Health Financing in the Republic of Gabon

Saleh, Karima; Couttolenc, Bernard F.; Barroy, Helene

Health Financing in the Republic of Gabon

2014

Saleh, Karima | Couttolenc, Bernard F. | Barroy, Helene

This is a review of the health financing situation in the Republic of Gabon. The book reviews the situation in the country under the lens of the principles of health financing: revenue mobilization for health, risk pooling, and purchasing services. The book also estimates the fiscal space in health that is, looking at options that can increase resources for health within a macroeconomic and fiscal context. Universal health coverage has been defined as a situation where all people who need health services (prevention, promotion, treatment, rehabilitation, and palliative) receive them, without undue financial hardship. Universal health coverage consists of three inter-related components: (i) the full spectrum of quality health services according to need; (ii) financial protection from direct payment for health services when consumed; and (iii) coverage for the entire population. Because of Gabon's commitment to universal health coverage, certain segments are calling for additional resources for this sector. As a result, the country is grappling with the following: (i) how are resources being spent, (ii) is there room for a more efficient allocation of current resources, or (iii) is there an urgent need to mobilize additional resources to meet the goal. This book attempts to diagnose the situation and offer additional information to enlighten and fuel the debate. The book has six chapters: chapter one gives background and objectives. Chapter two provides an overview of the country s health status and service use patterns. Chapter three provides an overview of health financing systems and outputs. Chapter four provides an overview of the national health insurance and social security (caisse nationale d'assurance maladie et de garantie sociale) (CNAMGS). Chapter five provides fiscal space analysis for health. Finally, chapter six provides the reform issues and policy options in health financing.

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Ключевые слова АГРОВОК

abortion age groups aged beds breastfeeding child health cities communicable diseases contraceptives diabetes doctors epidemiology fertility gross domestic product health economics health services high blood pressure hiv hiv/aids hospitals household income human immunodeficiency virus hygiene hypertension immunization immunodeficiency income infant infants informal sector information systems international organizations legal status living conditions malaria medical equipment medicines morbidity mortality nutrition obesity patient patients pharmacies physicians population dynamics pregnant women private sector public expenditure public health public sector quality control rehabilitation risk factors rural areas social security social services tuberculosis unemployment vaccination workers world health organization wounds

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Издатель

Washington, DC: World Bank

Другие темы

Public providers; Financial protection; Population groups; Primary health care; Primary care; Poor health; Clean water; Health care facilities; Health financing system; Public health system; Costs of care; Health expenditures; Health organization; Life expectancy; Quality of health; Health workers; Demographic changes; Health delivery standards; Dispensaries; Household level; Policy research; Low income; Child birth; Hospital management; Child mortality; Equity in access; Millennium development goal; Access to drugs; National health; Infant mortality rates; National health services; Access to health services; Income groups; Health delivery; Official development assistance; Illness; Hospital care; Maternal deaths; Health outcomes; Expenditures; Health clinics; Infant mortality; Public health spending; Maternal mortality ratios; Ministry of health; Quality of health care; Moral hazard; Medical care; Epidemiological changes; Family health; Health financing; Income countries; Health research; Infant mortality rate; Treatment; Burden of disease; Hospital beds; Use of health services; Health sector; Postnatal care; Childbirth; Delivery of health services; Public hospital; Antenatal care; Universal health insurance coverage; Medical centers; Capitation; Health service; Health coverage; Primary health care facilities; Quality of care; Health finance; Health needs; Medical center; Health centers; Physician; National health service; Health service utilization; Health care services; Pharmacists; Incidence analysis; Fee-for-service payment; Administrative costs; Oral rehydration therapy; National health insurance; Medical benefit; Maternal mortality ratio; Birth attendant; Health service delivery; Accountability mechanisms; Financial management; Private hospitals; Human development; Pharmacy; Mortality reductions; Private consumption; Resource mobilization; Epidemiological transition; Induced demand; Health indicators; Provider payment; Hospital services; Income growth; Work experience; Health insurance program; Health care costs; Injuries; Clinics; Payments for health services; Smokers; Maternal mortality; Forecasts; Adverse selection; Regional hospital; Live births; Purchasing power; Health posts; Informal sector workers; United nations population fund; Health financing reform; Nursing; Health professionals; Purchasing power parity; Malaria incidence; Public hospitals; Health systems; Health system; Insurance schemes; Causes of death; Budget allocation; Incentives for supplier; Nurses; Neonatal care; Health facilities; Health insurance scheme; Health service providers; Low-income countries; Health service use; Individual incomes; Health status; User fees; Health strategy; Health expenditure; International comparisons; Fee-for-service; Cost sharing; Health providers; Health policy; Gross national income; Deaths; Capita health spending; Basic health care; Unfpa

Язык

Английский

Тип

Text

В АГРИСе с: 2016-03-15

Формат: AGRIS AP

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Health Financing in the Republic of Gabon

2014

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Библиографическая информация