Publication:
Health Financing for Poor People : Resource Mobilization and Risk Sharing

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dc.contributor.authorPreker, Alexander S.
dc.contributor.authorCarrin, Guy
dc.contributor.editorPreker, Alexander S.
dc.contributor.editorCarrin, Guy
dc.date.accessioned2013-08-12T18:52:26Z
dc.date.available2013-08-12T18:52:26Z
dc.date.issued2004
dc.description.abstractMost community financing schemes have evolved in the context of severe economic constraints, political instability, and lack of good governance. Usually government taxation capacity is weak, formal mechanisms of social protection for vulnerable populations absent, and government oversight of the informal health sector lacking. In this context of extreme public sector failure, community involvement in the financing of health care provides a critical albeit insufficient first step in the long march towards improved access to health care by the poor and social protection against the cost of illness. Health Financing for Poor People stresses that community financing schemes are no panacea for the problems that low-income countries face in resource mobilization. They should be regarded as a complement to - not as a substitute for - strong government involvement in health care financing and risk management related to the cost of illness. Based on an extensive survey of the literature, the main strengths of community financing schemes are the extent of outreach penetration achieved through community participation, their contribution to financial protection against illness, and increase in access to health care by low-income rural and informal sector workers. Their main weaknesses are the low volume of revenues that can be mobilized from poor communities, the frequent exclusion of the very poorest from participation in such schemes without some form of subsidy, the small size of the risk pool, the limited management capacity that exists in rural and low-income contexts, and their isolation from the more comprehensive benefits that are often available through more formal health financing mechanisms and provider networks. The authors conclude by proposing concrete public policy measures that governments can introduce to strengthen and improve the effectiveness of community involvement in health care financing.en
dc.identifierhttp://documents.worldbank.org/curated/en/2004/05/3522037/health-financing-poor-people-resource-mobilization-risk-sharing
dc.identifier.doi10.1596/0-8213-5525-2
dc.identifier.isbn0-8213-5525-2
dc.identifier.urihttps://hdl.handle.net/10986/15019
dc.languageEnglish
dc.language.isoen_US
dc.publisherWashington, DC: World Bank
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectHEALTH FINANCING
dc.subjectHEALTH CARE ADMINISTRATION
dc.subjectCOMMUNITY FINANCING
dc.subjectCOMMUNITY PARTICIPATION
dc.subjectRESOURCE MOBILIZATION
dc.subjectGOVERNMENT ROLE
dc.subjectRISK MANAGEMENT
dc.subjectHEALTH OUTREACH SERVICES
dc.subjectACCESS TO HEALTH CARE
dc.subjectLOW INCOME POPULATIONS
dc.subjectINFORMAL SECTOR
dc.subjectHEALTH EXPENDITURES
dc.subjectRISK POOLING
dc.subjectCOMMUNITY FINANCING
dc.subjectHEALTH CARE DELIVERY
dc.subjectHEALTH CARE FOR POOR CHILDREN
dc.subjectADMINISTRATIVE CAPABILITY
dc.subjectHEALTH CARE COST CONTROL
dc.subjectHEALTH CARE COVERAGE ABILITY TO PAY
dc.subjectBASIC HEALTH CARE
dc.subjectBASIC HEALTH SERVICES
dc.subjectBASIC SERVICES
dc.subjectCASE STUDIES
dc.subjectCLINICS
dc.subjectCOMMUNITY HEALTH
dc.subjectCOMMUNITY LEADERS
