Global Monitoring Report on Financial Protection in Health 2021

Publication:
Global Monitoring Report on Financial Protection in Health 2021

dc.contributor.author	World Health Organization
dc.contributor.author	World Bank
dc.date.accessioned	2021-12-13T20:40:04Z
dc.date.available	2021-12-13T20:40:04Z
dc.date.issued	2021-12-13
dc.description.abstract	Financial protection is an intrinsic part of universal health coverage (UHC) and, together with service coverage, is one of the health systems’ goals. Financial protection is achieved when: there are no financial barrier to access; and direct payments required to obtain health services (outof-pocket health spending) are not a source of financial hardship. A full account of financial hardship requires monitoring of impoverishing health expenditures, including any amount spent on health out-of-pocket by the poor, in addition to large out-of-pocket health spending. Out-of-pocket (OOP) health spending is an inefficient and inequitable way of financing health and should be reduced as much as possible in favour of pre-payment mechanisms. When it contributes to health financing, it should not be borne disproportionately by the poor and not at all by the poorest. Since 2015, the World Health Organization (WHO) and the World Bank have been reporting progress on reducing financial hardship at the global level using two main indicators: i) the incidence of catastrophic health spending, defined as the population with large OOP spending in relation to household consumption or income (Sustainable Development Goal (SDG) indicator 3.8.2 with ‘large’ defined using two thresholds 10% and 25%); and ii) recognizing that even lower thresholds of OOP health spending in consumption or income can lead to financial hardship, the proportion of the population impoverished by OOP health spending. This report goes one step further, to include a focus on the poor spending any amount on health OOP. Those payments matter: they represent a major challenge to “End poverty in all its forms everywhere” (SDG 1) arising from OOP health spending by the poorest. Tracking all OOP health spending is critical to monitoring financial hardship across the whole population, in line with the pledge to leave no one behind that is at the heart of the SDGs.	en
dc.identifier	http://documents.worldbank.org/curated/undefined/965731639408946104/Global-Monitoring-Report-on-Financial-Protection-in-Health-2021
dc.identifier.doi	10.1596/978-92-4-004095-3
dc.identifier.isbn	978-92-4-004095-3
dc.identifier.uri	https://hdl.handle.net/10986/36723
dc.language	English
dc.publisher	World Health Organization and World Bank
dc.rights	CC BY-NC-SA 3.0 IGO
dc.rights.holder	World Health Organization and World Bank
dc.rights.uri	http://creativecommons.org/licenses/by-nc-sa/3.0/igo
dc.subject	FINANCIAL HARDSHIP
dc.subject	CORONAVIRUS
dc.subject	COVID-19
dc.subject	PANDEMIC IMPACT
dc.subject	HEALTH SPENDING
dc.subject	PUBLIC HEALTH EXPENDITURE
dc.subject	HEALTH SERVICE DELIVERY
dc.subject	HEALTH SERVICE COVERAGE
dc.subject	UNIVERSAL HEALTH COVERAGE
dc.subject	PUBLIC FINANCE
dc.title	Global Monitoring Report on Financial Protection in Health 2021	en
dc.type	Report	en
dc.type	Rapport	fr
dc.type	Informe	es
dspace.entity.type	Publication
okr.date.disclosure	2021-12-13
okr.date.doiregistration	2025-05-07T11:36:52.811296Z
okr.date.lastmodified	2021-12-13T00:00:00Z	en
okr.doctype	Economic & Sector Work
okr.doctype	Economic & Sector Work::Other Health Study
okr.docurl	http://documents.worldbank.org/curated/undefined/965731639408946104/Global-Monitoring-Report-on-Financial-Protection-in-Health-2021
okr.guid	965731639408946104
okr.identifier.externaldocumentum	090224b088c190d8_1_0
okr.identifier.internaldocumentum	33672041
okr.identifier.report	166880
okr.imported	true	en
okr.language.supported	en
okr.pdfurl	http://documents.worldbank.org/curated/en/965731639408946104/pdf/Global-Monitoring-Report-on-Financial-Protection-in-Health-2021.pdf	en
okr.topic	Health, Nutrition and Population::Disease Control & Prevention
okr.topic	Health, Nutrition and Population::Health Economics & Finance
okr.topic	Health, Nutrition and Population::Health Service Management and Delivery
okr.unit	HNP GFF Program (HHNGF)