Impact Of National Health Insurance For The Poor And Informal Sector In Low And Middle Income Countries

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Impact of National Health Insurance for the Poor and Informal Sector in Low- and Middle-income Countries

Author : Arnab Acharya,University of London. Social Science Research Unit. Evidence for Policy and Practice Information and Co-ordinating Centre
Publisher : Unknown
Page : 108 pages
File Size : 46,8 Mb
Release : 2012
Category : Electronic
ISBN : 1907345345

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Impact of National Health Insurance for the Poor and Informal Sector in Low- and Middle-income Countries by Arnab Acharya,University of London. Social Science Research Unit. Evidence for Policy and Practice Information and Co-ordinating Centre Pdf

The Impact of Health Insurance in Low- and Middle-Income Countries

Author : Maria-Luisa Escobar,Charles C. Griffin,R. Paul Shaw
Publisher : Rowman & Littlefield
Page : 239 pages
File Size : 55,7 Mb
Release : 2011-01-01
Category : Political Science
ISBN : 9780815705611

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The Impact of Health Insurance in Low- and Middle-Income Countries by Maria-Luisa Escobar,Charles C. Griffin,R. Paul Shaw Pdf

Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Colombia embarked in 1993 on a fifteen-year effort to cover its entire population with insurance, in combination with greater freedom to choose among providers. A decade later Mexico followed suit with a program tailored to its federal system. Several African nations have introduced new programs in the past decade, and many are testing options for reform. For the past twenty years, Eastern Europe has been shifting from government-run care to insurance-based competitive systems, and both China and India have experimental programs to expand coverage. These nations are betting that insurance-based health care financing can increase the accessibility of services, increase providers' productivity, and change the population's health care use patterns, mirroring the development of health systems in most OECD countries. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance–based care is key to the public policy debate of whether to extend insurance to low-income populations—and if so, how to do it—or to serve them through other means. Using recent household data, this book presents evidence of the impact of insurance programs in China, Colombia, Costa Rica, Ghana, Indonesia, Namibia, and Peru. The contributors also discuss potential design improvements that could increase impact. They provide innovative insights on improving the evaluation of health insurance reforms and on building a robust knowledge base to guide policy as other countries tackle the health insurance challenge.

Approaches to Universal Health Coverage and Occupational Health and Safety for the Informal Workforce in Developing Countries

Author : National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Global Health,Forum on Public-Private Partnerships for Global Health and Safety
Publisher : National Academies Press
Page : 141 pages
File Size : 50,7 Mb
Release : 2016-06-06
Category : Medical
ISBN : 9780309374095

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Approaches to Universal Health Coverage and Occupational Health and Safety for the Informal Workforce in Developing Countries by National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Global Health,Forum on Public-Private Partnerships for Global Health and Safety Pdf

Universal health coverage (UHC) has been recognized by the World Health Organization as a key element in reducing social inequality and a critical component of sustainable development and poverty reduction. In most of the world UHC is sought through a combination of public and private-sector health care systems. In most low- and middle-income countries health systems are evolving to increasingly rely on the private sector because the public sector lacks the infrastructure and staff to meet all health care needs. With growing individual assets available for private-sector expenditure, patients often seek better access to technology, staff, and medicines. However, in low-income countries nearly 50 percent of health care financing is out-of-pocket. With the expected increase in the overall fraction of care provided through the private sector, these expenditures can be financially catastrophic for individuals in the informal workforce. In the global workforce of approximately 3 billion people, only 10 to 15 percent are estimated to have some type of access to occupational health services. The informal workforce is growing worldwide, and the degree to which its occupational health needs are satisfied depends on the capabilities of the general health care system. In July 2014, the Institute of Medicine held a workshop on approaches to universal health coverage and occupational health and safety for informal sector workers in developing countries. This report summarizes the presentations and discussions from this workshop. Approaches to Universal Health Coverage and Occupational Health and Safety for the Informal Workforce in Developing Countries identifies best practices and lessons learned for the informal workforce in developing countries in the financing of health care with respect to health care delivery models that are especially suitable to meeting a population's needs for a variety of occupational health issues, including the prevention of or mitigation of hazardous risks and the costs of providing medical and rehabilitation services and other benefits to various types of workers within this population. These experiences and lessons learned may be useful for stakeholders in moving the discussions, policies, and mechanisms forward to increase equitable access to quality health services without financial hardship for the informal workforce.

