Guidelines For Analysis Of Health Sector Financing In Developing Countries

Author : Robert L. Robertson,Dieter K. Zschock,John A. Daly
Publisher : Unknown
Page : 76 pages
File Size : 40,7 Mb
Release : 1979
Category : Cost effectiveness
ISBN : UCSD:31822024349193

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Guidelines for Analysis of Health Sector Financing in Developing Countries by Robert L. Robertson,Dieter K. Zschock,John A. Daly Pdf

This manual is one in a series of methodological studies developed for the Office of International Health, U.S. Department of Health, Education, and Welfare, to foster health planning by host country personnel in less developed countries. It originally appeared in May, 1978 under the title "An Approach to the Study of Health Sector Financing in Developing Countries: A Manual." The present revised and updated version of the manual was completed in April, 1979. This manual presents an action-tested procedure for appraisal of health sector financing which may be used, with some local adaptations, to examine health sector financial resources. The guidance presented in the text of the manual, combined with the prototype data collection and tabulation arrangement in Appendix A, are sufficiently detailed to lead a host country health planner or financial specialist through the assessment process. For successful completion of such an evaluation, it is anticipated that a senior-level economist or public finance specialist would be available to assist the analyst, both in initial design and final interpretation of the results.

Author : John S. Akin,Nancy Birdsall,David M. De Ferranti
Publisher : World Bank Publications
Page : 104 pages
File Size : 51,6 Mb
Release : 1987-01-01
Category : Business & Economics
ISBN : 0821309005

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Financing Health Services in Developing Countries by John S. Akin,Nancy Birdsall,David M. De Ferranti Pdf

This report discusses several different approaches that support reforming health care services in developing countries. For some time now, health care services have been supported by government funds. As demands for improving health care services continue to increase additional demands will be placed on governments to respond. This, however, will not be easy. Slow economic growth and record budget deficits in the 1980's have forced reductions in public spending. Alternative approaches to finance health care services are needed. Such possible changes could involve: decentralization of federal government involvement; the promotion of nongovernment involvement; the imposition of user fees; and, establishing health insurance. Finally, the role of the Bank in pursuing new financing strategies is discussed.

Author : Pablo Enrique Gottret,George Schieber
Publisher : World Bank Publications
Page : 340 pages
File Size : 51,9 Mb
Release : 2006-01-01
Category : Medical
ISBN : 9780821365861

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Health Financing Revisited by Pablo Enrique Gottret,George Schieber Pdf

This overview of health financing tools, policies and trends--with a particular focus on challenges facing developing countries--provides the basis for effective policy-making. Analyzing the current global environment, the book discusses health financing goals in the context of both the underlying health, demographic, social, economic, political and demographic analytics as well as the institutional realities faced by developing countries, and assesses policy options in the context of global evidence, the international aid architecture, cross-sectoral interactions, and countries' macroeconomic frameworks and overall development plans.

Author : Guy Carrin
Publisher : ASP / VUBPRESS / UPA
Page : 463 pages
File Size : 51,5 Mb
Release : 2011
Category : Business & Economics
ISBN : 9789054877752

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Health Financing in the Developing World by Guy Carrin Pdf

A collection of peer-reviewed articles and contributions to books, this overview of the finance of health insurance concentrates on developing countries. The material covers various financing strategies and explains how each can--or cannot--help improve the transition toward universal coverage. The model plans shown here are particularly useful for policy-makers and technical advisers who have to decide upon health financing policies--or are engaged in a debate about them--and the sample forms can be adjusted to the particular economic and political context of the developing countries involved. In addition, there are reminders that this process varies: in some countries, universal coverage may take time and require a step-by-step approach. In other developing countries, a swift transition to universal coverage may be quite feasible.

Author : Akiko Maeda,World Bank
Publisher : World Bank Publications
Page : 387 pages
File Size : 46,8 Mb
Release : 2012-05-15
Category : Business & Economics
ISBN : 9780821394694

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Creating Evidence for Better Health Financing Decisions by Akiko Maeda,World Bank Pdf

Any analysis of health financing issues has to begin with sound estimates of the level and flow of resources in a health system, including total levels of spending, the sources of health expenditures, the uses of funds in terms of services purchased, and in terms of who purchases them. The analysis should also aim at understanding how these resource flows are correlated with health system outcomes, including those of improving health, reducing health inequalities, and reducing the incidence of catastrophic health expenditure. National Health Accounts (NHA) provide a framework to collect, compile, and analyze such data on all types of health spending in a country—and so create a robust evidence base for policy making. Although NHA data delineate the key financial metrics of a health system, the collection of these data have not been institutionalized in most developing countries. The root problems are often the same: insufficient resources to collect, collate, analyze and produce information on spending; poor development of health and other information systems; low levels of local capacity to interpret information to meet policy needs; and inadequate demand for data within countries. Furthermore, in many low- and middle-income countries, NHA activities have been conducted as ad hoc, donor-driven initiatives. Since 2008, the World Bank has been coordinating a global initiative to identify bottlenecks to the institutionalization of NHA, and to learn lessons in countries at different stages on the journey towards this institutionalization. The focus has been less on the production of NHA and more on its relevance as a tool to enable policy makers develop and implement evidence-based decisions, and better measure the impact of health reforms, especially those related to health financing. This report has been developed through a consultative process, involving experts and policy makers from more than fifty low-, middle- and high-income countries, large and small, in all corners of the world, development partners and World Bank staff globally. The report represents a synthesis of lessons learned from country experiences and is intended to serve as a strategic guide to countries and their development partners as they design and implement their strategy to develop nationally relevant and internationally comparable data, collected in a routine and cost-effective manner.

