My JLN

Launched in 2009 with six founding countries, the Joint Learning Network now connects policymakers and practitioners from 39 member countries , representing a combined population of 5 billion and health investments of $1.1 trillion. More than 850 individuals —many in senior roles within health and finance ministries—actively participate in JLN activities to tackle both ongoing and emerging challenges to achieving universal health coverage, including collaboratively developing 45 tools used in 60+ countries and facilitating 40+ learning exchanges.

“Being part of the Joint Learning Network has been transformative for Ghana’s health system. The cross-country collaboration and knowledge sharing have significantly strengthened our policies, driving us closer to achieving universal health coverage.” 

Dr. Anthony Ofosu, Deputy Director General - Ghana Health Service 

Country Impact

Ghana designed an electronics claims form for the National Health Insurance Scheme’s submission system leveraging JLNs Health Data Dictionary and learnings gained from South Korea and the Provider Payment Mechanisms technical collaborative. Their efforts allowed the National Health Insurance Authority to move about 30% of its claims volume from paper to the electronic form. This change led to overall cost savings and reduced the variation in cost of services submitted by similar types of providers enabling increased service levels.

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India used JLNs Medical Audit Toolkit to implement a medical audit system, including standard treatment guidelines, as part of the US $1.1 billion/year PM-JAY program which provides financial protection to 100 million families. Their efforts resulted in positive behavior changes among PM-JAY providers and hospitals. The system guidelines have the potential to be decentralized and scaled by India’s states to review claims, identify fraud, and ensure the quality of health services provided to patients

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Indonesia engaged with JLNs Provider Payments technical initiative to solicit support from the World Bank and USAID to enable strategic purchasing reforms for the US $8 billion national health insurance scheme JKN. Their efforts resulted in buy-in from the Government of Indonesia, World Bank, and USAID to include strategic purchasing as a core JKN reform element, along with financial investment for technical and lending support, including a planned $250 million loan

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Kenya customized and applied JLNs Costing Tool for Provider Payment finding that the existing reimbursement model in Makueni County was not sustainable. Their efforts resulted in the adoption of a new reimbursement model by the Makueni County Department of Health in for FY 2019/2020 impacting all 333 health facilities with a catchment population of just under 1 million.

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Nigeria used the strategic communications toolkit developed by JLN members to advance advocacy activities with priority national stakeholders. Their efforts helped secure the first US $180 million appropriation for the Basic Health Care Provision Fund to provide free primary health care to about 8.6 million Nigerians.

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Malaysia co-developed and applied a Medical Audit Toolkit and supported the establishment of an independent medical audit unit for the PeKa B40 program with help from JLN members, which included a study tour to South Korea. Their efforts resulted in the review of about 2,000-3,000 PeKa B40 claims per month and enabled follow-up on cases of misdiagnosis and incomplete lab or medical histories. (PeKa B40 is offered to Malaysian citizens in the bottom 40% of household income, known as the B40 group.)

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Mongolia co-developed and applied an Empanelment Assessment Tool through a WHO-sponsored mobile health technology project with support from JLN technical facilitators and country members. Their efforts resulted in 20% of residents in Arkhangai province being newly assigned a primary health care provider and a 1.2% increase in preventive screenings and an 8.6% decrease in unnecessary referrals between 2017-2019. The approach is now being scaled up nationally.

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Technical Initiatives

Country members drive the JLNs learning agenda, turning shared priorities into actionable tools, policies, and approaches developed through dynamic technical initiatives.

Climate-Smart Health Systems

Climate-Smart Health Systems

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Digital Health

Digital Health

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Domestic Resource Mobilization

Domestic Resource Mobilization

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Health-Related Services Contracting

Health-Related Services Contracting

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Primary Healthcare Financing and Service Delivery

Primary Healthcare Financing and Service Delivery

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Primary Healthcare Performance Management

Primary Healthcare Performance Management

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Past Initiatives

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