3. perfomance assessment philippines banzon final
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Dr. Eduardo P. Banzon is a Senior Health Specialist in the World Bank since December 2006. Prior to the World Bank, he was the Vice-President and Head of the Health Finance Policy Sector of the Philippine Health Insurance Corporation. In 2005, he was concurrently tasked to help in the strengthening of the Bureau of Food and Drugs. He is a former Research Associate Professor in the University of the Philippines (UP) -National Institutes of Health. He was a Clinical Associate Professor in the Department of Clinical Epidemiology and the Department of Family and Community Medicine of the UP College of Medicine and a faculty member of the Ateneo Graduate School of Business-Health Unit. He has worked and assisted national and international agencies and has been published locally and internationally.
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National objectives for health 2017-2022-
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Barriers
Three key barriers prevent indigent families from fully utilizing PhilHealth benefits:
1) A lack of accredited health facilities, especially in remote areas, means families often give birth at home without coverage.
2) Many families are unaware of their PhilHealth membership and benefits due to insufficient information dissemination.
3) Out-of-pocket costs like transportation and medicines discourage use even when families know their benefits, as the no-balance billing policy is not uniformly implemented.
Health financing in ghana
The International Institute for Science, Technology and Education (IISTE) Journals Call for paper http://www.iiste.org/Journals
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This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
Health financing1
This document discusses health care financing in India. It defines health care financing as mobilizing funds for health care through mechanisms like taxes, insurance contributions, and out-of-pocket payments. In India, most health spending comes from private out-of-pocket payments rather than public sources. The government spends a low proportion of its budget on health care. Various mechanisms for health financing exist in India, including mandatory insurance programs, voluntary private insurance, employer-based coverage, and community-based schemes, but overall insurance penetration is low.
Ghana: Governing for Quality Improvement in the Context of UHC
Ghana’s National Health Insurance Scheme (NHIS) was established by an Act of Parliament in 2003 (Act 650) to provide financial risk protection against the cost of health care services for all residents of Ghana. In 2012, the law was revised to address some of the operational challenges in management of the scheme. The object of the Scheme is to attain universal health insurance coverage for residents and those visiting the country.
Medicine financing: NHIS and other financing options
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Financial Access to Healthcare among Persons with Disabilities in the Kumasi ...
Financial Access to Healthcare among Persons with Disabilities in the Kumasi ...Appiah Seth Christopher Yaw
Purpose: According to the World Health Organisation, 10% to 15% of the population of every developing country lives with disability. This amounts to about 2.4 - 3.6 million Ghanaians with disability. Since their contribution is
important for the development of the country, this study aimed to assess the financial access to healthcare among persons with disabilities in the Kumasi Metropolis of Ghana.
Methods: A cross-sectional study, involving administration of a semi structured questionnaire, was conducted among persons with all kinds of disabilities (physically challenged, hearing and visually impaired) in the Kumasi
Metropolis. Multi-stage sampling was used to randomly select 255 persons with disabilities from 5 clusters of communities - Oforikrom, Subin, Asewase,
Tafo and Asokwa. Data analysis involved descriptive and analytical statistics at 95% CI using SPSS software version 20.
Results: There were more male than female participants, nearly one-third of them had no formal education and 28.6% were unemployed. The average monthly expenditure on healthcare was GHC 21.46 (USD 6.0) which constituted 9.8% of the respondents’ income. Factors such as age, gender, disability type, education, employment, and whether or not they stayed with family members had significant bearing on the average monthly expenses on healthcare (p<0.05).><0.05). Although about 63.5% of the respondents used the National Health Insurance Scheme as the regular source of payment for healthcare, 94.1% reported that sources of payment did not cover all their expenses and equipment.
Conclusion: Financial access to healthcare remains a major challenge for persons with disabilities. Measures to finance all healthcare expenses of persons with disabilities are urgently needed to improve their acc ess to healthcare.Recommended
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Barriers
Three key barriers prevent indigent families from fully utilizing PhilHealth benefits:
1) A lack of accredited health facilities, especially in remote areas, means families often give birth at home without coverage.
2) Many families are unaware of their PhilHealth membership and benefits due to insufficient information dissemination.
3) Out-of-pocket costs like transportation and medicines discourage use even when families know their benefits, as the no-balance billing policy is not uniformly implemented.
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Ghana: Governing for Quality Improvement in the Context of UHC
Ghana’s National Health Insurance Scheme (NHIS) was established by an Act of Parliament in 2003 (Act 650) to provide financial risk protection against the cost of health care services for all residents of Ghana. In 2012, the law was revised to address some of the operational challenges in management of the scheme. The object of the Scheme is to attain universal health insurance coverage for residents and those visiting the country.
