Impact Of Out Of Pocket Expenditures On Families And Barriers To Use Of Maternal And Child Health Services In Asia And The Pacific
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Author | : Asian Development Bank |
Publisher | : Asian Development Bank |
Total Pages | : 83 |
Release | : 2012-12-01 |
Genre | : Business & Economics |
ISBN | : 929254229X |
The burden of poor maternal, neonatal and child health (MNCH) remains unacceptably high in many developing member countries (DMCs). To understand the barriers facing households in accessing MNCH care, the ADB technical assistance project RETA-6515 analyzed data from routine national household expenditure surveys in six DMCs: Bangladesh, Cambodia, the Lao People's Democratic Republic (Lao PDR),Pakistan, Papua New Guinea, and Timor-Leste. The findings reveal not only the rich evidence base available in these surveys, but also show how healthcare costs, quality, and physical barriers play differing roles in different countries in preventing access, and how families are often impoverished by accessing needed care.
Author | : Sri Wening Handayani |
Publisher | : Asian Development Bank |
Total Pages | : 241 |
Release | : 2018-10-01 |
Genre | : Business & Economics |
ISBN | : 9292612913 |
Developing countries in Asia have expanded their social protection programs. One of the key challenges is creating sustainable financing---considered the bedrock for success of the social protection agendas of the United Nations Sustainable Development Goals (SDGs) Agenda and Strategy 2030 of the Asian Development Bank (ADB). This book focuses on the analysis of fiscal requirements to achieve the social protection agenda of the SDGs and explore options to close the gaps in population coverage and adequacy of protection of social assistance, health care, and social insurance systems of ADB developing members over the next decade.
Author | : Meera Shekar |
Publisher | : World Bank Publications |
Total Pages | : 243 |
Release | : 2017-04-24 |
Genre | : Business & Economics |
ISBN | : 1464810117 |
An Investment Framework for Nutrition: Reaching the Global Targets for Stunting, Anemia, Breastfeeding, and Wasting estimates the costs, impacts, and financing scenarios to achieve the World Health Assembly global nutrition targets for stunting, anemia in women, exclusive breastfeeding and the scaling up of the treatment of severe wasting among young children. To reach these four targets, the world needs US$70 billion over 10 years to invest in high-impact nutrition-specific interventions. This investment would have enormous benefits: 65 million cases of stunting and 265 million cases of anemia in women would be prevented in 2025 as compared with the 2015 baseline. In addition, at least 91 million more children would be treated for severe wasting and 105 million additional babies would be exclusively breastfed during the first six months of life over 10 years. Altogether, achieving these targets would avert at least 3.7 million child deaths. Every dollar invested in this package of interventions would yield between US$4 and US$35 in economic returns, making investing in early nutrition one of the best value-for-money development actions. Although some of the targets—especially those for reducing stunting in children and anemia in women—are ambitious and will require concerted efforts in financing, scale-up, and sustained commitment, recent experience from several countries suggests that meeting these targets is feasible. These investments in the critical 1000-day window of early childhood are inalienable and portable and will pay lifelong dividends—not only for children directly affected but also for us all in the form of more robust societies—that will drive future economies.
Author | : Institute of Medicine and National Research Council |
Publisher | : National Academies Press |
Total Pages | : 217 |
Release | : 1998-11-27 |
Genre | : Medical |
ISBN | : 0309065607 |
America's Children is a comprehensive, easy-to-read analysis of the relationship between health insurance and access to care. The book addresses three broad questions: How is children's health care currently financed? Does insurance equal access to care? How should the nation address the health needs of this vulnerable population? America's Children explores the changing role of Medicaid under managed care; state-initiated and private sector children's insurance programs; specific effects of insurance status on the care children receive; and the impact of chronic medical conditions and special health care needs. It also examines the status of "safety net" health providers, including community health centers, children's hospitals, school-based health centers, and others and reviews the changing patterns of coverage and tax policy options to increase coverage of private-sector, employer-based health insurance. In response to growing public concerns about uninsured children, last year Congress voted to provide $24 billion over five years for new state insurance initiatives. This volume will serve as a primer for concerned federal policymakers and regulators, state agency officials, health plan decisionmakers, health care providers, children's health advocates, and researchers.
