Publication: Health Financial Sustainability and Resilience Assessment Report
Loading...
Published
2024-05-20
ISSN
Date
2024-05-20
Author(s)
Editor(s)
Abstract
This report presents the results of adapting and applying the Health Financing Sustainability and Resilience Assessment (HFSRA) framework to the Mexican context to identify valuable lessons that can be useful for contextualizing the use of HFSRA to the needs of other countries. The framework assesses health financing based on four core concepts: sufficiency, sustainability, resilience, and efficiency. For the HFSRA case study in Mexico, sufficiency is the main focus, with resilience and sustainability adding a time dimension to the analysis.
Link to Data Set
Citation
“World Bank. 2024. Health Financial Sustainability and Resilience Assessment Report. © World Bank. http://hdl.handle.net/10986/41566 License: CC BY-NC 3.0 IGO.”
Digital Object Identifier
Associated URLs
Associated content
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication Lessons from 11 Country Case Studies : A Global Synthesis Report for the Global Conference on Universal Health Coverage for Inclusive and Sustainable Growth(Washington, DC, 2013-11)Several countries such as Japan, Brazil, Thailand and Turkey have achieved universal health coverage (UHC) and are proof of how UHC programs can serve as vital mechanisms for improving the health and welfare of the country's citizens. The UHC strives to ensure that no family is forced into poverty because of health care expenses, and that the gap in access to quality health services for the poorest forty percent of the population in every country is reduced and eventually eliminated. This document was created by the World Bank for presentation at the Global Conference on Universal Health Coverage for Inclusive and Sustainable Growth in December 2013 at Tokyo. It synthesizes findings from eleven country cases on UHC that were supported under the Japan-World Bank Partnership Program on Universal Health Coverage. the paper contains herein the objectives of the study, a framework for analysis, emerging lessons from country experiences, global lessons in the political economy and policy process, global lessons in health financing strategy, global lessons in health service delivery and human resources for health, lessons for countries in the four UHC groups, and a future course of action, interspersed with case studies from various countries.Publication Building Resilience for Sustainable Development of the Sundarbans : Strategy Report(Washington, DC, 2014)Recognizing the importance and uniqueness of the Sundarbans, the United Nations Educational, Scientific and Cultural Organization (UNESCO) declared the Indian portion of the forest a World Heritage Site in 1987, and the UNESCO Man and the Biosphere Program has included the Sundarbans Biosphere Reserve in the Global Network of Island and Coastal Biosphere Reserves Contributing to Action on Climate Change and Sustainable Development. While the Sundarbans region is celebrated for its ecological attributes, it is a difficult place to live in. The inhabited portions of India s Sundarbans are characterized by severe poverty, which both contributes to and arises from the vulnerability of the population to a growing range of natural hazards. Resilience is characterized by a capacity to adapt to changing conditions and persistent stresses by responding effectively. However, the resilience of those residing in the Sundarbans has been undermined by a long series of persistent pressures. Sea level rise, salinization of soil and water, cyclonic storms and flooding have combined over the past century to render this one of the most hazardous areas in the Indian subcontinent.Publication Universal Health Coverage for Inclusive and Sustainable Development : Country Summary Report for Bangladesh(World Bank Group, Washington, DC, 2014-09)Bangladesh is a low-income country with gross national income of $1,940 per capita in purchasing power parity (PPP) in 2011. It has made great strides in economic and social development outcomes, particularly in health, and is on track to achieving most of the health-related Millennium Development Goal (MDG) targets. Under-five mortality has been cut by half in the last decade (to 46 deaths per 1,000 live births in 2011). It has also strongly invested in and promoted family planning programs since the 1950s. Fertility rates have fallen sharply to 2.2 births per woman in 2011. But despite this drop, its population is projected to grow to 202 million by 2050 (Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat 2013). About one-third of the population is still poor. Bangladesh spends about 3.8 percent of GDP on health, while public spending accounts for one-third of total health expenditures (THE). Out-of-pocket (OOP) spending constitutes about 60 percent of THE, with evident implications for financial protection, especially among the worse off. The country faces multiple challenges in improving efficiency and quality across health, human resources for health (HRH) being a key bottleneck at all levels. However, it provides an example of a country that is in the initial phases of exploring mechanisms to improve health services coverage and financial protection to its population, with a commitment to achieving universal health coverage (UHC) by 2032, and one that has innovative approaches to addressing key health care issues, including equity and citizen engagement.Publication Health Equity and Financial Protection Report(Washington, DC, 2012-07-23)The health equity and financial protection reports are short country-specific volumes that provide a picture of equity and financial protection in the health sectors of low- and middle-income countries. Topics covered include: inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the progressivity of health care financing. This report analyses equity and financial protection in the health sector of Mongolia. In particular, it examines inequalities in health outcomes and health care utilization; benefit incidence analysis; financial protection; and the progressivity of health care financing. Data are drawn from the 2005 Mongolia multiple indicator cluster survey and the 2007-08 Mongolia household socio-economic survey.Publication Republic of Tajikistan : Health Sector Fiduciary Capacity Assessment Report(Washington, DC, 2008-11)The Government of the Republic of Tajikistan (GOT), the World Bank, and international and bilateral partners agreed on the need for a fiduciary assessment for the health sector. The main objective of this assessment is to help the GOT take the necessary measures for fiduciary capacity building in the health sector with a view not only to dealing with the existing fiduciary capacity weaknesses in the sector for the management of public resources, but also to creating favorable fiduciary conditions in the Ministry of Health (MOH) to enable it to gradually assume implementation responsibility for donor-funded projects. Any fiduciary capacity improvements in the health sector will provide the additional comfort to the donor community, reassuring them that their funds will be used more economically and efficiently.
