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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

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dc.contributor.authorNguyen, Ha Thi Hong
dc.contributor.authorStrizrep, Tihomir
dc.date.accessioned2019-12-24T16:09:02Z
dc.date.available2019-12-24T16:09:02Z
dc.date.issued2019-10
dc.description.abstractThe 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.identifierhttp://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.doi10.1596/33096
dc.identifier.urihttps://hdl.handle.net/10986/33096
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHealth, Nutrition, and Population Discussion Paper;
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectBENEFIT PACKAGE
dc.subjectUNIVERSAL HEALTH COVERAGE
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH SYSTEM REFORM
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectPRO-POOR REFORM
dc.titleToward a More Pro-Poor and Explicit Health Benefit Package in the Kyrgyz Republicen
dc.title.subtitleA Critical Review of the State Guaranteed Benefit Package and Options for Its Revisionen
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.crossref.titleToward a More Pro-Poor and Explicit Health Benefit Package in the Kyrgyz Republic
okr.date.disclosure2019-12-20
okr.date.doiregistration2025-04-07T08:29:03.033777Z
okr.date.doiregistration2025-04-08T16:13:51.444744Z
okr.date.doiregistration2025-04-09T02:46:36.616672Z
okr.date.doiregistration2025-04-09T08:40:52.624883Z
okr.date.doiregistration2025-04-09T08:42:26.874591Z
okr.doctypePublications & Research
okr.doctypePublications & Research::Working Paper
okr.docurlhttp://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.guid804141576844391955
okr.identifier.doi10.1596/33096
okr.identifier.externaldocumentum090224b08744f385_1_0
okr.identifier.internaldocumentum31659294
okr.identifier.report144542
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://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.pdfen
okr.region.administrativeEurope and Central Asia
okr.region.countryKyrgyz Republic
okr.topicHealth, Nutrition and Population::Health Insurance
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.topicHealth, Nutrition and Population::Health and Poverty
okr.unitHealth Nutrition &Population ECA (HECHN)
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