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What are the options to attract finance for investing into infrastructure of health system
1. What are the options to attract finance
for investing into infrastructure of
health system
Course: Finance for development
Cholpon Imanalieva
December 2015
2. Connection of GDP per capita,
unemployment and poverty rateMacroecon
omic
Indicators:
Kyrgyz
Republic
2006 2007 2008 2009 2010 2011 2012 2013 2014
GDP per
capita (US
dollars)
543.1 721.8 966.4 871.2 880.0 1123.
9
1178.
0
1282.
4
1269.
1
Unemploym
ent rate (%
of total
labor force,
national
estimate)
8.3 8.2 8.2 8.4 8.6 8.5 8.4 8.0 8.3
Poverty rate
(at national
poverty
lines)
39.9 35 31.7 31.7 33.7 36.8 38 37 39.9
3. Absence of funds in fiscal space
to improve infrastructure of
hospitals
4. The proportion of expenditures from
Government and private sector is increasing
and from ODA is almost the same
5. Disadvantages
Still gap to cover State Guaranteed Health services
More than 75% of health infrastructure is outdated
Third of hospitals don’t have clean running water with
modern sanitary facilities
Infrastructure, water are part of the quality of health
services
Kyrgyzstan took 112 place on the quality of
infrastructure in general
Poor quality of infrastructure, in turn, places a heavy
burden on society, reflected in its low productivity and
competitiveness, low quality of life.
6. Requirements for
development
Analysis for the G20 suggests that developing
countries will need to invest an additional $1 trillion a
year up to 2020 to keep pace with the demands of
urbanisation, and better global integration and
connectivity (G20 (2013)).
institutional investors such as pension funds, insurance
companies or sovereign wealth funds2 have a
growing need for a diversified portfolio of long-term
assets. One recent study puts this investor base at
about $90 trillion globally (HSBC (2013))
7. What should be done to mobilize
resources for investment into
infrastructure
Establish realistic revenue streams to encourage
private financing.
Focus on finding the right types of capital
(Development bank, capital market, pension funds)
Encourage investors to consider emerging markets
and greenfield assets
Realize value from cash-generating assets
Deepen partnerships among infrastructure-finance
players