Publication: Timor Leste : Health Equity and Financial Protection Project
Loading...
Published
2014-01
ISSN
Date
2014-09-11
Author(s)
Editor(s)
Abstract
This report analyses equity and financial protection in the health sector of Timor-Leste. In particular, it examines inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the progressivity of health care financing. Data are drawn from the 2009/2010 Demographic and Health Survey, the 2001-2002 and 2007-2008 Living Standards and Measurement Surveys as well as 2011-2012 Household Income Expenditure Survey, and the Ministry of Finance. All analyses are conducted using original data and performed using the health modules of the ADePT software.
Link to Data Set
Citation
“World Bank. 2014. Timor Leste : Health Equity and Financial Protection Project. © http://hdl.handle.net/10986/20088 License: CC BY 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 Health Equity and Financial Protection in Malawi(Washington, DC, 2012-05-17)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. Malawi's government is committed to improving equity and financial protection in the health sector. Equity is explicitly mentioned as one of the four objectives in the Health Sector Strategic Plan (HSSP). The overall objective of the HSSP is to contribute towards Malawi's attainment of the health and related millennium development goals. The specific objectives of the HSSP are, therefore, to: 1) increase coverage of the high quality Essential Health Package (EHP) services; 2) reduce risk factors to health; 3) improve equity and efficiency in the delivery of quality EHP services; and 4) strengthen the performance of the health system to support delivery of EHP services. Malawi spends 6.2 per cent (2009) of its gross domestic product (GDP) on health. This is similar to the average spending in other lower income countries in Africa, which have spent an average of 6.5 per cent (2009) of their GDP on health. The central Ministry of health is responsible for the development and enforcement of health policy, regulation of the health sector, creation of standards and norms, allocation and management of resources, provision of technical support, coordination, and monitoring and evaluation.Publication Health Equity and Financial Protection in Kenya(Washington, DC, 2012-05-21)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. Kenya's government is committed to improving equity and financial protection in health by implementing the Second National Health Sector Strategic Plan (NHSSP II). Kenya spends 4.3 per cent (2009) of its gross domestic product (GDP) on health. This is lower than the average spending levels in other lower income countries in Africa, which spent an average of 6.5 per cent (2009) of their GDP on health. The functions of the health system in Kenya have historically been centralized through top-down decision-making and resource allocations. However, in the past decade Kenya has committed to decentralization of certain core functions to the district level. These include managing the health management system, making resource allocation decisions, and delivering health services. The central government maintains control over the majority of the key functions of the health system including staffing, contracting, and maintaining the national health information system. Kenya has a form of social insurance through the 40 year-old National Hospital Insurance Fund (NHIF). Employees in the formal sector are compulsorily insured and must make monthly contributions from their wages.Publication Health Equity and Financial Protection in Zambia(Washington, DC, 2012-05-21)This report analyzes equity and financial protection in the health sector of Zambia. In particular, it examines inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the progressivity of health care financing. Data are drawn from the 2007 Zambia demographic and health survey, the 2006 Zambia living conditions monitoring survey, the 2003 Zambia world health survey and the 2003 Zambia national health accounts. All analyses are conducted using original survey data and employ the health modules of the ADePT software. Overall, health care financing in Zambia in 2006 was fairly progressive, i.e. the better-off spent a larger fraction of their consumption on health care than the poor. The financing sources that contribute to the overall progressivity of health care finance are general taxation, which finances 42 per cent of domestic spending on health, and contributions made by private employers, which finance 9 per cent of spending. An additional contribution to overall progressivity is made through pre-payment mechanisms, but this remains fairly limited given that they only represent 1 per cent of total health finance. Out-of-pocket health payments, which account for 47 per cent of total health financing, appear to be proportional to income, with only slight and not statistically significant evidence of progressivity.Publication Health Equity and Financial Protection in Pakistan(Washington, DC, 2012-05-23)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. Pakistan's government is committed to improving the equity of health outcomes and the ability to offer financial protection in the health sector through the implementation of the National Health Policy. Pakistan spends 2.62 per cent (2009) of its gross domestic product (GDP) on health. This is far lower than the average spending levels in other countries in the South Asia Region, which have spent an average of 5.3 per cent (2009) of their GDP on health.Publication Health Equity and Financial Protection in Ghana(Washington, DC, 2012-05-21)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. Ghana's government is committed to improving equity and financial protection in the health sector. In 2005, the Government of Ghana amended its growth and poverty reduction strategy report to include a new target in the country's development: to reach middle income status by the year 2015 (Republic of Ghana 2005). Ghana's Minister of health has called attention to the role that health plays in economic development and has placed equity in both access and delivery of health services as a top priority for reaching middle income status (Ministry of health 2007). Ghana spends 8.1 per cent (2009) of its gross domestic product (GDP) on health. This is greater than the spending levels in other lower middle-income countries in Africa, which spend an average of 5.8 per cent (2009) of their GDP on health. Ghana provides free health services for certain vulnerable groups, such as children under five, people over 70, and pregnant women. In addition, immunization and services to combat certain communicable diseases are provided free of charge.
