Components of health care financing reform in ethiopia pdf

It analyzes the basic financing challenges facing lmics as a result of revenue generation and collection constraints. It discusses the basic functions of health financing systems and the various mechanisms for effective revenue. The ethiopian health care system is under tremendous reform. The health care delivery system organisation and management of the national health system 5. The primary care reform strategy was designed through innovative use of the evidence base on health problems, health care use, and health financing. Today i want to go over five of the major components of health care reform and what they mean for you.

Among others, the aims of the scheme are to increase access to. In brazil, where health is a constitutional right for all citizens, the decentralized health care system using innovative family health teams has made gains in improving access but suffers from stagnant government funding. The researchers were mainly located in what was formerly northern ethiopia eritrea. During this period, our country has made huge strides in. Equity in health care is ensuring availability of the best care to all whereby the quality of care provided does not differ by any personal characteristics including age, gender, socioeconomic status or place of. In mid2011, the government of ethiopia launched a pilot communitybased health insurance cbhi scheme in thirteen rural districts. In the past two decades, the government of ethiopia has invested heavily in health system strengthening guided by its propoor policies and strategies resulting in significant gains in improving the health. Synthesis lessons for policy from the experience of 381 ceeecca countries on the implementation of health financing reforms chapter 14 implementing health financing reform in ceeecca countries. The reforms the health care financing reform strategy, recognizing that health care should be financed through multiple. Management manual, revenue retention and utilization. Jul 18, 20 the five year 201011201415 growth and transformation plan of ethiopia gtp put all the reform agendas under nutshell of capacity building and good governance chapter mofed, 2010. The new health care reform law in the united states, known formally as the patient protection and affordable care act ppaca, is a complicated law.

Reconsidering civil service reform in ethiopia devex. Public disclosure authorized program in ethiopia the health. Reviewing ethiopias health system development jmaj 524. Directorate of the ethiopian public health institute. A 300% increase in total health expenditure has been measured, as well as an increase in per capita health. In the past two decades, the government of ethiopia has invested heavily in health system strengthening guided by its propoor policies and strategies resulting in significant gains in improving the health status of ethiopians. Health service delivery in ethiopia is characterized an inadequate number of welltrained health providers, limited health infrastructure and shortages of finance, equipment, and supplies. The two major components are child health and health care financing hcf reform. Important barriers to improved health care financing include. Organization and financing of the health sector in zimbabwe 11 3. The figure also shows the improvement of per capita health expenditure of ethiopia from 1996 to 20. Nha shows ethiopias health care financing reforms have yielded tremendous achievements. Ethiopia endorsed a health care financing strategy in 1998.

In an effort to protect citizens from catastrophic effects of the clearly high share of. Table 1 progress in key health indicators, ethiopia, 2005 and 2011 health outcomeoutput 2005 2011 change underfive mortality rate 123 88 28% infant mortality rate 77 59 23% stunting in underfive children 51 44 14% prevalence of anemia among women 27 17 37% total fertility rate 5. In brazil, where health is a constitutional right for all citizens, the. In an effort to protect citizens from catastrophic effects of the clearly high share of outofpocket expenditure, the government is currently working to introduce health insurance. As a result, ethiopia has done remarkably well in meeting most of the mdg targets. The following components have been critical to their success. Discuss the rising costs of care and its major components.

Financing reforms for the health care scheme in thailand 4. One of the issues high on the agenda is health care financing. Health in ethiopia has improved markedly since the early 2000s, with government leadership playing a key role in mobilizing resources and ensuring that they are used effectively. Use of primary and preventive health care services in ethiopia. Although the health financing in ethiopia comes from a variety of sources, direct outofpocket spending accounts for a significant portion of health sector spending in the country.

Although the health financing in ethiopia comes from a variety of sources, direct outofpocket. Is the essential care based on practical, scientifically sound and socially acceptable method and technology made universally accessible to individuals and. Improving health care financing in ethiopia report dire international hotel, adama, ethiopia saturday, 07 june 2014 this report was prepared by technology transfer and research translation directorate, at the ethiopian public health institute this policy dialogue was informed by the following policy brief. Financing health systems in the 21st century disease. In an effort to protect citizens from catastrophic effects of the clearly high share of out of pocket expenditure, the government is currently working to introduce health insurance. Ethiopia is a democracy with a federal system of government comprising 9 regions and two administrative councils. Mar 01, 2012 ethiopia endorsed a health care financing strategy in 1998 that envisioned a wide range of reform initiatives. A midterm evaluation of the health sector financing reform hsfr project4 conducted in 2011 indicated outstanding results in all major reform components usaid 2011. Table 1 progress in key health indicators, ethiopia, 2005 and 2011 health outcomeoutput 2005 2011 change underfive mortality rate 123 88 28% infant mortality rate 77 59 23% stunting in underfive. Therefore, this material should be regarded as an introduction to health economics. Health sector reform international health systems program. Health care financing reforms have positively transformed the health sector in ethiopia. We are committed to improving health systems by strengthening human resources, expanding health financing options, and increasing health commodity and essential drug availability.

