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

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

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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