Publication:
Are Free Government Health Services the Best Way to Reach to Poor?

dc.contributor.author Gwatkin, Davison R.
dc.date.accessioned 2013-05-30T19:33:24Z
dc.date.available 2013-05-30T19:33:24Z
dc.date.issued 2004-09
dc.description.abstract The paper asks whether the pursuit of universal coverage by a wide range of free government services constitutes the most promising approach to meeting the needs of disadvantaged population groups. The response given to that question is probably not. The record to date points clearly to the danger that the benefits of subsidized government health services will flow primarily to the better-off, rather than to the poor for whom the services are intended. While there is no perfect approach to dealing with this issue, the record also points to several approaches that can significantly ameliorate the situation. Two of them, discussed in the paper, are the adoption of targeting measures to increase the proportion of benefits from government expenditures that flow to the poor; and the development of alternative, self-sustaining service financing and delivery mechanisms to serve the better-off. Successful implementation of approaches like these would allow governments to focus their efforts to achieve universal free coverage on a limited number of interventions that are particularly important for poor groups. en
dc.identifier http://documents.worldbank.org/curated/en/2004/09/5589349/free-government-health-services-best-way-reach-poor
dc.identifier.uri http://hdl.handle.net/10986/13720
dc.language English
dc.language.iso en_US
dc.publisher World Bank, Washington, DC
dc.relation.ispartofseries Health, Nutrition and Population (HNP) discussion paper;
dc.rights CC BY 3.0 IGO
dc.rights.holder World Bank
dc.rights.uri http://creativecommons.org/licenses/by/3.0/igo/
dc.subject CHILD HEALTH
dc.subject CHILD HEALTH SERVICES
dc.subject CLEAN WATER
dc.subject CLINICS
dc.subject COMMUNICABLE DISEASES
dc.subject DELIVERY MECHANISMS
dc.subject ECONOMIC DEVELOPMENT
dc.subject ECONOMIC POLICIES
dc.subject EXPENDITURES
dc.subject FAMILIES
dc.subject HEALTH CARE
dc.subject HEALTH CARE COSTS
dc.subject HEALTH CARE EXPENDITURES
dc.subject HEALTH CARE FINANCING
dc.subject HEALTH EXPENDITURES
dc.subject HEALTH FACILITIES
dc.subject HEALTH FINANCING
dc.subject HEALTH INSURANCE
dc.subject HEALTH PROGRAMS
dc.subject HEALTH REFORM
dc.subject HEALTH SECTOR
dc.subject HEALTH SERVICE PROVISION
dc.subject HEALTH SERVICE USE
dc.subject HEALTH SERVICES
dc.subject HEALTH STATUS
dc.subject HEALTH SYSTEM
dc.subject HOSPITAL CARE
dc.subject HOSPITALIZATION
dc.subject HOUSEHOLDS
dc.subject HUMAN DEVELOPMENT
dc.subject HUMAN RESOURCES
dc.subject IMMUNIZATION
dc.subject INCIDENCE ANALYSIS
dc.subject INCOME
dc.subject INFANT MORTALITY
dc.subject INTERVENTION
dc.subject LATIN AMERICAN
dc.subject LESSONS LEARNED
dc.subject MEDICAL CARE
dc.subject MEDICAL EQUIPMENT
dc.subject MEDICAL TREATMENT
dc.subject NUTRITION
dc.subject POLICY RESEARCH
dc.subject POPULATION GROUPS
dc.subject PRIMARY CARE
dc.subject PRIVATE SECTOR
dc.subject PROMOTING HEALTH
dc.subject PUBLIC HEALTH
dc.subject PUBLIC HEALTH SERVICES
dc.subject PUBLIC SECTOR
dc.subject RADIO
dc.subject REPRODUCTIVE HEALTH
dc.subject RURAL HEALTH
dc.subject RURAL HEALTH CARE
dc.subject SAFETY
dc.subject SAFETY NETS
dc.subject SECURITY SYSTEMS
dc.subject SERVICE DELIVERY
dc.title Are Free Government Health Services the Best Way to Reach to Poor? en
dspace.entity.type Publication
okr.doctype Publications & Research :: Working Paper
okr.doctype Publications & Research
okr.docurl http://documents.worldbank.org/curated/en/2004/09/5589349/free-government-health-services-best-way-reach-poor
okr.globalpractice Macroeconomics and Fiscal Management
okr.globalpractice Education
okr.identifier.externaldocumentum 000090341_20050208102237
okr.identifier.internaldocumentum 5589349
okr.identifier.report 29185
okr.language.supported en
okr.pdfurl http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2005/02/08/000090341_20050208102237/Rendered/PDF/291850HNP0Free0government0health.pdf en
okr.topic Health Monitoring and Evaluation
okr.topic Macroeconomics and Economic Growth :: Knowledge Economy
okr.topic Health Systems Development and Reform
okr.topic Education :: Education for the Knowledge Economy
okr.topic Housing and Human Habitats
okr.unit Health, Nutrition, and Population
okr.volume 1 of 1
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