dc.subjectCOMMUNITY MEMBERS
dc.subjectCOMMUNITY PARTICIPATION
dc.subjectCONCEPTUAL FRAMEWORK
dc.subjectCOST RECOVERY
dc.subjectDATA ANALYSIS
dc.subjectDATA SOURCES
dc.subjectDEBT RELIEF
dc.subjectDEVELOPED COUNTRIES
dc.subjectDEVELOPING COUNTRIES
dc.subjectDEVELOPMENT GOALS
dc.subjectEMPLOYMENT
dc.subjectEXPENDITURES
dc.subjectFAMILIES
dc.subjectFINANCING MECHANISMS
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE COSTS
dc.subjectHEALTH CARE FINANCE
dc.subjectHEALTH CARE FINANCING
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CENTER
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEM GOALS
dc.subjectHEALTH WORKERS
dc.subjectHOSPITAL SERVICES
dc.subjectHOSPITAL UTILIZATION
dc.subjectHOSPITALIZATION
dc.subjectHOSPITALS
dc.subjectHOUSEHOLD CHARACTERISTICS
dc.subjectHOUSEHOLD DATA
dc.subjectHOUSEHOLD LEVEL
dc.subjectHOUSEHOLD SURVEY
dc.subjectHOUSEHOLD SURVEYS
dc.subjectIMPROVED ACCESS
dc.subjectINCOME
dc.subjectINCOME POPULATIONS
dc.subjectINDIVIDUAL LEVEL
dc.subjectINFORMAL SECTOR
dc.subjectINPATIENT CARE
dc.subjectINTERNATIONAL LABOUR
dc.subjectISOLATION
dc.subjectLABOR MARKET
dc.subjectLIFE INSURANCE
dc.subjectLOCAL LEVEL
dc.subjectLOW- INCOME COUNTRIES
dc.subjectLOW-INCOME COUNTRIES
dc.subjectMANAGEMENT CAPACITY
dc.subjectMEDICAL CARE
dc.subjectMEDICAL ECONOMICS
dc.subjectMEDICAL INSURANCE
dc.subjectMORTALITY
dc.subjectPATIENTS
dc.subjectPOLICY MEASURES
dc.subjectPOLICY OPTIONS
dc.subjectPOOR COMMUNITIES
dc.subjectPOOR HOUSEHOLDS
dc.subjectPOOR LIVING
dc.subjectPOOR PEOPLE
dc.subjectPOPULATION SIZE
dc.subjectPOVERTY ALLEVIATION
dc.subjectPRIMARY CARE
dc.subjectPRIVATE SECTOR
dc.subjectPROBABILITY
dc.subjectPUBLIC EXPENDITURE
dc.subjectPUBLIC FUNDS
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLIC POLICY
dc.subjectPUBLIC SECTOR
dc.subjectPUBLIC SERVICES
dc.subjectRESEARCH DESIGN
dc.subjectRESOURCE ALLOCATION
dc.subjectRESOURCE CONSTRAINTS
dc.subjectRISK SHARING
dc.subjectRURAL AREAS
dc.subjectRURAL COMMUNITIES
dc.subjectRURAL POOR
dc.subjectRURAL RESIDENTS
dc.subjectSECTOR PROVIDERS
dc.subjectSERVICE DELIVERY
dc.subjectSOCIAL CAPITAL
dc.subjectSOCIAL EXCLUSION
dc.subjectSOCIAL INCLUSION
dc.subjectSOCIAL PROTECTION
dc.subjectSTATISTICAL DATA
dc.subjectSUSTAINABILITY
dc.subjectTAX COLLECTION
dc.subjectTECHNICAL ASSISTANCE
dc.subjectTECHNICAL SUPPORT
dc.subjectURBAN CENTERS
dc.subjectURBAN HOUSEHOLDS
dc.subjectURBAN POOR
dc.subjectWORKERS
dc.titleHealth Financing for Poor People : Resource Mobilization and Risk Sharingen
dspace.entity.typePublication
okr.doctypePublications & Research::Publication
okr.doctypePublications & Research::Publication
okr.docurlhttp://documents.worldbank.org/curated/en/2004/05/3522037/health-financing-poor-people-resource-mobilization-risk-sharing
okr.globalpracticeSocial, Urban, Rural and Resilience
okr.globalpracticePoverty
okr.guid519081468780547446
okr.identifier.doi10.1596/0-8213-5525-2
okr.identifier.externaldocumentum000160016_20040518165118
okr.identifier.internaldocumentum3522037
okr.identifier.report28986
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2004/05/18/000160016_20040518165118/Rendered/PDF/289860PAPER0Health0financing010the0poor.pdfen
okr.topicHealth Monitoring and Evaluation
okr.topicRural Development::Regional Rural Development
okr.topicHealth Systems Development and Reform
okr.topicHealth Economics and Finance
okr.topicPoverty Reduction::Poverty Assessment
okr.unitHealth, Nutrition & Popultn Team (HDNHE)
okr.volume1 of 1
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