Abstract
Many countries in Eastern, Central, and Southern Africa (ECSA) are in the process of reforming their health systems in an effort to improve the efficiency and management of health services, and to improve the distribution of these services particularly among the poor. With health systems growing both in scope and complexity, policymakers need tools to help them better manage their health care resources. National Health Accounts (NHA) is one such tool that helps countries to visualize clearly the flow of funds through the health system so as to contribute to “better informed” policy decisions.