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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Mots clés AGROVOC

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

Informations bibliographiques

Editeur

Washington, DC

D'autres materias

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

Langue

anglais

Type

Economic & Sector Work :: Other Health Study

Sur AGRIS depuis: 2016-03-15

Format: AGRIS AP

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Assessment of Health Financing Options : Papua New Guinea

2015

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