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

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collection.link.95
https://openknowledge.worldbank.org/handle/10986/2203
collection.name.95
Other Health Study
dc.contributor.author
World Bank
dc.date.accessioned
2019-07-16T20:43:04Z
dc.date.available
2019-07-16T20:43:04Z
dc.date.issued
2019-06-21
dc.date.lastModified
2021-05-25T09:26:03Z
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 were 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 co-payments 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 stablished. 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 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 several 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, 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 of the benefit package revision. The paper proposes several measures that could guide the process of SGBP revision, considering the Kyrgyz context and building on international experiences. It is expected that information from the paper will be useful not only for the Kyrgyz stakeholders but also other countries in making the benefit package an effective instrument for achieving universal health coverage.
en
dc.identifier
http://documents.worldbank.org/curated/en/218671561961103020/Toward-a-More-Pro-Poor-and-Explicit-Health-Benefit-Package-in-the-Kyrgyz-Republic-A-Critical-Review-of-the-Stated-Guaranteed-Benefit-Package-and-Options-for-Its-Revision
dc.identifier.uri
http://hdl.handle.net/10986/32106
dc.language
English
dc.publisher
World Bank, Washington, DC
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
HEALTHCARE SERVICES
dc.subject
PUBLIC HEALTH EXPENDITURE
dc.subject
PRO-POOR SPENDING
dc.subject
HEALTH SYSTEM REFORM
dc.subject
POVERTY TARGETING
dc.subject
SUBSIDIES
dc.subject
HEALTH INSURANCE
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 Stated Guaranteed Benefit Package and Options for Its Revision
en
dc.type
Report
en
okr.crossref.title
Toward a More Pro-Poor and Explicit Health Benefit Package in the Kyrgyz Republic
okr.date.disclosure
2019-07-01
okr.doctype
Economic & Sector Work :: Other Health Study
okr.doctype
Economic & Sector Work
okr.docurl
http://documents.worldbank.org/curated/en/218671561961103020/Toward-a-More-Pro-Poor-and-Explicit-Health-Benefit-Package-in-the-Kyrgyz-Republic-A-Critical-Review-of-the-Stated-Guaranteed-Benefit-Package-and-Options-for-Its-Revision
okr.googlescholar.linkpresent
yes
okr.identifier.doi
10.1596/32106
okr.identifier.externaldocumentum
090224b086e0b451_1_0
okr.identifier.internaldocumentum
31191405
okr.identifier.report
AUS0001001
okr.imported
true
en
okr.language.supported
en
okr.pdfurl
http://documents.worldbank.org/curated/en/218671561961103020/pdf/Toward-a-More-Pro-Poor-and-Explicit-Health-Benefit-Package-in-the-Kyrgyz-Republic-A-Critical-Review-of-the-Stated-Guaranteed-Benefit-Package-and-Options-for-Its-Revision.pdf
en
okr.region.administrative
Europe and Central Asia
okr.region.country
Kyrgyz Republic
okr.sector
Health
okr.theme
Human development :: Health system performance
okr.topic
Health, Nutrition and Population :: Health Economics & Finance
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 Nutri & Population SAR 1 (HSAHN)

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