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Purpose: According to the World Health Organisation, 10% to 15% of the population of every developing country lives with disability. This amounts to about 2.4 - 3.6 million Ghanaians with disability. Since their contribution is
important for the development of the country, this study aimed to assess the financial access to healthcare among persons with disabilities in the Kumasi Metropolis of Ghana.
Methods: A cross-sectional study, involving administration of a semi structured questionnaire, was conducted among persons with all kinds of disabilities (physically challenged, hearing and visually impaired) in the Kumasi
Metropolis. Multi-stage sampling was used to randomly select 255 persons with disabilities from 5 clusters of communities - Oforikrom, Subin, Asewase,
Tafo and Asokwa. Data analysis involved descriptive and analytical statistics at 95% CI using SPSS software version 20.
Results: There were more male than female participants, nearly one-third of them had no formal education and 28.6% were unemployed. The average monthly expenditure on healthcare was GHC 21.46 (USD 6.0) which constituted 9.8% of the respondents’ income. Factors such as age, gender, disability type, education, employment, and whether or not they stayed with family members had significant bearing on the average monthly expenses on healthcare (p<0.05).><0.05). Although about 63.5% of the respondents used the National Health Insurance Scheme as the regular source of payment for healthcare, 94.1% reported that sources of payment did not cover all their expenses and equipment.
Conclusion: Financial access to healthcare remains a major challenge for persons with disabilities. Measures to finance all healthcare expenses of persons with disabilities are urgently needed to improve their acc ess to healthcare.Health sector report Ghana 2014
The health sector in Ghana is transitioning from a government-managed public system to a more diverse set of providers. The public sector faces challenges in financing and quality due to budget constraints. The National Health Insurance Scheme finances the sector but faces sustainability and efficiency issues. There are growing opportunities in the private sector to meet demand from the emerging middle class willing to pay for quality care. Opportunities include constructing hospitals, diagnostic centers, and expanding health services management. The transition brings challenges around equity but Ghana is pioneering health reforms and welcomes innovation.
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In an effort to better understand what the EPHS are and what they are being used for in the EPCMD countries, USAID requested that HFG conduct an analysis to provide a “snapshot” for each of the priority countries. The activity results enable quick identification of the EPHS for the studied countries, allowing practitioners to identify cross-cutting themes, identify gaps, and better understand practical application of EPHS.
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The health sector in Ghana is transitioning from a government-managed public system to a more diverse set of providers. The public sector faces challenges in financing and quality due to budget constraints. The National Health Insurance Scheme finances the sector but faces sustainability and efficiency issues. There are growing opportunities in the private sector to meet demand from the emerging middle class willing to pay for quality care. Opportunities include constructing hospitals, diagnostic centers, and expanding health services management. The transition brings challenges around equity but Ghana is pioneering health reforms and welcomes innovation.
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The healthcare system in the Philippines has a decentralized structure with the Department of Health as the apex regulatory authority. It follows a pyramidal organization with primary care provided at rural health units and barangay health stations. While the country faces a double burden of communicable and non-communicable diseases, it spends a low percentage of its GDP on healthcare and faces challenges in meeting its Millennium Development Goals. Improving infrastructure, implementing health insurance programs, and strengthening community healthcare initiatives are priorities to enhance access and health outcomes across the population.
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- Environmental Sanitation
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This document appears to be notes from a health financing summit that took place on April 14, 2010. It raises several questions about issues with the current health care system, including why the poor subsidize the rich, why health insurance is less comprehensive than car insurance, why the US has not achieved universal health care when other countries have, and whether doctors, hospitals, and social health insurance could help address problems in the system. It also mentions voting on universal health care for Filipinos and discusses national security as it relates to health.
HFS Banzon
The World Bank presented findings from its health sector assessment of the Philippines. It found that while total health spending has grown, it remains below comparable countries. Government health spending as a percentage of GDP is also lower than averages. High out-of-pocket costs lead to catastrophic spending for many. Health outcomes like infant mortality are improving but still lag behind income levels. The World Bank recommends implementing policies to: A) promote facility-based deliveries, B) reform PhilHealth benefits and expand coverage, and C) increase accountability and expand results-based financing to get more value from health spending.
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The document discusses the origins and nature of the swine flu virus, which first emerged in Mexico in 2009. It is a respiratory disease in pigs caused by influenza A that can spread from human to human. The virus contains genetic material from multiple animal sources and many people lacked immunity to it, allowing it to cause a pandemic. Health authorities were closely monitoring the virus as it spread beyond Mexico to other countries. The document provides statistics on early cases and discusses strategies, symptoms, treatments, and precautions to control the spread of the virus.