Social Health Insurance for Developing Nations

Author : R. Paul Shaw
Publisher : World Bank Publications
Page : 188 pages
File Size : 42,7 Mb
Release : 2007-01-01
Category : Business & Economics
ISBN : 9780821369500

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Social Health Insurance for Developing Nations by R. Paul Shaw Pdf

Specialist groups have often advised health ministers and other decision makers in developing countries on the use of social health insurance (SHI) as a way of mobilizing revenue for health, reforming health sector performance, and providing universal coverage. This book reviews the specific design and implementation challenges facing SHI in low- and middle-income countries and presents case studies on Ghana, Kenya, Philippines, Colombia, and Thailand.

Health Financing for Poor People

Author : Alexander S. Preker,Guy Carrin
Publisher : World Bank Publications
Page : 476 pages
File Size : 54,6 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.

Universal Health Coverage for Inclusive and Sustainable Development

Author : Akiko Maeda,Edson Araujo,Cheryl Cashin,Joseph Harris,Naoki Ikegami,Michael R. Reich
Publisher : World Bank Publications
Page : 75 pages
File Size : 52,7 Mb
Release : 2014-07-03
Category : Medical
ISBN : 9781464802980

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Universal Health Coverage for Inclusive and Sustainable Development by Akiko Maeda,Edson Araujo,Cheryl Cashin,Joseph Harris,Naoki Ikegami,Michael R. Reich Pdf

The goals of universal health coverage (UHC) are to ensure that all people can access quality health services, to safeguard all people from public health risks, and to protect all people from impoverishment due to illness, whether from out-of-pocket payments for health care or loss of income when a household member falls sick. Countries as diverse as Brazil, France, Japan, Thailand, and Turkey have shown how UHC can serve as vital mechanisms for improving the health and welfare of their citizens, and lay the foundation for economic growth and competitiveness grounded in the principles of equity and sustainability. Ensuring universal access to affordable, quality health services will be an important contribution to ending extreme poverty by 2030 and boosting shared prosperity in low-income and middle-income countries (LMICs), where most of the world's poor live. The book synthesizes the experiences from 11 countries – Bangladesh, Brazil, France, Ethiopia, Ghana, Indonesia, Japan, Peru, Thailand, Turkey and Vietnam – in implementing policies and strategies to achieve and sustain UHC. These countries represent diverse geographic and economic conditions, but all have committed to UHC as a key national aspiration and are approaching it in different ways. The study examined the UHC policies for each country around three common themes: (i) the political economy and policy process for adopting, achieving, and sustaining UHC; (ii) health financing policies to enhance health coverage; and (iii) human resources for health policies for achieving UHC. The findings from these country studies are intended to provide lessons that can be used by countries aspiring to adopt, achieve, and sustain UHC. Although the path to UHC is specific to each country, countries can benefit from the experiences of others in learning about different approaches and avoiding potential risks.

Going Universal

Author : Daniel Cotlear,Somil Nagpal,Owen Smith,Ajay Tandon,Rafael Cortez
Publisher : World Bank Publications
Page : 286 pages
File Size : 51,7 Mb
Release : 2015-09-28
Category : Medical
ISBN : 9781464806117

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Going Universal by Daniel Cotlear,Somil Nagpal,Owen Smith,Ajay Tandon,Rafael Cortez Pdf

This book is about 24 developing countries that have embarked on the journey towards universal health coverage (UHC) following a bottom-up approach, with a special focus on the poor and vulnerable, through a systematic data collection that provides practical insights to policymakers and practitioners. Each of the UHC programs analyzed in this book is seeking to overcome the legacy of inequality by tackling both a “financing gap†? and a “provision gap†?: the financing gap (or lower per capita spending on the poor) by spending additional resources in a pro-poor way; the provision gap (or underperformance of service delivery for the poor) by expanding supply and changing incentives in a variety of ways. The prevailing view seems to indicate that UHC require not just more money, but also a focus on changing the rules of the game for spending health system resources. The book does not attempt to identify best practices, but rather aims to help policy makers understand the options they face, and help develop a new operational research agenda. The main chapters are focused on providing a granular understanding of policy design, while the appendixes offer a systematic review of the literature attempting to evaluate UHC program impact on access to services, on financial protection, and on health outcomes.

