Cost Recovery In Public Health Services In Sub Saharan Africa
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Cost Recovery In Public Health Services In Sub Saharan Africa
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Author : Brian Nolan
language : en
Publisher: World Bank Publications
Release Date : 1995-01-01
Cost Recovery In Public Health Services In Sub Saharan Africa written by Brian Nolan and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995-01-01 with Business & Economics categories.
This report describes and evaluates the ways in which user-fees are currently implemented to finance public health services in Sub- Saharan Africa. It presents the main issues that arise in assessing cost recovery through user fees and evaluates experiences to date. The authors highlight variety of practices encountered in different countries, the too common failure to structure charges so as to promote efficient use, and the lack of effective exemption structures for protecting the poor. The study thoroughly reviews standard cost recovery models and describes an initiative launched in Bamako, Mali, in 1987. Issues, experience, and conclusions are drawn from a sample of 38 countries.
Cost Recovery In The Health Care Sector
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Author : Ronald J. Vogel
language : en
Publisher:
Release Date : 1988-01-01
Cost Recovery In The Health Care Sector written by Ronald J. Vogel and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1988-01-01 with Public health categories.
Financing Health Services Through User Fees And Insurance
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Author : R. Paul Shaw
language : en
Publisher: Washington, D.C. : World Bank, c1995 (1996 printing)
Release Date : 1995
Financing Health Services Through User Fees And Insurance written by R. Paul Shaw and has been published by Washington, D.C. : World Bank, c1995 (1996 printing) this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995 with Business & Economics categories.
World Bank Discussion Paper No. 294. Presents case studies that focus on user fees and self-financing health insurance as a means of contributing to efficiency, equity, and sustainable financing in the health sector. User fees are emphasized as a form of cost-sharing because private, out-of-pocket expenditures for health account for nearly one-half of total expenditures in Africa. Evidence presented in this report suggests that self-financing insurance is more prevalent in many countries than had been previously thought.
Punishing The Poor A Look At Evidence And Action Regarding User Fees In Health Care
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Author : Kurian, Oommen C.
language : en
Publisher: Centre for Enquiry into Health and Allied Themes
Release Date : 2011-06-01
Punishing The Poor A Look At Evidence And Action Regarding User Fees In Health Care written by Kurian, Oommen C. and has been published by Centre for Enquiry into Health and Allied Themes this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-06-01 with Medical categories.
“There’s now just overwhelming evidence that those user fees actually worsened health outcomes. There’s no question about it. So did the bank get it wrong before? Yeah. I think the bank was ideological” - Dr Jim Yong Kim, World Bank Head. (2014) User fees for health care were put forward as a way to recover costs and discourage the excessive use of health services and the over- consumption of care. This did not happen. Instead, user fees punished the poor. -Dr. Margaret Chan, Director-General, WHO. (2009) The history of user fees imposed on the poor is a history of the poor being excluded from basic services. – Jeffrey Sachs, Director, Earth Institute, End of Poverty (2005) Pricing helps reduce excessive or unwarranted demand for a service and brings supply capacity more in line with willingness and ability to pay. Put differently, when a service costs money, people will think twice about demanding it. - World Bank, Financing health care in sub-Saharan Africa through user fees and insurance. (1995)
Balancing Public And Private Health Care Systems
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Author : Randolph Quaye
language : en
Publisher: University Press of America
Release Date : 2010-02-15
Balancing Public And Private Health Care Systems written by Randolph Quaye and has been published by University Press of America this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-02-15 with Political Science categories.
Balancing Public and Private Health Care Systems appears at a timely moment, given widespread current discussion about equity in healthy care and the role of the state in healthcare planning. In response to the World Bank recommendation that the principle of cost recovery be included in healthcare financing strategies, African countries embraced the principle of public-private partnerships in healthcare. It was argued then, and still now, that a way out of their health conundrum is for governments to play a smaller role in healthcare. The present book explores the different financing arrangements in Ghana, Tanzania, and Uganda. It introduces new scholarship on post-colonial healthcare strategies in Africa, especially during a decade of market-oriented healthcare reform. Drawing upon current research and case studies, as well as recent work by the author himself on African healthcare systems, this book sets out to analyze the implications of the various strategies for the future of healthcare financing in Africa.
Lessons From Cost Recovery In Health
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Author : Andrew L. Creese
language : en
Publisher:
Release Date : 1995
Lessons From Cost Recovery In Health written by Andrew L. Creese and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995 with Health care reform categories.
Financing Health Care In Sub Saharan Africa
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Author : Ronald J. Vogel
language : en
Publisher: Praeger
Release Date : 1993-10-14
Financing Health Care In Sub Saharan Africa written by Ronald J. Vogel and has been published by Praeger this book supported file pdf, txt, epub, kindle and other format this book has been release on 1993-10-14 with Business & Economics categories.
Outlines the present state of health care in sub-Saharan Africa and strategies for improvement. Analyzes insufficient spending on cost- effective programs; inefficient government programs; resource mobilization; cost recovery and pricing; health insurance coverage and risk-sharing mechanisms; the role of the private sector; and decentralization. Appendices include information on life expectancies, improvement in water and sanitation, and details on currency and population for six countries. Annotation copyright by Book News, Inc., Portland, OR.
Animal Health Services In Sub Saharan Africa
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Author : C. de Haan
language : en
Publisher: World Bank Publications
Release Date : 1991-01-01
Animal Health Services In Sub Saharan Africa written by C. de Haan and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991-01-01 with Livestock categories.
Privatizing Health Services In Africa
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Author : Meredeth Turshen
language : en
Publisher: Rutgers University Press
Release Date : 1999
Privatizing Health Services In Africa written by Meredeth Turshen and has been published by Rutgers University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Medical categories.
Privatizing Health Services in Africa analyzes the disappearance of public health in the form of state services in Africa, and the growth of a private market in health care that will serve primarily an urban elite. Meredeth Turshen considers the implications of introducing private insurance in countries with growing unemployment, a shrinking formal job sector, and a lack of social security programs or other safety nets. She debates the pros and cons of shifting the delivery of health services to the nongovernmental sector in the context of new concepts of the role of the state. Many of the schemes to privatize the purchase and sale of pharmaceuticals reverse decades of United Nations work challenging the power of the multinational drug industry. Turshen weighs these policy changes in light of the World Bank's eclipse of the World Health Organization as the premier UN health policy agency. Until now, no book has disputed the World Bank's plans to privatize health care in Africa. This is the first book-length analysis of policy changes in light of monetarism and globalization. Throughout the book, Turshen examines the implications of privatization for gender equity. She also provides a case study of Zimbabwe and comparative material from Malawi, Mozambique, and Zambia. Her study makes a contribution to current debates on the impact of structural adjustment policies on health and the design of health services in the Third World.
Financing Health Care In Sub Saharan Africa Through User Fees And Insurance
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Author : R. Paul Shaw
language : en
Publisher: World Bank Publications
Release Date : 1995
Financing Health Care In Sub Saharan Africa Through User Fees And Insurance written by R. Paul Shaw and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995 with Business & Economics categories.
There are several options for financing better health care in Africa. They include the general systems of taxation used to finance government expenditures and the ministries of health; donor assistance that is specifically earmarked for health projects; charitable donations targeted to private voluntary health providers, such as church missions; user fees; and health insurance. User fees are emphasized in this volume because private, out-of-pocket expenditures for health account for more than 40 percent of total health expenditures in Africa.