HFS Phua
This document discusses health care financing trends in Asia. It notes that most countries in the region rely heavily on out-of-pocket spending for health care. Some countries like Korea, China, and Vietnam have expanded social insurance programs. High costs for drugs and diagnostics account for 50-60% of health budgets in countries like China. The document then compares health expenditures and systems across several Asian nations. It analyzes factors influencing Singapore's high health system performance rankings despite relatively low expenditures. The hybrid public-private model in Singapore relies on personal savings, insurance, and subsidies to finance its universal health care system in a sustainable manner.
Walls of Hope Volunteer's Guide
The document provides information for volunteers of the Walls of Hope project at the Philippine Children's Medical Center. It thanks volunteers for their commitment and welcomes them to the project family. It provides contact information for questions and details about commuting to the site. It also includes a schedule, volunteer protocols, general information, area maps, and tips for volunteering.
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Ethiopia’s Health Financing Outlook: What Six Rounds of Health Accounts Tell Us
The document summarizes key findings from six rounds of health accounts conducted in Ethiopia since 1995. It finds that total health expenditure has grown significantly but remains low per capita. Government spending on health has increased in amount but fluctuated as a percentage of total spending between 16-39%. Household out-of-pocket spending remains high at 33% on average. The majority of spending is on curative care rather than preventive services. Regular production of health accounts data helps Ethiopia monitor progress on health financing goals.
How can health accounts inform health sector investments? Lessons from countr...
Countries must have a firm grasp on their health financing landscape in order to ensure sufficient and effective use of resources. Health Accounts—an internationally standardized methodology that allows a country to understand the source, magnitude, and flow of funds through its health sector—provide a wealth of information on past spending. When combined with macroeconomic, health utilization, and health indicator data, Health Accounts provide powerful insights for health financing policy.
USAID’s Health Finance and Governance (HFG) project supports countries to institutionalize their Health Accounts so that they are produced regularly and efficiently, and are a useful tool for policymakers. In this technical briefing webinar, held June 29, 2016, HFG experts used country examples to demonstrate how Health Accounts have been (and can be) used to inform national health financing decisions. The experts also provided perspectives on the future of Health Accounts.
MRC HIVAN Forum 25 October 2011
There are numerous changes taking place in South Africa, in the economy, politics and health. All these are interdependent and embedded in a social milieu which brings a number of pressures on health services and systems. The major event in the medium to long term is the impact of the National Health Insurance. Other contextual factors of importance include the range of social determinants of health and disease, with the provision of water, sanitation, electricity and housing being the key services. South Africa will also be influenced in the future by the major diseases it harbours at present. This seminar provided some insight into how these factors will impact on the South African Health Services.
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2) Both developing country governments and donors must increase long-term, predictable funding to address the major funding gaps for health worker education and salaries, HIV/AIDS, TB, malaria, and maternal and child health.
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The document summarizes the Philippines' health financing system and outlines strategies to improve principles of solidarity, equity, quality, and cost containment. It discusses how PhilHealth aims to provide universal coverage but faces challenges of weak social solidarity and inequity. A new Health Care Financing Strategy 2010-2020 is introduced with goals like increasing resources, sustaining universal membership, allocating resources efficiently, shifting payment methods, and securing facility autonomy. Initial outputs include a new administrative order, consideration of strategic expenditure estimates, and ongoing work to strengthen various programs.
Essential Package of Health Services Country Snapshot: Ethiopia
Resource Type: Brief
Authors: Jenna Wright
Published: July 2015
Resource Description:
An Essential Package of Health Services (EPHS) can be defined as the package of services that the government is providing or is aspiring to provide to its citizens in an equitable manner. Essential packages are often expected to achieve multiple goals: improved efficiency, equity, political empowerment, accountability, and altogether more effective care. There is no universal essential package of health services that applies to every country in the world.
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The government of Ethiopia published its “Essential Health Services Package for Ethiopia” in 2005 (Federal Ministry of Health 2005). This package was published with the intention to have public sector facilities provide a minimum standard of care that fosters an integrated service delivery approach essential for advancing the health of the population. The major components of the Essential Health Services Package for Ethiopia are classified building on the Health Service Extension Program, which was launched in 2002 as an essential health services package at the community level, in recognition of the failure of essential services to reach remote communities in the country. By 2010 over 33,000 trained health extension workers were serving both rural and urban areas throughout Ethiopia.
