Pathways to Reduce Household Out-of-Pocket Expenditure
Bangladesh allocates a much smaller share of the government budget to health than countries of similar income level. Reallocation is politically challenging but could offer the biggest potential source of fiscal space for health, larger than the space that economic growth can bring. How those additional resources are used, is also important to improve financial protection. Improving the readiness of the public health care network to provide quality care, particularly at primary health care level, could reduce the use of alternative providers, thereby reducing the need for OOP payments. Ensuring the functionality of community clinics, union level facilities, and upazila health complexes, including a revision of their opening hours would also contribute towards this goal. Ensuring access to pharmaceutical products, particularly for essential NCD-related drugs, at affordable prices could also contribute to a reduction in households OOP payments. In addition to these supply-side interventions, the government could consider demand-side programs where resources follow the patient. For instance, given the large needs and the little resources available, an important pathway to reduce OOP payments while decreasing inequalities would be better targeting public subsidies to the poor and vulnerable. Finally, improving public financial management, policies, and governance will also contribute to the effective use of existing and any additional resources for health.
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| Format: | Working Paper biblioteca |
| Language: | English |
| Published: |
World Bank, Washington, DC
2020-08
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| Subjects: | HEALTH SPENDING, FINANCIAL PROTECTION, DOMESTIC RESOURCE MOBILIZATION, OUT-OF-POCKET EXPENSE, HEALTH COST, PUBLIC EXPENDITURE, POOLED FUNDS, PUBLIC FINANCIAL MANAGEMENT, |
| Online Access: | http://documents.worldbank.org/curated/en/327271622015842654/Pathways-to-Reduce-Household-Out-of-Pocket-Expenditure http://hdl.handle.net/10986/35658 |
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dig-okr-10986356582021-06-04T05:11:26Z Pathways to Reduce Household Out-of-Pocket Expenditure Bonilla-Chacin, Maria Eugenia Hossain, Md. Rafi Mahmud, Md. Shahadt Hossain Amin, Md. Nural Sarker, Mohammad Abul Bashar Sadat, Muhammad Anwar Paul, Subrata Ahmed, Shakil Begum, Tahmina Smith, Owen Kumar, Anurag HEALTH SPENDING FINANCIAL PROTECTION DOMESTIC RESOURCE MOBILIZATION OUT-OF-POCKET EXPENSE HEALTH COST PUBLIC EXPENDITURE POOLED FUNDS PUBLIC FINANCIAL MANAGEMENT Bangladesh allocates a much smaller share of the government budget to health than countries of similar income level. Reallocation is politically challenging but could offer the biggest potential source of fiscal space for health, larger than the space that economic growth can bring. How those additional resources are used, is also important to improve financial protection. Improving the readiness of the public health care network to provide quality care, particularly at primary health care level, could reduce the use of alternative providers, thereby reducing the need for OOP payments. Ensuring the functionality of community clinics, union level facilities, and upazila health complexes, including a revision of their opening hours would also contribute towards this goal. Ensuring access to pharmaceutical products, particularly for essential NCD-related drugs, at affordable prices could also contribute to a reduction in households OOP payments. In addition to these supply-side interventions, the government could consider demand-side programs where resources follow the patient. For instance, given the large needs and the little resources available, an important pathway to reduce OOP payments while decreasing inequalities would be better targeting public subsidies to the poor and vulnerable. Finally, improving public financial management, policies, and governance will also contribute to the effective use of existing and any additional resources for health. 2021-06-03T19:25:15Z 2021-06-03T19:25:15Z 2020-08 Working Paper http://documents.worldbank.org/curated/en/327271622015842654/Pathways-to-Reduce-Household-Out-of-Pocket-Expenditure http://hdl.handle.net/10986/35658 English Health, Nutrition and Population Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper South Asia Bangladesh |
