Effectiveness of Community Health Financing in Meeting the Cost of Illness

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collection.link.221
https://openknowledge.worldbank.org/handle/10986/12995
collection.name.221
Health, Nutrition and Population (HNP) Discussion Papers
dc.contributor.author
Preker, Alexander S.
dc.contributor.author
Carrin, Guy
dc.contributor.author
Dror, David
dc.contributor.author
Jakab, Melitta
dc.contributor.author
Hsiao, William
dc.contributor.author
Arhin-Tenkorang, Dyna
dc.date.accessioned
2013-06-05T15:45:54Z
dc.date.available
2013-06-05T15:45:54Z
dc.date.issued
2002-02
dc.date.lastModified
2021-04-23T14:03:09Z
dc.description.abstract
How to finance and provide health care for the more than 1.3 billion rural poor and informal sector workers in low- and middle-income countries is one of the greatest challenges facing the international development community. This article presents the main findings from an extensive survey of the literature of community financing arrangements, and selected experiences from the Asia and Africa regions. Most community financing schemes have evolved in the context of severe economic constraints, political instability, and lack of good governance. Micro-level household data analysis indicates that community financing improves access by rural and informal sector workers to needed heath care and provides them with some financial protection against the cost of illness. Macro-level cross-country analysis gives empirical support to the hypothesis that risk-sharing in health financing matters in terms of its impact on both the level and distribution of health, financial fairness and responsiveness indicators. The background research done for this article points to five key policies available to governments to improve the effectiveness and sustainability of existing community financing schemes. This includes: (a) increased and well-targeted subsidies to pay for the premiums of low-income populations; (b) insurance to protect against expenditure fluctuations and re-insurance to enlarge the effective size of small risk pools; (c) effective prevention and case management techniques to limit expenditure fluctuations; (d) technical support to strengthen the management capacity of local schemes; and (e) establishment and strengthening of links with the formal financing and provider networks.
en
dc.identifier
http://documents.worldbank.org/curated/en/2002/02/3583974/effectiveness-community-health-financing-meeting-cost-illness
dc.identifier.isbn
1-932126-38-4
dc.identifier.uri
http://hdl.handle.net/10986/13778
dc.language
English
dc.language.iso
en_US
dc.publisher
World Bank, Washington, DC
dc.relation.ispartofseries
HNP discussion paper series;
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
ACCESS TO INFORMATION
dc.subject
ADVERSE SELECTION
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BASIC HEALTH SERVICES
dc.subject
BURDEN OF DISEASE
dc.subject
CAPITAL FORMATION
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CARTELS
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CHILDBIRTH
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CLIENT HOUSEHOLDS
dc.subject
COMMUNITY HEALTH
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COMMUNITY LEVEL
dc.subject
COMMUNITY PARTICIPATION
dc.subject
COMMUNITY POVERTY
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DATA ANALYSIS
dc.subject
DATA SETS
dc.subject
DEVELOPING COUNTRIES
dc.subject
DEVELOPMENT NETWORK
dc.subject
DEVELOPMENT ORGANIZATIONS
dc.subject
DEVELOPMENTAL PROCESS