Innovations in Health Care Financing in Low and Middle Income Countries

Author : Kara Hanson,Dov Chernichovsky
Publisher : Emerald Group Publishing
Page : 220 pages
File Size : 42,5 Mb
Release : 2009-06-26
Category : Health & Fitness
ISBN : 9781848556652

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Innovations in Health Care Financing in Low and Middle Income Countries by Kara Hanson,Dov Chernichovsky Pdf

Low- and middle-income countries face major challenges to their health systems. These include a high burden of communicable disease and an emerging non-communicable disease burden. This work deals with the elements of health care financing, focusing on middle- and low-income settings.

Good Practices in Health Financing

Author : Pablo Enrique Gottret,George Schieber,Hugh Waters
Publisher : World Bank Publications
Page : 530 pages
File Size : 40,6 Mb
Release : 2008-01-01
Category : Medical
ISBN : 9780821375129

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Good Practices in Health Financing by Pablo Enrique Gottret,George Schieber,Hugh Waters Pdf

This volume focuses on nine countries that have completed, or are well along in the process of carrying out, major health financing reforms. These countries have significantly expanded their people's health care coverage or maintained such coverage after prolonged political or economic shocks (e.g., following the collapse ofthe Soviet Union). In doing so, this report seeks to expand the evidence base on "good performance" in health financing reforms in low- and middle-income countries. The countries chosen for the study were Chile, Colombia, Costa Rica, Estonia, the Kyrgyz Republic, Sri Lanka, Thailand, Tunisia, and Vietnam.

Private Voluntary Health Insurance in Development

Author : Alexander S. Preker,Richard M. Scheffler,Mark C. Bassett
Publisher : World Bank Publications
Page : 460 pages
File Size : 50,5 Mb
Release : 2007
Category : Business & Economics
ISBN : 9780821366202

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Private Voluntary Health Insurance in Development by Alexander S. Preker,Richard M. Scheffler,Mark C. Bassett Pdf

Private voluntary health insurance already plays an important role in the health sector of many low and middle income countries. The book reviews the context under which private insurance could contribute to an improvement in the financial sustainability of the health sector, financial protection against the costs of illness, household income smoothing, access to care, and market productivity. This volume is the third in aseries of in-depth reviews of the role of health care financing in providing access for low-income populations to needed healthcare, protecting them from the impoverishing effects of illness, and addressing the important issues of social exclusion in government financed programs.

Scaling Up Affordable Health Insurance

Author : Alexander S. Preker,Marianne E. Lindner,Dov Chernichovsky,Onno P. Schellekens
Publisher : World Bank Publications
Page : 778 pages
File Size : 55,7 Mb
Release : 2013-05-31
Category : Business & Economics
ISBN : 9780821385791

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Scaling Up Affordable Health Insurance by Alexander S. Preker,Marianne E. Lindner,Dov Chernichovsky,Onno P. Schellekens Pdf

This book presents an in-depth review on the role of health care financing in improving access for low-income populations to needed care, protecting them from the impoverishing effects of illness, and addressing the important issues of social exclusion in government financed programs.