Users also downloaded
Showing related downloaded files
Publication The Container Port Performance Index 2020 to 2024: Trends and Lessons Learned(Washington, DC: World Bank, 2025-09-22)The Container Port Performance Index (CPPI) provides a global benchmark of how container ports perform in handling vessel calls. Developed jointly by the World Bank and S&P Global Market Intelligence, it measures the time ships spend in port and relates this to the number of containers moved during that time. This approach makes the CPPI a unique diagnostic tool that can highlight patterns in port operations and shed light on global and regional supply chain dynamics. Now in its fifth edition, the CPPI report covers the period from 2020 to 2024. It builds on a well-established methodology to generate scores for more than 400 container ports worldwide. Over time, the CPPI has become a trusted reference point for policymakers, industry stakeholders, and researchers who seek to understand how ports adapt to shocks, recover from disruptions, and identify opportunities for investments, reform and modernization. A major innovation in this edition is the introduction of multi-year trend analysis. Rather than presenting annual snapshots, the report now tracks how CPPI scores have changed across five years. This longitudinal perspective reveals shifts in port performance, showing where scores have risen, fallen, or remained stable. By linking these movements to external factors, the CPPI offers insights into how global and regional supply chains evolve under pressure. The results clearly mirror the crises that have shaken global trade. During the COVID-19 pandemic, CPPI scores in different regions declined sharply as congestion, equipment shortages, and delays overwhelmed many ports. By 2023, global averages rebounded in parallel with easing freight markets and reduced congestion. Yet 2024 brought new challenges: the Red Sea crisis disrupted major trade lanes, while climate-related constraints at the Panama Canal added further stress. These shocks were reflected in lower global and several regional average scores, underscoring the vulnerability of maritime transport to geopolitical and environmental events. The CPPI is not about comparing one port against another, but about understanding changes in performance over time. Ports that improved their scores often did so by reducing time at anchor, optimizing berth operations, investing in digital tools, and strengthening coordination across logistics partners. The evidence confirms that improvements are possible across ports of all sizes, and that rising scores are linked to deliberate actions to minimize time in port relative to containers moved. By consolidating five years of results, this edition transforms the CPPI into a long-term reference point. It shows how global crises have affected shipping, how different regions have adapted, and what lessons can be drawn for future resilience. The World Bank and S&P Global Market Intelligence remain committed to maintaining the CPPI as a global public good, providing transparency, comparability, and practical insights to support more reliable and sustainable maritime supply chains.Publication Global Economic Prospects, January 2025(Washington, DC: World Bank, 2025-01-16)Global growth is expected to hold steady at 2.7 percent in 2025-26. However, the global economy appears to be settling at a low growth rate that will be insufficient to foster sustained economic development—with the possibility of further headwinds from heightened policy uncertainty and adverse trade policy shifts, geopolitical tensions, persistent inflation, and climate-related natural disasters. Against this backdrop, emerging market and developing economies are set to enter the second quarter of the twenty-first century with per capita incomes on a trajectory that implies substantially slower catch-up toward advanced-economy living standards than they previously experienced. Without course corrections, most low-income countries are unlikely to graduate to middle-income status by the middle of the century. Policy action at both global and national levels is needed to foster a more favorable external environment, enhance macroeconomic stability, reduce structural constraints, address the effects of climate change, and thus accelerate long-term growth and development.Publication Digital Progress and Trends Report 2023(Washington, DC: World Bank, 2024-03-05)Digitalization is the transformational opportunity of our time. The digital sector has become a powerhouse of innovation, economic growth, and job creation. Value added in the IT services sector grew at 8 percent annually during 2000–22, nearly twice as fast as the global economy. Employment growth in IT services reached 7 percent annually, six times higher than total employment growth. The diffusion and adoption of digital technologies are just as critical as their invention. Digital uptake has accelerated since the COVID-19 pandemic, with 1.5 billion new internet users added from 2018 to 2022. The share of firms investing in digital solutions around the world has more than doubled from 2020 to 2022. Low-income countries, vulnerable populations, and small firms, however, have been falling behind, while