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| country |
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| component |
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biblioteca |
| region |
America del Norte |
| libraryname |
Biblioteca del Banco Mundial |
| language |
English |
| topic |
HEALTH SPENDING FINANCIAL PROTECTION DOMESTIC RESOURCE MOBILIZATION OUT-OF-POCKET EXPENSE HEALTH COST PUBLIC EXPENDITURE POOLED FUNDS PUBLIC FINANCIAL MANAGEMENT HEALTH SPENDING FINANCIAL PROTECTION DOMESTIC RESOURCE MOBILIZATION OUT-OF-POCKET EXPENSE HEALTH COST PUBLIC EXPENDITURE POOLED FUNDS PUBLIC FINANCIAL MANAGEMENT |
| spellingShingle |
HEALTH SPENDING FINANCIAL PROTECTION DOMESTIC RESOURCE MOBILIZATION OUT-OF-POCKET EXPENSE HEALTH COST PUBLIC EXPENDITURE POOLED FUNDS PUBLIC FINANCIAL MANAGEMENT HEALTH SPENDING FINANCIAL PROTECTION DOMESTIC RESOURCE MOBILIZATION OUT-OF-POCKET EXPENSE HEALTH COST PUBLIC EXPENDITURE POOLED FUNDS PUBLIC FINANCIAL MANAGEMENT Bonilla-Chacin, Maria Eugenia Hossain, Md. Rafi Mahmud, Md. Shahadt Hossain Amin, Md. Nural Sarker, Mohammad Abul Bashar Sadat, Muhammad Anwar Paul, Subrata Ahmed, Shakil Begum, Tahmina Smith, Owen Kumar, Anurag Pathways to Reduce Household Out-of-Pocket Expenditure |
| description |
Bangladesh allocates a much smaller
share of the government budget to health than countries of
similar income level. Reallocation is politically
challenging but could offer the biggest potential source of
fiscal space for health, larger than the space that economic
growth can bring. How those additional resources are used,
is also important to improve financial protection. Improving
the readiness of the public health care network to provide
quality care, particularly at primary health care level,
could reduce the use of alternative providers, thereby
reducing the need for OOP payments. Ensuring the
functionality of community clinics, union level facilities,
and upazila health complexes, including a revision of their
opening hours would also contribute towards this goal.
Ensuring access to pharmaceutical products, particularly for
essential NCD-related drugs, at affordable prices could also
contribute to a reduction in households OOP payments. In
addition to these supply-side interventions, the government
could consider demand-side programs where resources follow
the patient. For instance, given the large needs and the
little resources available, an important pathway to reduce
OOP payments while decreasing inequalities would be better
targeting public subsidies to the poor and vulnerable.
Finally, improving public financial management, policies,
and governance will also contribute to the effective use of
existing and any additional resources for health. |
| format |
Working Paper |
| topic_facet |
HEALTH SPENDING FINANCIAL PROTECTION DOMESTIC RESOURCE MOBILIZATION OUT-OF-POCKET EXPENSE HEALTH COST PUBLIC EXPENDITURE POOLED FUNDS PUBLIC FINANCIAL MANAGEMENT |
| author |
Bonilla-Chacin, Maria Eugenia Hossain, Md. Rafi Mahmud, Md. Shahadt Hossain Amin, Md. Nural Sarker, Mohammad Abul Bashar Sadat, Muhammad Anwar Paul, Subrata Ahmed, Shakil Begum, Tahmina Smith, Owen Kumar, Anurag |
| author_facet |
Bonilla-Chacin, Maria Eugenia Hossain, Md. Rafi Mahmud, Md. Shahadt Hossain Amin, Md. Nural Sarker, Mohammad Abul Bashar Sadat, Muhammad Anwar Paul, Subrata Ahmed, Shakil Begum, Tahmina Smith, Owen Kumar, Anurag |
| author_sort |
Bonilla-Chacin, Maria Eugenia |
| title |
Pathways to Reduce Household Out-of-Pocket Expenditure |
| title_short |
Pathways to Reduce Household Out-of-Pocket Expenditure |
| title_full |
Pathways to Reduce Household Out-of-Pocket Expenditure |
| title_fullStr |
Pathways to Reduce Household Out-of-Pocket Expenditure |
| title_full_unstemmed |
Pathways to Reduce Household Out-of-Pocket Expenditure |
| title_sort |
pathways to reduce household out-of-pocket expenditure |
| publisher |
World Bank, Washington, DC |
| publishDate |
2020-08 |
| url |
http://documents.worldbank.org/curated/en/327271622015842654/Pathways-to-Reduce-Household-Out-of-Pocket-Expenditure http://hdl.handle.net/10986/35658 |
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