Publication:
Rwanda : Fiscal Space for Health and the MDGs Revisited

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dc.contributor.authorLane, Chris
dc.date.accessioned2013-05-29T17:43:31Z
dc.date.available2013-05-29T17:43:31Z
dc.date.issued2009-11
dc.description.abstractThis paper revisits the issue of fiscal space requirements for achieving health millennium development goals (MDGs) in Rwanda. The paper updates and extends work on financing for the health MDGs prepared by the Ministry of Health (MoH) in 2006. It draws on papers prepared by World Bank staff for a comprehensive health sector review and information collected during a field visit to Kigali in March 2008. The context is one of large recent increases of financing from development partners (donors) combined with far reaching reforms of health sector management. The paper aims to provide a concise summary of the key issues for policymakers in Rwanda, development partners, and to inform a broader international audience of the prospects for scaling up financing for health in order to substantially raise the health status of low income country populations. The plan of the paper is as follows: section one describes the demographic and health context, the strategic objectives through to 2015, and recent and prospective progress towards achieving these objectives; section two briefly explains the distinctive features of health financing with an emphasis on primary and secondary services needed to achieve strategic objectives; section three considers financial flows in the health sector; section four elaborates a forward-looking fiscal space for health scenario; section five compares projections of fiscal space and alignment of health spending with a costing scenario developed using the marginal budgeting for bottlenecks (MBB) tool; section six concludes with a discussion of the uses and potential of government-development partner compact for health sector financing in support of a long term health strategy.en
dc.identifierhttp://documents.worldbank.org/curated/en/2009/11/12305919/rwanda-fiscal-space-health-mdgs-revisited
dc.identifier.doi10.1596/13637
dc.identifier.urihttps://hdl.handle.net/10986/13637
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHealth, Nutrition and Population (HNP) discussion paper;
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESS TO HEALTH CARE
dc.subjectACCESS TO HEALTH CARE SERVICES
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectAGED
dc.subjectAID
dc.subjectAIDS RELIEF
dc.subjectALLOCATION OF RESOURCES
dc.subjectALLOCATIVE EFFICIENCY
dc.subjectBEHAVIOR CHANGE
dc.subjectBLOCK GRANT
dc.subjectBUDGETARY RESOURCES
dc.subjectBURDEN OF DISEASE
dc.subjectCAPACITY BUILDING
dc.subjectCAPITAL SPENDING
dc.subjectCAPITATION
dc.subjectCHILD HEALTH
dc.subjectCHILD MORTALITY
dc.subjectCHILD MORTALITY RATE
dc.subjectCHILD MORTALITY RATES
dc.subjectCHILDREN PER WOMAN
dc.subjectCHRONIC MALNUTRITION
dc.subjectCLINICS
dc.subjectCOMMUNITY HEALTH
dc.subjectCONDOM
dc.subjectCONDOM USE
dc.subjectCOST EFFECTIVENESS
dc.subjectCOST-EFFECTIVENESS
dc.subjectDEATHS
dc.subjectDELIVERY OF HEALTH SERVICES
dc.subjectDISEASE CONTROL
dc.subjectDISEASES
dc.subjectDRINKING WATER
dc.subjectDRUGS
dc.subjectDYING
dc.subjectEXPENDITURES
dc.subjectFAMILY PLANNING
dc.subjectFAMILY PLANNING SERVICES
dc.subjectFEE FOR SERVICE
dc.subjectFEMALE
dc.subjectFEMALES
dc.subjectFERTILITY
dc.subjectFERTILITY RATE
dc.subjectFERTILITY RATES
dc.subjectFINANCIAL RESOURCES
dc.subjectGENDER
dc.subjectGENOCIDE
dc.subjectGLOBAL HEALTH
dc.subjectGROSS DOMESTIC PRODUCT
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE COSTS
dc.subjectHEALTH CARE DELIVERY
dc.subjectHEALTH CARE FINANCING
dc.subjectHEALTH CENTERS
dc.subjectHEALTH CENTRES
dc.subjectHEALTH COSTS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURE PER CAPITA
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH FINANCING SYSTEM
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INTERVENTIONS
dc.subjectHEALTH OUTCOME INDICATORS
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH PLAN
dc.subjectHEALTH PLANNING
dc.subjectHEALTH PLANS
dc.subjectHEALTH POPULATION
dc.subjectHEALTH PROGRAMS