A path to sustainable financing while improving quality and equity. The uganda national minimum health care package 9 4. Objectivethis article aims to highlight the components of the ethiopian health care financing reform and discuss its implications on access to essential medicines. Synthesis lessons for policy from the experience of 381 ceeecca.

Use of charges in the tertiary level of attention 5. Although the health financing in ethiopia comes from a variety of sources, direct out of pocket spending accounts for a significant portion of health sector spending in the country. Economic issues in reform of health care financing. Between 1986 and 1996, government financing grew from 23% to 43% of total health care financing in ethiopia. Foreword by the minister of health ethiopia has implemented successive health sector development plans hsdps since 1997 in four phases. Aug 29, 2012 health care delivery is not just a problem in low and middleincome countries. Most of their work concentrated on infectious and parasitic diseases. Background the ethiopian health care system is under tremendous reform. The unique nature and combination of multiple reforms sets ethiopia apart. Discuss the problem of access and lack of universal healthcare. It discusses the basic functions of health financing systems and the various mechanisms for effective revenue collection, pooling of resources, and purchase of interventions who 2000. When health sector investment is analyzed, it is seen that the situation over the past few decades has not changed with regard to low investment in health. Ethiopia endorsed a health care financing strategy in 1998 that envisioned a wide range of reform initiatives. The capacity development resource guides highlight the key technical areas of expertise needed to effectively influence health policy design.

Among others, the aims of the scheme are to increase access to health care and to reduce household vulnerability to unexpected out of pocket health expenditure. Health, nutrition and population hnp discussion paper. The healthcare system in ethiopia is characterized by some of the lowest health expenditures and poor health indicators by regional and world standards. The management, coordination, and distribution of technical support in each and every level is the responsibility of. Impact of ethiopias community based health insurance on. Transforming ethiopias health care system from the ground up. The hcf component aims to improve availability of financing and allocation and use of available resources for enhancing accessibility, equity, and quality of health care. Evaluation of health care financing reform in kyrgyzstan 6. Health care delivery is not just a problem in low and middleincome countries. Executive summary improving health care financing in ethiopia. In an effort to protect citizens from catastrophic effects of the clearly. Key components of a well functioning health system a well functioning health system responds in a balanced way to a populations needs and expectations by. The session will also consider hcfr as a component of broader health system reform.

The implementation of these reform initiatives was legalized through regional legislations and operationalized in line with prototype implementation frameworks that were modified and aligned within specific regional contexts. The capacity development resource guides highlight the key technical areas of expertise needed to effectively influence health policy design, implementation, and monitoring and evaluation. In an effort to protect citizens from catastrophic effects of. This chapter assesses health financing policy in low and middleincome countries lmics. Chapter promoting accountability in health care financing institutions 361 william d. The implementation of these reform initiatives was legalized through regional.

The implementation of these reform initiatives was legalized through regional legislations and operationalized in line with. Improving quality and equity abstract ethiopia endorsed a health care financing strategy in 1998 that envisioned a wide range of reform initiatives. During this period, our country has made huge strides in improving access to health services and improvements in health outcomes. A broad consensus is emerging that health care reform should ensure. The reforms the health care financing reform strategy, recognizing that health care should be financed through multiple mechanisms to ensure longrange sustainability, underscored the importance of promoting costsharing in the provision of health services. Program reports and smallscale studies showed it improved. Ethiopia health sector transformation plan 201516201920. Discuss the differences in performance between the u. Household income is ultimately the source of most health care finance, but direct expenditure constitutes a specific category of financing that should be considered separately. The secondary and tertiary levels are comprised of general and specialized hospitals, and the coverage of each extends to.

This series is produced by the health, nutrition, and population family hnp of the world banks human development network. Implications on access to essential medicines background the ethiopian health care system is under tremendous reform. Poor health care financing is one of the major challenges for the health system of ethiopia fmoh 2010. The secondary and tertiary levels are comprised of general and specialized hospitals, and the coverage of each extends to larger portions of the population.