Assessment of Health Financing Options : Papua New Guinea

World Bank

Assessment of Health Financing Options : Papua New Guinea

2015

World Bank

Papua New Guinea s (PNG) health system is characterized by low health inputs per capita, low health service contact rates and significant inequities in health care use. Health spending relative to GNI per capital and as a revenue share of GDP is low. Government spending as a share of total health expenditure is, however, high and the financing system is dependent on a number of complex interactions between a number of agencies, both at the national and subnational level. Anecdotal evidence suggests that out-of-pocket (OOP) spending is minimal. The current system of health financing has not delivered improved health outcomes; in fact health outcomes in PNG have been stagnant in recent decades. PNG is not on track to meet any of the health-related Millennium Development Goals (MDGs). Significant investment in the heath sector is needed to address the decline, meet current demographic trends and address inefficiencies and inequities. These additional resource requirements will have to be met while maintaining the high levels of financial risk protection and relatively equitable access to health care. The additional resource requirements will have to be financed in a sustainable manner. This report examines three broad health financing options in PNG: (i) increasing the level of general revenue spending; (ii) introducing contributory, insurance-based health financing arrangements; and (iii) mobilizing additional resources through efficiency savings in the sector. The three options are not mutually exclusive.

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AGROVOC Keywords

child health disease control doctors economic growth employment exchange rate families gross domestic product health care health insurance health services hospitals household income income informal sector integration mortality national income national planning nutrition patient patients pregnancy private sector public expenditure public finance public health public investment public sector public services smoking social development social insurance social security sustainable development tuberculosis vaccination workers

Bibliographic information

Publisher

Washington, DC

Other Subjects

Financial support; Financial protection; Health care professionals; Health administration; Primary health care; Data on expenditures; Primary care; Health budgets; Health financing system; Provincial government; Government accounting; Efficiency of tax collection; Health expenditures; Health organization; Provincial levels; Health workers; Health costs; Public spending; Financial management system; Provincial governments; Budget allocations; Expenditure decisions; Hospital management; Psychiatric hospital; Access to services; Health promotion activities; Health promotion; Medical treatment; Chart of accounts; Health problems; National health; Cost of services; Infant mortality rates; Health sector workers; Health programs; Income groups; Health outcome indicators; Financing health care; Health workforce; Health care financing; Policy decisions; Health outcomes; Efficiency gains; Infant mortality; Public health spending; Delivery of services; Accounting system; Inequalities in health care; Health outcome; Medical services; Health financing; Health share; Health specialist; Medical supplies; Community health; Appropriations; Infant mortality rate; Burden of disease; Health sector; Environmental health; Delivery of health services; Antenatal care; Budget department; Health financing mechanism; Health service; Revenue sources; Total expenditure; Provision of health services; Budget classification; Public investment program; Payments for health care; Health needs; Financing arrangements; Health investments; Health plan; Treasury systems; Financial barriers; Financial control; National health insurance; Health centres; Insurance premiums; Medical benefit; Birth attendant; Health service delivery; Economic classification; Financial management; Treasury system; Human development; Inequities in health care; Health expenditure by source; Price elasticity; Health centre; Sales revenue; Inpatient care; Government revenues; Health care use; Management responsibilities; Financial risk; Fiscal strategy; Government funding; Expenditure analysis; Clinical services; Government budget; General revenues; Hospital boards; Income growth; Provincial level; Health insurance program; Health care costs; Provincial administration; Social health insurance; Clinics; Payments for health services; Smokers; Government spending; Health inputs per capita; Public resources; Forecasts; Fiscal policy; Contribution rate; Medical provider; Under-five mortality; Health financing reform; Health institutions; Counselling; Budget expenditure; Public hospitals; Health expenditure share; Mobile clinics; Health expenditure per capita; Health system; Government revenue; Budget allocation; National government; Nurses; Public expenditures; Health facilities; Health system goals; Alcohol consumption; Government expenditure; Health service providers; Financial risk protection; Low-income countries; Expenditure data; Condoms; Delivery of health care; Health status; Equitable access to health care; Health expenditure; Community health projects; Public expenditure review; Outpatient services; Crowding; Deaths; Private health insurance; Budget classification system; Types of expenditures; National budget; Medical research

Language

English

In AGRIS since: 2016-03-15

Format: AGRIS AP

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Assessment of Health Financing Options : Papua New Guinea

2015

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