Publication:
Maternal Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey

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dc.contributor.authorWorld Bank
dc.date.accessioned2014-01-30T19:37:28Z
dc.date.available2014-01-30T19:37:28Z
dc.date.issued2013-10
dc.description.abstractAlthough Lao PDR has made notable progress in improving maternal and child health (MCH), attainment of the Millennium Development Goal 5 (MDG5) still remains a challenge. This is largely due to the barriers imposed by financial restrictions. In order to address these financial barriers, the Government of Lao PDR has introduced a national free MCH policy. However, certain non-financial barriers are also impediments to the achievement of this goal, such as physical access to remote communities, especially during rainy season, cultural practices and beliefs, and poor educational outcomes. In seeking to inform the implementation and scale-up of this national free MCH policy at this crucial initial stage, this paper reports on findings from a household, village and health center survey The policy implications of the findings from the survey are: 1) although financial protection implied by the national free MCH policy is strong, reducing financial barriers alone would not be sufficient to increase the utilization of services, 2) this policy has the potential to be regressive due to the higher utilization of MH services by wealthier households, 3) health providers at all levels of health facilities would experience substantial marginal decreases in revenue, given the reimbursement schedules under the national free MCH policy, and 4) the supply-side readiness and management capacity of health centers needs to be improved. This paper is organized to present the background context, analyses, the equity of MH service utilization, the supply-side perspective, and key findings and recommendations.en
dc.identifierhttp://documents.worldbank.org/curated/en/2013/10/18556979/maternal-health-out-of-pocket-expenditure-service-readiness-lao-pdr
dc.identifier.doi10.1596/16742
dc.identifier.urihttps://hdl.handle.net/10986/16742
dc.languageEnglish
dc.language.isoen_US
dc.publisherWashington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESS TO HEALTH CARE
dc.subjectACCESS TO HEALTH CARE SERVICES
dc.subjectACCESSIBILITY
dc.subjectAGED
dc.subjectANTENATAL CARE
dc.subjectBABY
dc.subjectBIRTH ATTENDANT
dc.subjectBIRTH ATTENDANTS
dc.subjectBIRTH RATES
dc.subjectCAESAREAN SECTION
dc.subjectCAESAREAN SECTIONS
dc.subjectCAPITATION
dc.subjectCARE FOR CHILDREN
dc.subjectCHILD HEALTH
dc.subjectCHILD HEALTH SERVICES
dc.subjectCHILDBIRTH
dc.subjectCOMMUNITIES
dc.subjectCOMMUNITY HEALTH
dc.subjectCOMPLICATED PREGNANCIES
dc.subjectCOMPLICATIONS
dc.subjectCROSSING
dc.subjectCULTURAL PRACTICES
dc.subjectDESCRIPTION
dc.subjectDEVELOPING COUNTRIES
dc.subjectDISSEMINATION
dc.subjectDISTRICTS
dc.subjectDRUGS
dc.subjectECONOMIC STATUS
dc.subjectECONOMIES OF SCALE
dc.subjectELASTICITY
dc.subjectELASTICITY OF DEMAND
dc.subjectEMERGENCIES
dc.subjectEMPOWERMENT OF WOMEN
dc.subjectEQUAL ACCESS
dc.subjectETHNIC GROUP
dc.subjectEXPENDITURES
dc.subjectFAMILY MEMBERS
dc.subjectFAMILY PLANNING
dc.subjectFAMILY PLANNING SERVICES
dc.subjectFAMILY SIZE
dc.subjectFEE FOR SERVICE
dc.subjectFEMALE
dc.subjectFERTILITY
dc.subjectFERTILITY RATES
dc.subjectFINANCIAL INCENTIVE
dc.subjectFINANCIAL MANAGEMENT
dc.subjectFIXED CHARGES
dc.subjectFIXED COSTS
dc.subjectFIXED FEE
dc.subjectFORMAL EDUCATION
dc.subjectGENDER
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE FACILITIES
dc.subjectHEALTH CARE SERVICES
dc.subjectHEALTH CENTERS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROVIDERS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SECTOR REFORM
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE UTILIZATION
dc.subjectHEALTH SERVICES
dc.subjectHOSPITAL
dc.subjectHOSPITAL BIRTHS
dc.subjectHOSPITAL DELIVERIES
dc.subjectHOSPITALIZATION
