Donor and Domestic Financing of Primary Health Care in Low Income Countries
| Autor: | Daniel Kress, Dana Hovig, Hong Wang, R. Paul Shaw |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Economic growth
Resource (biology) Service delivery framework Universal design education LG local government Primary health care health care financing WHR:2008 World Health Report 2008 Developing country Nigeria Health Informatics allocative efficiency CRS creditor reporting system behavioral disciplines and activities donor financing Global Fund Global Fund for AIDS TB and Malaria SWAp sector wide approach Health Information Management PEPFAR President's Emergency Plan for AIDS Relief HEP health extension program Per capita Economics CMA Commission on Macroeconomics and Health MDG-DRG millennium development goal - debt relief gains OECD Organization for Economic Cooperation and Development GAVI The Global Alliance for Vaccines and Immunizations STI sexually transmitted infection Research Articles National health Finance DALY disability adjusted life year business.industry IHME Institute for Health Metrics and Evaluation Public Health Environmental and Occupational Health NGO non-governmental organization LIC low income country HLTF High Level Task Force on International Financing for Health Systems HSS health system strengthening primary health care health system strengthening NSHDP National Strategic Health Development Plan PHC primary health care NHA national health accounts Allocative efficiency Ethiopia MDG millennium development goal business national health accounts |
| Zdroj: | Health Systems and Reform |
| ISSN: | 2328-8620 2328-8604 |
| Popis: | —This paper evaluates resource commitments to primary health care (PHC) by donors and selected governments between 1990–2011. Donor commitments to financing PHC are assessed by reclassifying OECD/CRS data on health assistance into spending on ‘PHC Service Delivery’ versus spending on ‘Health System Strengthening’. Domestic spending on PHC is assessed using a case study approach and National Health Accounts for two major recipients of donor assistance, Ethiopia and Nigeria. Results are generally consistent with three simple hypotheses that guide the inquiry. First, though donor funding for health among LICs has mushroomed over the last decade, it remains a miniscule share of per capita spending targets prescribed by international forums to attain universal access to basic/essential PHC services. Relative to levels of domestic public spending in LICs, however, donor funding has considerably more significance as a potential lever to improve PHC efficiency. Second, as reflected in on-going debate in the literature, donor spending on broader ‘health system strengthening’ has not kept up with mushrooming financing of disease control programs. Third, at country level, where the ‘rubber meets the road’, allocative efficiency of donor and domestic spending on health is highly conditional on contextual factors, especially political will to improve financing and delivery of PHC services, and the process of managing and implementing public spending on PHC. |
| Databáze: | OpenAIRE |
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