Users also downloaded
Showing related downloaded files
Publication Special Economic Zones(World Bank, Washington, DC, 2017)Policy-makers across developing economies are implementing different forms of special economic zones (SEZs): programs intended to catalyze economic growth. The SEZ program is aimed at attracting foreign direct investment (FDI) to increase firm-level investment and improve firm-level productivity by enhancing firm-level coordination, networks, and innovation. The purpose of this operational review is to inform and to identify and document lessons from the application of these policies across countries and across the World Bank’s project portfolio. The report reviews the SEZ programs, and the characteristics and contexts that are associated with the success of SEZ policies. The report also adds to the general SEZ debate of whether the benefits generated by SEZs are restricted to the firms within the walls of the SEZs with limited social benefit; or whether SEZs eventually lead to spillovers that support structural change generating high social benefits. The report is structure as follows: chapter one gives introduction. Chapter two, provides a brief literature review of SEZ theory and performance. Chapter three provides an overview of the dataset developed for this work. Chapter four presents the econometric estimation using the dataset (for the explanatory variables) and nighttime lights data over 5 years as a measure of success (and dependent variable). Finally, chapter five focuses on the World-Bank-Group-funded projects that contain an SEZ component and assess the factors determining success and failures of SEZs.Publication Measuring Skilled Migration Rates : The Case of Small States(2009-01-01)Recent changes in information and communication technologies have contributed to a dramatic increase in the degree of integration and interdependency of countries, markets, and people. Against this background, one aspect of particular concern for small states is the international movement of people. This paper focuses on this particularly important aspect of globalization, with emphasis on the movement of skilled people and its relationship with country size. In addition to overall skilled migration, it provides evidence that controls for migration age in order to distinguish between those educated in the home country and those educated abroad. The authors discuss the growth implications of the brain drain from small countries and policies that may help control it.Publication Method Matters(Published by Oxford University Press on behalf of the World Bank, 2022-12-08)This paper analyzes the magnitude and predictors of misreporting on intimate partner violence. Women in Nigeria were randomly assigned to answer questions using either an indirect method (list experiment) that gives respondents anonymity, or the standard, direct face-to-face method. Intimate partner violence rates were up to 35 percent greater when measured using the list method than the direct method. Misreporting was associated with indicators often targeted in empowerment and development programs, such as education and vulnerability. These results suggest that standard survey methods may generate significant underestimates of the prevalence of intimate partner violence, and biased correlations and treatment effect estimates.Publication Digital Africa(Washington, DC: World Bank, 2023-03-13)All African countries need better and more jobs for their growing populations. "Digital Africa: Technological Transformation for Jobs" shows that broader use of productivity-enhancing, digital technologies by enterprises and households is imperative to generate such jobs, including for lower-skilled people. At the same time, it can support not only countries’ short-term objective of postpandemic economic recovery but also their vision of economic transformation with more inclusive growth. These outcomes are not automatic, however. Mobile internet availability has increased throughout the continent in recent years, but Africa’s uptake gap is the highest in the world. Areas with at least 3G mobile internet service now cover 84 percent of Africa’s population, but only 22 percent uses such services. And the average African business lags in the use of smartphones and computers as well as more sophisticated digital technologies that catalyze further productivity gains. Two issues explain the usage gap: affordability of these new technologies and willingness to use them. For the 40 percent of Africans below the extreme poverty line, mobile data plans alone would cost one-third of their incomes—in addition to the price of access devices, apps, and electricity. Data plans for small- and medium-size businesses are also more expensive than in other regions. Moreover, shortcomings in the quality of internet services—and in the supply of attractive, skills-appropriate apps that promote entrepreneurship and raise earnings—dampen people’s willingness to use them. For those countries already using these technologies, the development payoffs are significant. New empirical studies for this report add to the rapidly growing evidence that mobile internet availability directly raises enterprise productivity, increases jobs, and reduces poverty throughout Africa. To realize these and other benefits more widely, Africa’s countries must implement complementary and mutually reinforcing policies to strengthen both consumers’ ability to pay and willingness to use digital technologies. These interventions must prioritize productive use to generate large numbers of inclusive jobs in a region poised to benefit from a massive, youthful workforce—one projected to become the world’s largest by the end of this century.Publication Uzbekistan(World Bank, Washington, DC, 2020-05)This document has been produced by the World Bank to underpin the Republic of Uzbekistan’s ‘Strategy for the Development of the Transport System until 2035’ as it continues structural reforms and transitions the country to a competitive market-oriented economy. The policy paper aims to provide a vision to policy makers and practitioners for improving transport and logistics connectivity and service delivery and to define the building blocks of a comprehensive strategy by (a) laying out the higher-level objectives and priority directions for developing the sector, (b) defining the key aspects of advancing the institutional reforms, (c) identifying main transport and logistics gaps and barriers, and (d) presenting opportunities for introducing innovative financing mechanisms and PPPs in transport and logistics. At the same time, the paper points out areas needing further diagnostics and data gathering to better determine deficiencies, calculate transport and logistics costs, and identify further areas for improvement.