Global Marketplace for Private Health Insurance

Author : Alexander S. Preker,Peter Zweifel,Onno P. Schellekens
Publisher : World Bank Publications
Page : 528 pages
File Size : 40,9 Mb
Release : 2009-11-18
Category : Business & Economics
ISBN : 0821376772

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Global Marketplace for Private Health Insurance by Alexander S. Preker,Peter Zweifel,Onno P. Schellekens Pdf

Financial protection against the cost of illness and inclusion of vulnerable groups will require better mobilization and use of private means. Private voluntary health insurance already plays an important role in mobilizing additional resources to the health sector and protecting against the catastrophic cost of illness in some countries. This review explores the context under which private voluntary health insurance could contribute to an improvement in the sustainability of the health sector and financial protection in other countries.

Health Labor Market Analyses in Low- and Middle-Income Countries

Author : Richard M. Scheffler,Christopher H. Herbst,Christophe Lemiere,Jim Campbell
Publisher : World Bank Publications
Page : 286 pages
File Size : 55,8 Mb
Release : 2016-10-19
Category : Business & Economics
ISBN : 9781464809323

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Health Labor Market Analyses in Low- and Middle-Income Countries by Richard M. Scheffler,Christopher H. Herbst,Christophe Lemiere,Jim Campbell Pdf

This book, produced jointly by the World Bank, the University of California, Berkeley, and the WHO, aims to provide decision-makers at sub-national, national, regional and global levels with additional insights into how to address their workforce challenges rather than describe them. In order to optimize and align HRH investments and develop targeted policy responses, a thorough understanding of unique, country-specific labor market dynamics and determinants of these dynamics is critical. Policies need to take into account the fact that workers are economic actors, responsive to different levels of compensation and opportunities to generate revenue found in different sub-labor markets. Policies need to take into account the behavioral characteristics of the individuals who provide health care, but also the individuals who consume health care services and the institutions that employ health personnel. In other words, it is necessary to understand the determinants of both the supply (numbers of health workers willing to work in the health sector) and the demand for health workers (resources available to hire health workers), how these interact, and how this interaction varies in different contexts. This interaction will determine the availability of health personnel, their distribution as well as their performance levels, thus ensuring stronger health systems capable to deliver universal health coverage. The book is structured to be of use to researchers, planners, and economists who are tasked with analyzing key areas of health labor markets, including overall labor market assessments as well as and more narrow and targeted analyses of demand and supply (including production and migration), performance, and remuneration of health workers. The chapters, written by a number of internationally renowned experts on Human Resources for Health, discuss data sources and empirical tools that can be used to assess health labor markets across high-, middle- or low-income countries, but draws primarily from examples and case-studies in LMICs.

Health Insurance for the Poor

Author : Adam Wagstaff
Publisher : World Bank Publications
Page : 33 pages
File Size : 55,8 Mb
Release : 2007
Category : Child development
ISBN : 8210379456XXX

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Health Insurance for the Poor by Adam Wagstaff Pdf

Vietnam's Health Care Fund for the Poor (HCFP) uses government revenues to finance health care for the poor, ethnic minorities living in selected mountainous provinces designated as difficult, and all households living in communes officially designated as highly disadvantaged. The program, which started in 2003, did not as of 2004 include all these groups, but those who were included (about 15 percent of the population) were disproportionately poor. Estimates of the program's impact-obtained using single differences and propensity score matching on a trimmed sample-suggest that HCFP has substantially increased service utilization, especially in-patient care, and has reduced the risk of catastrophic spending. It has not, however, reduced average out-of-pocket spending, and appears to have had negligible impacts on utilization among the poorest decile.

Sustainable Working Lives

Author : Jukka Vuori,Roland Blonk,Richard H. Price
Publisher : Springer
Page : 304 pages
File Size : 50,7 Mb
Release : 2015-04-15
Category : Psychology
ISBN : 9789401797986

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Sustainable Working Lives by Jukka Vuori,Roland Blonk,Richard H. Price Pdf

The purpose of this volume is to describe the impact of the increased demand for flexibility on employees and its impact on their individual work life trajectories and health. The volume offers concrete examples of interventions aimed to find innovative ways of sustainable work careers for today's workers. We focus on the school to work transition, job insecurity, job loss and re-employment and retirement. The interventions described offer strategies for implementing support in employment contracts, increasing preparedness of individual employees with public education programs or developing work arrangements and support systems in work organizations.