World Health Organization : Year 1993 ; World Health Organization, International Conference, Macroeconomic Development and the Health Sector, No. 11: The Macroeconomy and Health Sector Financing in Nepal ; Amedium-Term Perspective

By Sunity Acharya

Book Id: WPLBN0000103325
Format Type: PDF eBook
File Size: 1.4 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1993 ; World Health Organization, International Conference, Macroeconomic Development and the Health Sector, No. 11: The Macroeconomy and Health Sector Financing in Nepal ; Amedium-Term Perspective
Author:	Sunity Acharya
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Acharya, S. (n.d.). World Health Organization : Year 1993 ; World Health Organization, International Conference, Macroeconomic Development and the Health Sector, No. 11. Retrieved from http://gutenberg.us/

Description
Medical Reference Publication

Excerpt
Introduction The resources needed to finance the implementation of health sector policies are generated from the public sector through budgetary allocations and from the private sector through direct payments by households and various financing schemes. The resources that can be obtained from the public sector are constrained, however, by the availability of public sector resources, which in turn is influenced by macroeconomic policies. The resources that can be mobilized from the private sector are constrained mainly by the growth of household incomes. The structure of the economy also affects the feasibility of developing alternative national financing schemes. Both the growth of household incomes and the structure of the economy in the short and long term are largely influenced by macroeconomic policies. The objectives of this paper are: (i) to estimate total (public and private) health sector expenditures and sources of financing; (ii) to analyse the implications of current and prospective macroeconomic trends, as influenced by macroeconomic policies, on thc ability of the health sector, both public and private, to mobilize resources to finance the needed health care expenditures in the medium-tern; and (iii) to identify any additional research that will be needed to assist policy decisions for improving the efficiency and equity of the allocation of resources to the health sector.

Table of Contents
CONTENTS Page Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 . Population. Health Status and Socioeconomic Determinants . 2 2 . Health Sector Expenditures and Sources of Financing . . . . . . 3 2.1 Method of estimation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2.1.1 Health sector expenditures . . . . . . . . . . . . . . . . . . . . . . 3 2.1.2 Sources of financing . . . . . . . . . . . . . . . . . . . . . . . . . . 4 2.2 Health sector expenditures and sources offinancing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 2.2 Issues in health sector financing . . . . . . . . . . . . . . . . . . . . 6 3 . The Macroeconomy and Public Sector Health Expenditures . 7 3.1 Recent macroeconomic policy framework . . . . . . . . . . . . . 7 3.1.1 Objectives of the Government 13udget 1991-92 . . . . . . . . . 7 3.1.2 Government expenditures for fiscal year 1991-92 . . . . . . . . 9 3.1.3 Economic growth . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 3.2 The health sector in the Government budget . . . . . . . . . . 10 3.3 Implications of alternative macroeconomic scenarios for public sector health expenditures . . . . . . . . . . . . . . . . 13 3.3.1 Simulation model . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 3.3.2 Alternative scenarios . . . . . . . . . . . . . . . . . . . . . . . . . 13 3.3.3 Simulation results . . . . . . . . . . . . . . . . . . . . . . . . . . 15 4 . Private Sector Health Financing . . . . . . . . . . . . . . . . . . . . . . 18 4.1 Income and expenditure in Nepalese households . . . . . . . IS 4.2 Alternative drug schemes . . . . . . . . . . . . . . . . . . . . . . . . 21 4.3 Macroeconomic aspects of developing national risk-sharing schemes . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 5. Further Applied Research . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 5.1 Analysis of health sector expenditures and sources of financing . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 5.1.1 Public sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 2 5.1.2 Private sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 5.2 Macroeconomic policies and public resources for health . . 23 5.3 Economic analysis of existing community financing schemes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 5.4 Cost analysis of health services . . . . . . . . . . . . . . . . . . . . 24 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26