Health financing: designing and implementing pro-poor policies
Sara Bennett, Lucy Gilson
DFID Health Systems Resource Centre
UK Department for International Development, 2001
Available online as PDF file [26p.] at: http://www.healthsystemsrc.org/Pdfs/Health_financing_pro-poor.pdf
"..........Health financing reforms are a core part of health sector development in low and middle income countries.The current focus of the international debate is on the need to move away from excessive reliance on out-of-pocket payment towards a system which incorporates a greater element of risk pooling (for example through health insurance) and thus affords a greater protection for the poor.
This paper summarises what is known about the effects of the main health care financing systems, and how they can be designed and implemented to be 'pro-poor'....."
Content:
The principal financing mechanisms
Financing mechanisms and the poor: arguments and evidence
- Tax-based financing
- Social insurance financing
- Private health insurance
- User fees
- Community-based health insurance
Designing and implementing pro-poor financing schemes
Integrating a concern for the poor during the design phase
Building capacity to develop pro-poor schemes
Using financing mechanisms to promote high quality and responsive services for the poor
Designing and implementing exemption mechanisms
Monitoring and evaluating impact on the poor
Key lessons
Further reading
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