Publication:
Toward a More Pro-Poor and Explicit Health Benefit Package in the Kyrgyz Republic: A Critical Review of the State Guaranteed Benefit Package and Options for Its Revision

dc.contributor.author Nguyen, Ha Thi Hong
dc.contributor.author Strizrep, Tihomir
dc.date.accessioned 2019-12-24T16:09:02Z
dc.date.available 2019-12-24T16:09:02Z
dc.date.issued 2019-10
dc.description.abstract The Kyrgyz Republic has made significant steps in reforming the health system through successive National Health Programs implemented over the last 20 years. One of the major achievements of such reforms was the establishment of a single-payer national health insurance and a basic benefit package. The State Guaranteed Benefit Package (SGBP) provides free basic health services at the primary care level for the whole population, and inpatient care with nominal copayments or no fee for certain groups. Even though the principles of the SGBP contain elements of international good practice, the SGBP has hardly changed since it was established. At the same time, many changes have taken place within and outside the health system, exerting mounting pressure for the SGBP to adapt to the new disease burden and meet the population’s expectations within the context of budget constraints. The current paper provides a critical assessment of the Kyrgyz Republic’s basic health benefit package. It reveals a number of issues in the actual benefits delivered to the population as opposed to the generous promise of the statutory package. Some important limitations include lack of clarity, persistent funding gap, the large number of fee exemption categories given the resource constraints, and at the same time lack of an effective mechanism to protect the poor. Most importantly, there is no systematic arrangement in place to ensure a regular evidence-based process to revise the benefit package. The paper proposes several measures that could guide the process of SGBP revision, taking into account the particular Kyrgyz context and building on international experiences. It is expected that information from the paper will be useful not only for Kyrgyz stakeholders, but also for other countries in making the benefit package an effective instrument for achieving universal health coverage. en
dc.identifier http://documents.worldbank.org/curated/en/804141576844391955/Toward-a-More-Pro-Poor-and-Explicit-Health-Benefit-Package-in-the-Kyrgyz-Republic-A-Critical-Review-of-the-State-Guaranteed-Benefit-Package-and-Options-for-Its-Revision
dc.identifier.uri http://hdl.handle.net/10986/33096
dc.language English
dc.publisher World Bank, Washington, DC
dc.relation.ispartofseries Health, Nutrition, and Population 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 BENEFIT PACKAGE
dc.subject UNIVERSAL HEALTH COVERAGE
dc.subject HEALTH INSURANCE
dc.subject HEALTH SYSTEM REFORM
dc.subject HEALTH SERVICE DELIVERY
dc.subject PRO-POOR REFORM
dc.title Toward a More Pro-Poor and Explicit Health Benefit Package in the Kyrgyz Republic en
dc.title.subtitle A Critical Review of the State Guaranteed Benefit Package and Options for Its Revision en
dc.type Working Paper en
dc.type Document de travail fr
dc.type Documento de trabajo es
dspace.entity.type Publication
okr.crossref.title Toward a More Pro-Poor and Explicit Health Benefit Package in the Kyrgyz Republic
okr.date.disclosure 2019-12-20
okr.doctype Publications & Research
okr.doctype Publications & Research :: Working Paper
okr.docurl http://documents.worldbank.org/curated/en/804141576844391955/Toward-a-More-Pro-Poor-and-Explicit-Health-Benefit-Package-in-the-Kyrgyz-Republic-A-Critical-Review-of-the-State-Guaranteed-Benefit-Package-and-Options-for-Its-Revision
okr.identifier.doi 10.1596/33096
okr.identifier.externaldocumentum 090224b08744f385_1_0
okr.identifier.internaldocumentum 31659294
okr.identifier.report 144542
okr.imported true en
okr.language.supported en
okr.pdfurl http://documents.worldbank.org/curated/en/804141576844391955/pdf/Toward-a-More-Pro-Poor-and-Explicit-Health-Benefit-Package-in-the-Kyrgyz-Republic-A-Critical-Review-of-the-State-Guaranteed-Benefit-Package-and-Options-for-Its-Revision.pdf en
okr.region.administrative Europe and Central Asia
okr.region.country Kyrgyz Republic
okr.topic Health, Nutrition and Population :: Health Insurance
okr.topic Health, Nutrition and Population :: Health Systems Development & Reform
okr.topic Health, Nutrition and Population :: Health and Poverty
okr.unit Health Nutrition &Population ECA (HECHN)
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