Author : E. P. Mach,Brian Abel-Smith
Publisher : Unknown
Page : 124 pages
File Size : 42,5 Mb
Release : 1983-01-01
Category : Community health services
ISBN : 9241541717

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Planning the Finances of the Health Sector by E. P. Mach,Brian Abel-Smith Pdf

Many countries, particularly those in the developing world, are seeking to orient their health services toward a more equitable and efficient utilization of resources. A detailed analysis of the financing of health services is an important step in such an undertaking. This manual sets out a methodology for carrying out such an analysis and suggests ways of collecting and organizing data on areas of expenditure and sources of finance. It also suggests how this information might be utilized in policy formulation--to make a master plan for the future use of all financial and material resources. The book pays particular attention to primary health care in view of its high priority in current health policies. A series of tables provided in this publication presents models that provide an analytical framework for national planning, and summary tables have been devised for the use of policymakers. Chapter 1 contains the introduction; chapter 2 offers definitions. The third chapter discusses study objectives, and chapter 4 outlines steps for planning a study. Chapter 5 describes data collection, and chapter 6 talks about primary health care. In chapter 7, alternatives are evaluated and examined, and chapter 8 discusses projections of future expenditure and sources of finance. (JMK)

Author : Dieter K. Zschock
Publisher : Unknown
Page : 100 pages
File Size : 51,6 Mb
Release : 1979
Category : Developing contries
ISBN : PSU:000011285748

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Health Care Financing in Developing Countries by Dieter K. Zschock Pdf

Author : WHO Study Group on the Evaluation of Recent Changes in the Financing of Health Services
Publisher : Unknown
Page : 92 pages
File Size : 54,5 Mb
Release : 1993
Category : Medical
ISBN : UOM:39015032940242

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Evaluation of Recent Changes in the Financing of Health Services by WHO Study Group on the Evaluation of Recent Changes in the Financing of Health Services Pdf

"During the past decade, fundamental developments have occurred in the financing of health services, coinciding with economic, political and social changes in many parts of the world. The role of government in the funding and provision of health care is being reconsidered, often with far-reaching consequences for the relation between health care providers and consumers, access to health facilities, and the health status of populations. This report presents the conclusions and recommendations of a WHO Study Group that met to review recent changes in health financing and to evaluate their effects on the provision and utilization of health services. Drawing on specific examples from both developing and developed countries, the report identifies trends in sources of finance, payment mechanisms, and the roles of health care consumers, purchasers and providers, and emphasizes that too little is known about the impact of these changes on health status. In discussing the implications of recent developments, the Study Group stresses the responsibilities of governments in policy-making, regulation, and information gathering and dissemination, and the need to evaluate options for health financing in the context of national policy objectives, with the ultimate aim of improving the performance of health systems."--

Author : Peter A. Berman
Publisher : Harvard Center for Population and Development Studies
Page : 436 pages
File Size : 50,6 Mb
Release : 1995
Category : Business & Economics
ISBN : STANFORD:36105017522322

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Health Sector Reform in Developing Countries by Peter A. Berman Pdf

In Mexico City or Nairobi or Manila, a young girl in one part of the city is near death with measles, while, not far away, an elderly man awaits transplantation of a new kidney. How is one denied a cheap, simple, and effective remedy while another can command the most advanced technology medicine can offer? Can countries like Mexico, Kenya, or the Philippines, with limited funds and medical resources, find an affordable, effective, and fair way to balance competing health needs and demands? Such dilemmas are the focus of this insightful book in which leading international researchers bring together the latest thinking on how developing countries can reform health care. The choices these poorer countries make today will determine the pace of health improvement for vast numbers of people now and in the future. Exploring new ideas and concepts, as well as the practical experiences of nations in all parts of the world, this volume provides valuable insights and information to both generalists and specialists interested in how health care will look in the world of the twenty-first century.