dc.subject
ECONOMIES OF SCALE
dc.subject
EMPIRICAL EVIDENCE
dc.subject
EMPLOYMENT
dc.subject
ETHNIC GROUPS
dc.subject
EXCLUDED GROUPS
dc.subject
EXPENDITURES
dc.subject
EXTENDED FAMILIES
dc.subject
EXTERNAL SHOCKS
dc.subject
FAMILIES
dc.subject
FINANCIAL
dc.subject
FINANCING MECHANISMS
dc.subject
HEALTH CARE
dc.subject
HEALTH CARE FINANCING
dc.subject
HEALTH CARE SERVICES
dc.subject
HEALTH CARE SYSTEMS
dc.subject
HEALTH ECONOMICS
dc.subject
HEALTH EXPENDITURE
dc.subject
HEALTH FINANCING
dc.subject
HEALTH INSURANCE
dc.subject
HEALTH NEEDS
dc.subject
HEALTH POLICY
dc.subject
HEALTH PROBLEMS
dc.subject
HEALTH PROVIDERS
dc.subject
HEALTH SECTOR
dc.subject
HEALTH SERVICES
dc.subject
HEALTH SYSTEM
dc.subject
HEALTH SYSTEMS
dc.subject
HOSPITAL CARE
dc.subject
HOSPITALIZATION
dc.subject
HOUSEHOLD DATA
dc.subject
HOUSEHOLD INCOME
dc.subject
HOUSEHOLD LEVEL
dc.subject
HOUSEHOLD SURVEY
dc.subject
HOUSEHOLD SURVEYS
dc.subject
HUMAN DEVELOPMENT
dc.subject
IMPROVED ACCESS
dc.subject
INCOME
dc.subject
INCOME HOUSEHOLDS
dc.subject
INCOME INEQUALITY
dc.subject
INCOME LEVELS
dc.subject
INCOME POPULATIONS
dc.subject
INFORMAL EMPLOYMENT
dc.subject
INFORMAL SECTOR
dc.subject
INFORMAL SECTORS
dc.subject
INSURANCE
dc.subject
INSURANCE MARKETS
dc.subject
INTERNATIONAL LABOUR
dc.subject
INTERVENTION
dc.subject
ISOLATION
dc.subject
LEGISLATION
dc.subject
LIFE INSURANCE
dc.subject
LOW INCOME
dc.subject
LOW-INCOME COUNTRIES
dc.subject
MACROECONOMICS
dc.subject
MANAGEMENT CAPACITY
dc.subject
NATIONAL LEVEL
dc.subject
NUTRITION
dc.subject
POLICY OPTIONS
dc.subject
POLITICAL INFLUENCE
dc.subject
POOR HOUSEHOLDS
dc.subject
POOR PEOPLE
dc.subject
POPULATION GROUPS
dc.subject
POPULATION WORK
dc.subject
POVERTY ALLEVIATION
dc.subject
POVERTY LINE
dc.subject
PRIMARY CARE
dc.subject
PRIVATE SECTOR
dc.subject
PRODUCTIVITY
dc.subject
PUBLIC EXPENDITURE
dc.subject
PUBLIC HEALTH
dc.subject
RELIGIOUS GROUPS
dc.subject
RESOURCE ALLOCATION
dc.subject
RESOURCE CONSTRAINTS
dc.subject
RESOURCES
dc.subject
RISK MANAGEMENT
dc.subject
RISK SHARING
dc.subject
RURAL AREAS
dc.subject
RURAL POOR
dc.subject
SAFETY
dc.subject
SAFETY NET
dc.subject
SAFETY NETS
dc.subject
SAVINGS
dc.subject
SERVICE PROVISION
dc.subject
SOCIAL CAPITAL
dc.subject
SOCIAL EXCLUSION
dc.subject
SOCIAL INCLUSION
dc.subject
SOCIAL INSURANCE
dc.subject
SOCIAL NETWORKS
dc.subject
SOCIAL POLICY
dc.subject
SOCIAL SERVICES
dc.subject
SURGERY
dc.subject
TAXATION
dc.subject
TECHNICAL SUPPORT
dc.subject
WELFARE ECONOMICS
dc.subject
WILLINGNESS TO PAY
dc.subject
WORKERS
dc.title
Effectiveness of Community Health Financing in Meeting the Cost of Illness
en
okr.doctype
Publications & Research :: Working Paper
okr.doctype
Publications & Research
okr.docurl
http://documents.worldbank.org/curated/en/2002/02/3583974/effectiveness-community-health-financing-meeting-cost-illness
okr.globalpractice
Poverty
okr.googlescholar.linkpresent
yes
okr.identifier.externaldocumentum
000265513_20040521160944
okr.identifier.internaldocumentum
3583974
okr.identifier.report
28894
okr.language.supported
en
okr.pdfurl
http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2004/05/21/000265513_20040521160944/Rendered/PDF/288940Preker1Effectiveness0of10whole.pdf
en
okr.topic
Health Monitoring and Evaluation
okr.topic
Health Systems Development and Reform
okr.topic
Environmental Economics and Policies
okr.topic
Health Economics and Finance
okr.topic
Poverty Reduction :: Poverty Assessment
okr.unit
Health, Nutrition, and Population (HDNHE)
okr.volume
1 of 1

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