transformative digital innovations such as artificial intelligence (AI) have been accelerating in higher-income countries. Although more than 90 percent of the population in high-income countries was online in 2022, only one in four people in low-income countries used the internet, and the speed of their connection was typically only a small fraction of that in wealthier countries. As businesses in technologically advanced countries integrate generative AI into their products and services, less than half of the businesses in many low- and middle-income countries have an internet connection. The growing digital divide is exacerbating the poverty and productivity gaps between richer and poorer economies. The Digital Progress and Trends Report series will track global digitalization progress and highlight policy trends, debates, and implications for low- and middle-income countries. The series adds to the global efforts to study the progress and trends of digitalization in two main ways: · By compiling, curating, and analyzing data from diverse sources to present a comprehensive picture of digitalization in low- and middle-income countries, including in-depth analyses on understudied topics. · By developing insights on policy opportunities, challenges, and debates and reflecting the perspectives of various stakeholders and the World Bank’s operational experiences. This report, the first in the series, aims to inform evidence-based policy making and motivate action among internal and external audiences and stakeholders. The report will bring global attention to high-performing countries that have valuable experience to share as well as to areas where efforts will need to be redoubled.Publication The Container Port Performance Index 2023(Washington, DC: World Bank, 2024-07-18)The Container Port Performance Index (CPPI) measures the time container ships spend in port, making it an important point of reference for stakeholders in the global economy. These stakeholders include port authorities and operators, national governments, supranational organizations, development agencies, and other public and private players in trade and logistics. The index highlights where vessel time in container ports could be improved. Streamlining these processes would benefit all parties involved, including shipping lines, national governments, and consumers. This fourth edition of the CPPI relies on data from 405 container ports with at least 24 container ship port calls in the calendar year 2023. As in earlier editions of the CPPI, the ranking employs two different methodological approaches: an administrative (technical) approach and a statistical approach (using matrix factorization). Combining these two approaches ensures that the overall ranking of container ports reflects actual port performance as closely as possible while also being statistically robust. The CPPI methodology assesses the sequential steps of a container ship port call. ‘Total port hours’ refers to the total time elapsed from the moment a ship arrives at the port until the vessel leaves the berth after completing its cargo operations. The CPPI uses time as an indicator because time is very important to shipping lines, ports, and the entire logistics chain. However, time, as captured by the CPPI, is not the only way to measure port efficiency, so it does not tell the entire story of a port’s performance. Factors that can influence the time vessels spend in ports can be location-specific and under the port’s control (endogenous) or external and beyond the control of the port (exogenous). The CPPI measures time spent in container ports, strictly based on quantitative data only, which do not reveal the underlying factors or root causes of extended port times. A detailed port-specific diagnostic would be required to assess the contribution of underlying factors to the time a vessel spends in port. A very low ranking or a significant change in ranking may warrant special attention, for which the World Bank generally recommends a detailed diagnostic.Publication Global Economic Prospects, June 2025(Washington, DC: World Bank, 2025-06-10)The global economy is facing another substantial headwind, emanating largely from an increase in trade tensions and heightened global policy uncertainty. For emerging market and developing economies (EMDEs), the ability to boost job creation and reduce extreme poverty has declined. Key downside risks include a further escalation of trade barriers and continued policy uncertainty. These challenges are exacerbated by subdued foreign direct investment into EMDEs. Global cooperation is needed to restore a more stable international trade environment and scale up support for vulnerable countries grappling with conflict, debt burdens, and climate change. Domestic policy action is also critical to contain inflation risks and strengthen fiscal resilience. To accelerate job creation and long-term growth, structural reforms must focus on raising institutional quality, attracting private investment, and strengthening human capital and labor markets. Countries in fragile and conflict situations face daunting development challenges that will require tailored domestic policy reforms and well-coordinated multilateral support.