Author | : Meera Shekar |
Publisher | : World Bank Publications |
Total Pages | : 272 |
Release | : 2017-07-26 |
Genre | : Business & Economics |
ISBN | : 1464811431 |
L'ouvrage Un cadre d'investissement pour la nutrition: atteindre les cibles mondiales en matiere de retard de croissance, d'anemie, d'allaitement maternel et d'emaciation estime les couts et les impacts des differents scenarios de financement qui permettraient l'atteinte des cibles mondiales de nutrition adoptees par l' Assemblee mondiale de la sante en matiere de retard de croissance, danemie chez la femme, d'allaitement matemel exclusif et de mise a I'echelle du traitement de I'emaciation severe chez le jeune enfant. 11 faudra, pour atteindre ces quatre cibles, proceder a des financements mondiaux de 70 milliards de dollars sur lOans, ceci dans des interventions specifiques a la nutrition a fort impact. Ces investissements auraient toutefois des retornbees substantielles : 65 millions de cas de retard de croissance et 265 millions de cas danemie chez la femme auraient ete evites en 2025 comparati vement a I' annee de reference 2015. En outre, sur 10 ans, au moins 91 millions d' enfants supplementaires auraient ete traites pour emaciation severe et 105 millions de nourrissons additionnels auraient ete beneficiaires d'un allaitement matemel exclusif au cours de leurs premiers six mois de vie. L'atteintede l'ensemble de ces cibles permettrait d'eviter au moins 3,7 millions de mortalites infantiles. Chaque dollar investi dans ce paquet d'interventions genererait des rendements econorniques de4 a 35 dollars, ce qui fait du financement de la nutrition precoce l'une des interventions de developpement les plus rentables. Certaines des cibles - particulierement celles qui sont axees sur la reduction du retard de croissance chez l'enfant et de I'anemie chez la femmeparaissent ambitieuses et demanderont des efforts concertes de financement, de mise a l' echelle et d' engagement continu; toutefois, l' experience tiree de plusieurs pays indique que leur atteinte reste possible. Les investissements au cours des 1000 premiers jours decisifs de la petite enfance sont inalienables, transportables et porteurs de retombees tout au long de la vie - non seulement pour les enfants directement concernes, mais aussi pour nous tous - sous forme de societes plus robustes, qui agissent comme moteur des economies a venir.
Author | : Asian Development Bank |
Publisher | : Asian Development Bank |
Total Pages | : 198 |
Release | : 2012-12-01 |
Genre | : Business & Economics |
ISBN | : 9290929715 |
Reducing the burden of poor maternal, neonatal, and child health ill-health requires improvements in both the supply and use of effective maternal, newborn and child health (MNCH) services. The financial costs of treatment are known globally to be a major barrier to accessing essential care, potentially imposing considerable burdens on households. To find out what was known about the scale and impact on families of out-of-pocket expenditures in accessing MNCH care in the Asia-Pacific region, this study undertook a systematic review of the global and regional evidence. The findings show that despite significant progress in improving coverage in the region, millions of families in the region continue to face financial barriers to accessing essential MNCH care, and experience significant financial hardships as a result of out-of-pocket payments. It points to areas where the research needs to be improved both methodologically and in terms of geographical coverage, and where better policies might make a difference.
Author | : |
Publisher | : |
Total Pages | : 27 |
Release | : 2013 |
Genre | : |
ISBN | : 9789292542283 |
Author | : Collectif |
Publisher | : OECD |
Total Pages | : 230 |
Release | : 2018-12-03 |
Genre | : Political Science |
ISBN | : 926430990X |
This fifth edition of Health at a Glance Asia/Pacific presents a set of key indicators of health status, the determinants of health, health care resources and utilisation, health care expenditure and financing and quality of care across 27 Asia-Pacific countries and territories. It also provides a series of dashboards to compare performance across countries, and a thematic analysis on health inequalities. Drawing on a wide range of data sources, it builds on the format used in previous editions of Health at a Glance, and gives readers a better understanding of the factors that affect the health of populations and the performance of health systems in these countries and territories. Each of the indicators is presented in a user-friendly format, consisting of charts illustrating variations across countries and over time, brief descriptive analyses highlighting the major findings conveyed by the data, and a methodological box on the definition of the indicator and any limitations in data comparability. An annex provides additional information on the demographic context in which health systems operate.
Author | : Maria-Luisa Escobar |
Publisher | : Rowman & Littlefield |
Total Pages | : 239 |
Release | : 2011-01-01 |
Genre | : Political Science |
ISBN | : 0815705611 |
Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Colombia embarked in 1993 on a fifteen-year effort to cover its entire population with insurance, in combination with greater freedom to choose among providers. A decade later Mexico followed suit with a program tailored to its federal system. Several African nations have introduced new programs in the past decade, and many are testing options for reform. For the past twenty years, Eastern Europe has been shifting from government-run care to insurance-based competitive systems, and both China and India have experimental programs to expand coverage. These nations are betting that insurance-based health care financing can increase the accessibility of services, increase providers' productivity, and change the population's health care use patterns, mirroring the development of health systems in most OECD countries. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance–based care is key to the public policy debate of whether to extend insurance to low-income populations—and if so, how to do it—or to serve them through other means. Using recent household data, this book presents evidence of the impact of insurance programs in China, Colombia, Costa Rica, Ghana, Indonesia, Namibia, and Peru. The contributors also discuss potential design improvements that could increase impact. They provide innovative insights on improving the evaluation of health insurance reforms and on building a robust knowledge base to guide policy as other countries tackle the health insurance challenge.
Author | : Who Regional Office for the Western Paci |
Publisher | : Health Systems in Transition |
Total Pages | : 0 |
Release | : 2015-09-28 |
Genre | : Medical |
ISBN | : 9789290616917 |
The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of reform and policy initiatives in progress or under development in a specific country. Each profile is produced by country experts in collaboration with an international editor. In order to facilitate comparisons between countries, the profiles are based on a common template used by the Asia Pacific and European Observatories on Health Systems and Policies. The template provides detailed guidelines and specific questions, definitions and examples needed to compile a profile.