dc.subjectHOSPITALS
dc.subjectHOUSEHOLD LEVEL
dc.subjectHOUSEHOLD SIZE
dc.subjectHOUSEHOLDS
dc.subjectILLNESS
dc.subjectINCOME
dc.subjectINDIVIDUAL HEALTH
dc.subjectINDUCED DEMAND
dc.subjectINFANT
dc.subjectINFECTION PREVENTION
dc.subjectINFORMATION CAMPAIGNS
dc.subjectINSURANCE SCHEMES
dc.subjectINTERNATIONAL COMPARISONS
dc.subjectINTERVENTION
dc.subjectINTERVENTIONS
dc.subjectIRON
dc.subjectISOLATION
dc.subjectJOURNEY
dc.subjectLEGAL STATUS
dc.subjectLIVE BIRTHS
dc.subjectMANAGEMENT OF PATIENTS
dc.subjectMATERNAL HEALTH
dc.subjectMATERNAL HEALTH SERVICES
dc.subjectMATERNAL MORTALITY
dc.subjectMATERNAL MORTALITY RATES
dc.subjectMATERNITY SERVICES
dc.subjectMEDICAL EXPENSES
dc.subjectMEDICINES
dc.subjectMIDWIFE
dc.subjectMINISTRY OF HEALTH
dc.subjectMORTALITY
dc.subjectMOTHER
dc.subjectNATIONAL POPULATION
dc.subjectNATURAL RESOURCES
dc.subjectNEWBORNS
dc.subjectNUMBER OF PERSONS
dc.subjectNURSE
dc.subjectNUTRITION
dc.subjectOBSTETRIC CARE
dc.subjectOUTPATIENT SERVICES
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPEOPLE WITH DISABILITIES
dc.subjectPOLICY IMPLICATIONS
dc.subjectPOPULATION DISTRIBUTION
dc.subjectPOSTNATAL CARE
dc.subjectPREGNANCIES
dc.subjectPREGNANCY
dc.subjectPREGNANT WOMAN
dc.subjectPREGNANT WOMEN
dc.subjectPRIMARY CARE
dc.subjectPRIMARY SCHOOL
dc.subjectPROGRESS
dc.subjectPROVIDER PAYMENT
dc.subjectPROVINCIAL HOSPITAL
dc.subjectPROVINCIAL HOSPITALS
dc.subjectPUBLIC HEALTH
dc.subjectQUALITY OF CARE
dc.subjectQUALITY OF HEALTH
dc.subjectQUALITY OF SERVICES
dc.subjectREFERRAL SYSTEM
dc.subjectRESPECT
dc.subjectROAD
dc.subjectROUND TRIP
dc.subjectRURAL AREAS
dc.subjectRURAL COMMUNITIES
dc.subjectRURAL RESIDENCE
dc.subjectSANITATION
dc.subjectSANITATION FACILITIES
dc.subjectSECONDARY EDUCATION
dc.subjectSERVICE PROVIDER
dc.subjectSERVICE PROVISION
dc.subjectSERVICE QUALITY
dc.subjectSERVICE UTILIZATION
dc.subjectSKILLED ATTENDANT
dc.subjectSKILLED BIRTH ATTENDANTS
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectSOCIAL SECURITY
dc.subjectTRADITIONAL BIRTH ATTENDANTS
dc.subjectTRANSPARENCY
dc.subjectTRANSPORT
dc.subjectTRANSPORT COSTS
dc.subjectTRANSPORTATION
dc.subjectTRANSPORTATION COSTS
dc.subjectTRAVEL TIME
dc.subjectTRIP DISTANCE
dc.subjectTRIPS
dc.subjectTRUE
dc.subjectUNIVERSAL PRIMARY EDUCATION
dc.subjectUSER FEES
dc.subjectVAGINAL DELIVERY
dc.subjectVILLAGE DEVELOPMENT
dc.subjectVILLAGES
dc.subjectWEALTH
dc.subjectWORKERS
dc.titleMaternal Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Surveyen
dspace.entity.typePublication
okr.date.disclosure2013-11-26
okr.date.doiregistration2025-05-07T12:27:46.246487Z
okr.doctypeEconomic & Sector Work::Other Health Study
okr.doctypeEconomic & Sector Work
okr.docurlhttp://documents.worldbank.org/curated/en/2013/10/18556979/maternal-health-out-of-pocket-expenditure-service-readiness-lao-pdr
okr.globalpracticeSocial, Urban, Rural and Resilience
okr.globalpracticeTransport and ICT
okr.globalpracticeHealth, Nutrition, and Population
okr.identifier.externaldocumentum000461832_20131126142609
okr.identifier.internaldocumentum18556979
okr.identifier.reportAUS1950
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2013/11/26/000461832_20131126142609/Rendered/PDF/AUS19500WP0P140Box0379879B00PUBLIC0.pdfen
okr.region.administrativeEast Asia and Pacific
okr.region.countryLao People's Democratic Republic
okr.sectorHealth and other social services :: Health
okr.themeHuman development::Child health
okr.themeHuman development::Health system performance
okr.themeHuman development::Population and reproductive health
okr.topicHealth Monitoring and Evaluation
okr.topicTransport Economics Policy and Planning
okr.topicHousing and Human Habitats
okr.topicHealth Systems Development and Reform
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicCommunities and Human Settlements
okr.topicTransport
okr.unitHNP Sector Unit (EASHH)
okr.volume1 of 1
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