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Attaining sustainable agricultural development in any economy indubitably points towards ensuring improved quality of life and enough food for both present and future generations. The need to understand the links between agricultural output and health outcomes necessitates an inquiry to ascertain the extent the changes in health outcomes can influence agricultural output. This study using the dynamic error correction built an econometric model such that mortality rate and life expectancy are proxies for health outcomes while agricultural output is the dependent variable; HIV/AIDS is the dummy. Results showed that HIV/AIDS has lethal effects on health outcomes and aggregate output. It revealed that health outcomes also have significant impact on agricultural output potentials; and there is a causal relationship between health outcomes and agricultural output in Nigeria. This implies that if the healthcare system in Nigeria can be taken as a policy priority, a tremendous increase in the agricultural sector is unarguably expected. A simultaneous front involving both the public and private sectors in extending the healthcare services is necessary to enable workers and prospective workers access to healthcare delivery; this will invariably boost the agricultural output.A glimpse on health care financing transition in nepal
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The document discusses several challenges facing healthcare systems, including twin epidemics of infectious and chronic diseases, poor public health program implementation, and limited healthcare access. It provides examples of innovative community healthcare models in Bangladesh and India that aim to overcome resource constraints and engage communities. These include herbal clinics, health promotion temples, and village health workers. However, challenges remain like poor government support. The document also summarizes recommendations from India's High Level Expert Group to strengthen primary healthcare through increased funding, integrated insurance schemes, and empowering regulatory authorities.
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The document discusses key concepts for measuring universal health coverage, including population coverage, service coverage, and financial risk protection. It provides an example of how benefit incidence analysis (BIA) and financing incidence analysis (FIA) were used in an empirical study in Ghana to assess how the benefits of health services and the financing of healthcare were distributed across socioeconomic groups. The study analyzed data from a national survey to examine progressivity and determine if the distribution of benefits and financing aligned with populations' needs.
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3. perfomance assessment philippines banzon final
- 1. Health Financing Summit 04.14.10
- 2. How the Philippines compare in health system performance with other Asian and middle-income countries World Bank Sector Assessment Team (Sarbani Chakraborty, George Scheiber, Ajay Tandon, Oscar Picazo, Eduardo Banzon et al) Presented by: Dr. Eduardo Banzon Senior Health Specialist World Bank
- 6. Total spending for health per capita in constant pesos (1995-2007) 3.9% growth
- 7. Composition of total spending for health (1995-2007 )
- 8. Total spending for health per capita in US$ PPP in selected comparators (1995-2007)
- 10. Health spending component share of GDP (1995-2007) 3.4% 3.9%
- 11. Total spending for health as share of GDP in selected comparators (1995-2007)
- 13. Department of Health budget (2005-2010) Source: General Appropriations Acts 2005 to 2010
- 14. Government spending for health as share of GDP (1995-2007)
- 15. Real Per Capita Government Health Expenditures (1997-2008) Source: Sicat et al 2010
- 17. % of uninsured Filipinos (based on PhilHealth reports 2000-2008) Source: PhilHealth annual reports
- 18. Out of pocket spending for health as share of total health spending vs. GDP per capita (1995-2007) > 50%
- 19. Private spending for health as share of total health spending vs. income per capita (1995-2007) 65%
- 20. Catastrophic Health Expenditure Headcounts, by Various Thresholds Source: Lavado et al 2010
- 21. HEALTH OUTCOMES
- 22. POPULATION HEALTH INDICATORS, 1960-2007
- 24. INFANT MORTALITY RATE as to INCOME and TOTAL HEALTH SPENDING, 2007
- 25. FEMALE LITERACY versus INCOME, 2000-2007
- 26. IMR (2007) as to YEARS of FEMALE EDUCATION
- 27. INFANT MORTALITY RATE, 1960-2007
- 28. INFANT MORTALITY RATE (2007)
- 30. LIFE EXPECTANCY at birth in selected Asian countries (1960-2008) 53 years 72 years
- 31. LIFE EXPECTANCY versus INCOME and TOTAL HEALTH SPENDING, 2007
- 34. MATERNAL MORTALITY versus INCOME and TOTAL HEALTH SPENDING, 2005
- 35. MMR (2005) as to YEARS of FEMALE EDUCATION Source: WDI; Barro-Lee
- 36. Skilled birth attendance relative to income and spending, 2003-2007
- 37. % of Births attended by health professionals (comparison across countries and Philippine regions), 2008
- 38. HEALTH INPUTS
- 39. Physician to Population ratio in selected Asian countries (1960- available current year)
- 40. Total Health Worker to Population ratio Relative to Total Health Spending and Income
- 41. Hospital Beds to Population ratio in selected Asian countries (1960- available current year)
- 42. Total Hospital Bed to Population ratio Relative to Total Health Spending and Income
- 43. Hospital/inpatient facility as Place of Death for Filipinos Source: National Statistics Office
- 47. Health Financing Summit 04.14.10