Author : Dean T. Jamison,Joel G. Breman,Anthony R. Measham,George Alleyne,Mariam Claeson,David B. Evans,Prabhat Jha,Anne Mills,Philip Musgrove
Publisher : World Bank Publications
Page : 1449 pages
File Size : 48,9 Mb
Release : 2006-04-02
Category : Medical
ISBN : 9780821361801

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Disease Control Priorities in Developing Countries by Dean T. Jamison,Joel G. Breman,Anthony R. Measham,George Alleyne,Mariam Claeson,David B. Evans,Prabhat Jha,Anne Mills,Philip Musgrove Pdf

Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.

Author : National Research Council,Division of Behavioral and Social Sciences and Education,Commission on Behavioral and Social Sciences and Education,Panel on Reproductive Health
Publisher : National Academies Press
Page : 327 pages
File Size : 51,6 Mb
Release : 1997-07-02
Category : Medical
ISBN : 9780309174992

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Reproductive Health in Developing Countries by National Research Council,Division of Behavioral and Social Sciences and Education,Commission on Behavioral and Social Sciences and Education,Panel on Reproductive Health Pdf

Sexually transmitted diseases, unintended pregnancies, infertility, and other reproductive problems are a growing concern around the world, especially in developing countries. Reproductive Health in Developing Countries describes the magnitude of these problems and what is known about the effectiveness of interventions in the following areas: Infection-free sex. Immediate priorities for combating sexually transmitted and reproductive tract diseases are identified. Intended pregnancies and births. The panel reports on the state of family planning and ways to provide services. Healthy pregnancy and delivery. The book explores the myths and substantive socio-economic problems that underlie maternal deaths. Healthy sexuality. Such issues as sexual violence and the practice of female genital mutilation are discussed in terms of the cultural contexts in which they occur. Addressing the design and delivery of reproductive health services, this volume presents lessons learned from past programs and offers principles for deciding how to spend limited available funds. Reproductive Health in Developing Countries will be of special interest to policymakers, health care professionals, and researchers working on reproductive issues in the developing world.

Author : Dominic Haazen
Publisher : World Bank Publications
Page : 117 pages
File Size : 43,9 Mb
Release : 2012-03-29
Category : Business & Economics
ISBN : 9780821394748

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Making Health Financing Work for Poor People in Tanzania by Dominic Haazen Pdf

Tanzania is currently developing a Health Financing Strategy to provide a medium to long-term road map for a sustainable and integrated health financing system. This book is designed to inform this discussion by providing an analytical basis for the assessment of options, a series of policy options which could be considered

Author : Jonathan Cylus,Irene Papanicolas,Peter C. Smith
Publisher : Health Policy
Page : 264 pages
File Size : 54,9 Mb
Release : 2016-12-15
Category : Medical
ISBN : 9289050411

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Health System Efficiency by Jonathan Cylus,Irene Papanicolas,Peter C. Smith Pdf

In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.

Author : Jack Langenbrunner,Cheryl Cashin,Sheila O'Dougherty
Publisher : World Bank Publications
Page : 348 pages
File Size : 43,6 Mb
Release : 2009-01-01
Category : Medical
ISBN : 9780821378243

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Designing and Implementing Health Care Provider Payment Systems by Jack Langenbrunner,Cheryl Cashin,Sheila O'Dougherty Pdf

Strategic purchasing of health services involves a continuous search for the best ways to maximize health system performance by deciding which interventions should be purchased, from whom these should be purchased, and how to pay for them. In such an arrangement, the passive cashier is replaced by an intelligent purchaser that can focus scarce resources on existing and emerging priorities rather than continuing entrenched historical spending patterns.Having experimented with different ways of paying providers of health care services, countries increasingly want to know not only what to do when paying providers, but also how to do it, particularly how to design, manage, and implement the transition from current to reformed systems. 'Designing and Implementing Health Care Provider Payment Systems: How-To Manuals' addresses this need.The book has chapters on three of the most effective provider payment systems: primary care per capita (capitation) payment, case-based hospital payment, and hospital global budgets. It also includes a primer on a second policy lever used by purchasers, namely, contracting. This primer can be especially useful with one provider payment method: hospital global budgets. The volume's final chapter provides an outline for designing, launching, and running a health management information system, as well as the necessary infrastructure for strategic purchasing.

Author : Alexander S. Preker,Guy Carrin
Publisher : World Bank Publications
Page : 476 pages
File Size : 55,5 Mb
Release : 2004
Category : Medical
ISBN : 9780821355251

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Health Financing for Poor People by Alexander S. Preker,Guy Carrin Pdf

One of the most urgent development challenges facing many low and middle income countries is the need for adequate financing systems to pay for health care provision to the estimated 1.3 billion impoverished people living in rural areas or working in the informal sector in urban areas. This publication considers ways of improving the financing of health care at low income levels, as part of a global strategy for increased investment in health and poverty reduction. Topics discussed include: global and regional trends in healthcare financing; strengths and weaknesses of community-based health financing, and experiences in Asia and Africa; country case studies using household survey analysis from Senegal, Rwanda, India and Thailand; deficit financing; and the impact of risk sharing on achieving health system goals.