Health Financing Options for Samoa : Challenges and Opportunities

Anderson, Ian

Health Financing Options for Samoa : Challenges and Opportunities

2014

Anderson, Ian

Samoa currently faces two important public policy challenges in the health sector. One is to stem, and then reverse, the rapid rise of non-communicable diseases (NCDs). The second challenge is to put the country on a health-financing path that is effective, efficient, and financially affordable and sustainable. The two challenges are interconnected. This discussion paper examines eight options to address these challenges. The eight options are the following: (1) increasing government expenditure via higher general taxation; (2) increasing government expenditure via deficit financing; (3) increasing the share of government expenditure to health; (4) increasing external and donor financing; (5) increasing specific taxes; (6) mobilizing additional nongovernment resources via insurance (including social health insurance, and community and private insurance); (7) increasing cost-recovery measures; and (8) increasing efficiency. The paper concludes that the chief opportunity arises from more efficient use of resources already in the health system that are not presently used to maximum effect. Improving technical and allocative efficiency of the existing system has the potential to make a large difference and is technically feasible.

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adolescents allocation cardiovascular diseases child health chlamydia communicable diseases cost recovery debt diabetes disasters doctors economic growth employment families family planning food security health care health insurance health services high blood pressure hospitals household income human resources hygiene hypertension immunization income income distribution infants infectious diseases inflation insurance living standards medicines mental health monetary policies mortality national budgets natural disasters nutrition obesity patient patients physical activity physicians price elasticities private sector public expenditure public health public sector rehabilitation risk factors sanitation screening smoking social development tuberculosis uncertainty vaccination wounds

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World Bank, Washington, DC

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Health Financing Options for Samoa : Challenges and Opportunities

2014

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