dc.subjectHEALTH PROVIDERS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SHARE
dc.subjectHEALTH STATUS
dc.subjectHEALTH STRATEGY
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEM FINANCING
dc.subjectHEALTH TARGETS
dc.subjectHIV
dc.subjectHIV INFECTION
dc.subjectHIV POSITIVE
dc.subjectHIV/AIDS
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCES
dc.subjectIMMUNIZATION
dc.subjectIMMUNODEFICIENCY
dc.subjectIMPROVEMENT OF HEALTH
dc.subjectINCOME
dc.subjectINCOME HOUSEHOLDS
dc.subjectINFANT
dc.subjectINFANT MORTALITY
dc.subjectINFANT MORTALITY RATE
dc.subjectINSECTICIDE TREATED BED NETS
dc.subjectINSTITUTIONAL CAPACITY
dc.subjectINSURANCE SYSTEM
dc.subjectINTERVENTION
dc.subjectLIFE EXPECTANCY
dc.subjectLIFETIME RISK
dc.subjectLIVE BIRTHS
dc.subjectLOCAL GOVERNMENTS
dc.subjectLOW BIRTH WEIGHT
dc.subjectLOW INCOME
dc.subjectMALARIA
dc.subjectMARGINAL COSTS
dc.subjectMARRIED WOMEN
dc.subjectMATERNAL & CHILD HEALTH
dc.subjectMATERNAL MORTALITY
dc.subjectMATERNAL MORTALITY RATE
dc.subjectMATERNAL MORTALITY RATES
dc.subjectMEDICINES
dc.subjectMILLENNIUM DEVELOPMENT GOALS
dc.subjectMINISTRIES OF HEALTH
dc.subjectMINISTRY OF HEALTH
dc.subjectMODERN CONTRACEPTIVE PREVALENCE
dc.subjectMODERN CONTRACEPTIVE TECHNIQUES
dc.subjectMODERN FAMILY
dc.subjectMODERN FAMILY PLANNING
dc.subjectMODERN FAMILY PLANNING METHODS
dc.subjectMODERNIZATION
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectMORTALITY REDUCTION
dc.subjectMOTHER
dc.subjectMOTHER TO CHILD
dc.subjectMOTHER TO CHILD HIV TRANSMISSION
dc.subjectMOTHER TO CHILD TRANSMISSION
dc.subjectNATIONAL DEVELOPMENT
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL PLAN
dc.subjectNEEDS ASSESSMENT
dc.subjectNUTRITION
dc.subjectNUTRITIONAL STATUS
dc.subjectOFFICIAL DEVELOPMENT ASSISTANCE
dc.subjectPATIENTS
dc.subjectPERIPHERAL HEALTH FACILITIES
dc.subjectPHARMACISTS
dc.subjectPOPULATION DENSITY
dc.subjectPOPULATION GROWTH
dc.subjectPREGNANCY
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIMARY HEALTH CARE SERVICES
dc.subjectPRIVATE CLINICS
dc.subjectPRIVATE FINANCING
dc.subjectPRIVATE FINANCING FOR HEALTH
dc.subjectPRIVATE SECTOR
dc.subjectPRIVATE SECTORS
dc.subjectPRIVATE SPENDING
dc.subjectPROGRESS
dc.subjectPROVIDER INCENTIVES
dc.subjectPUBLIC EXPENDITURE
dc.subjectPUBLIC EXPENDITURE ON HEALTH
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH CONCERN
dc.subjectPUBLIC HEALTH SPENDING
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLIC SECTOR
dc.subjectQUALITY OF HEALTH
dc.subjectQUALITY OF SERVICES
dc.subjectREDUCING MATERNAL MORTALITY
dc.subjectREPRODUCTIVE HEALTH
dc.subjectRESEARCH CENTERS
dc.subjectRESOURCE ALLOCATION
dc.subjectRISK SHARING
dc.subjectRURAL AREAS
dc.subjectRURAL DEVELOPMENT
dc.subjectSERVICE PROVISION
dc.subjectSERVICE QUALITY
dc.subjectSHARE OF HEALTH SPENDING
dc.subjectSKILLED HEALTH PERSONNEL
dc.subjectSOCIAL DEVELOPMENT
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectSOCIAL MOBILIZATION
dc.subjectSTRESSES
dc.subjectSUSTAINABLE GROWTH
dc.subjectTECHNICAL ASSISTANCE
dc.subjectTHERAPY
dc.subjectTRADITIONAL HEALERS
dc.subjectTUBERCULOSIS
dc.subjectUNDER-FIVE MORTALITY
dc.subjectURBAN AREAS
dc.subjectVACCINES
dc.subjectVOLUNTARY TESTING
dc.subjectVULNERABILITY
dc.titleRwanda : Fiscal Space for Health and the MDGs Revisiteden
dspace.entity.typePublication
okr.crosscuttingsolutionareaGender
okr.date.doiregistration2025-05-05T12:17:13.315075Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2009/11/12305919/rwanda-fiscal-space-health-mdgs-revisited
okr.globalpracticeHealth, Nutrition, and Population
okr.guid176431468337225059
okr.identifier.externaldocumentum000333037_20100524004058
okr.identifier.internaldocumentum12305919
okr.identifier.report54517
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2010/05/24/000333037_20100524004058/Rendered/PDF/545170WP0Rwand10box349421B01PUBLIC1.pdfen
okr.region.administrativeAfrica
okr.region.countryRwanda
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicHealth Economics and Finance
okr.topicHealth Monitoring and Evaluation
okr.topicHealth Systems Development and Reform
okr.topicGender::Gender and Health
okr.volume1 of 1
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