International developmental support in sub-Saharan Africa has been quite remarkable in helping to address a number of challenges bedevilling healthcare delivery in the region. However, these humanitarian actions have just being a part of the developmental picture, as there is the need for more robust activities by these actors to support local policies particularly in the area of community health financing. As it were, this will involve building and supporting workable and sustainable ‘pre-payment’ schemes, supporting national governments to obtain the necessary information through more robust methods in data collection and in local research on health care financing in order to provide accurate information to inform policy on both the costs and benefits of alternatives of community health financing. Furthermore, as these now come to bear, donor support for community health financing will not only improve on access to health care delivery amongst the poorest of the poor in sub-Saharan Africa but will create a platform for these donor recipient countries to be self-sufficient and self reliant, and should these agencies cease to continue or run out of funding the consequences for the region will not be dire.

donor support, sub-Saharan Africa, community health financing, pre-payment schemes