal fiscal policies.
Given its central role in health and well-being, TEKANO Group makes health financing its first focus area. We support lower-income countries in transforming policy and practice, from knowledge generation to application. Our work is structured across three areas: the Laboratory, the Academy, and the Advisory.
The Laboratory advances the field of health financing. Our work includes applied research and the development of decision-support tools. Among these are:
HEALICS – an AI-enabled system producing timely and relevant intelligence for health financing and investment decisions.
ULERAWA – a mobile-enabled digital platform for administering health insurance programs that supports fraud prevention, service monitoring, and policy analysis.
The Academy strengthens health financing capacity in partner organizations. Our work includes structured coursework, peer learning, and executive coaching. Our flagship program is:
Transformative Health Financing – an experiential learning program that equips participants with the competencies to assess, design, and implement health financing policies and reforms.
The Advisory supports health financing reform. Our work includes policy analysis, reform design, and implementation support. Our longest-standing engagment is:
TEKITI – a partnership with the government of Ekiti State, Nigeria, supporting health financing reforms since 2020.