World Bank2017-06-142017-06-142012-05-21https://hdl.handle.net/10986/27169This 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.en-USCC BY 3.0 IGOABILITY TO PAYACUTE RESPIRATORY INFECTIONAGEDANGINAANGINA PECTORISANTENATAL CAREARIARTHRITISASTHMABASIC HEALTHBASIC HEALTH CAREBCGBIRTHSBLOOD TESTSBREASTBREAST CANCERCATASTROPHIC EXPENDITURECERVICAL CANCERCHILD HEALTHCHILDHOODCHILDHOOD ILLNESSCLINICSCONDOMCONDOMSCONTRACEPTIONCOST-EFFECTIVENESSCOUGHINGCOUNSELINGDEATHSDELIVERY OF HEALTH CAREDELIVERY SYSTEMDEPRESSIONDIABETESDIARRHEADISEASEDISEASE BURDENDOCTORDOCTORSEMPLOYMENTFEE SCHEDULESFEVERFINANCIAL CONSEQUENCESFINANCIAL CONTRIBUTIONSFINANCIAL IMPACTFINANCIAL PROTECTIONHEALTH BEHAVIORHEALTH CAREHEALTH CARE DELIVERYHEALTH CARE FINANCEHEALTH CARE FINANCINGHEALTH CARE PROVIDERHEALTH CARE PROVIDERSHEALTH CARE SERVICESHEALTH CARE UTILIZATIONHEALTH CENTERSHEALTH COMMITTEESHEALTH ECONOMICSHEALTH EQUITYHEALTH EXPENDITUREHEALTH EXPENDITURESHEALTH FACILITIESHEALTH FINANCEHEALTH FINANCINGHEALTH FINANCING SYSTEMHEALTH INDICATORSHEALTH INSURANCEHEALTH INSURANCE CONTRIBUTIONSHEALTH INSURANCE COVERAGEHEALTH INSURANCE SCHEMEHEALTH INSURANCE SYSTEMHEALTH INTERVENTIONSHEALTH MANAGEMENTHEALTH ORGANIZATIONHEALTH OUTCOME INDICATORSHEALTH OUTCOMESHEALTH POLICIESHEALTH POSTSHEALTH REFORMSHEALTH SECTORHEALTH SERVICEHEALTH SERVICE DELIVERYHEALTH SERVICESHEALTH SPENDINGHEALTH SPENDING INCREASESHEALTH STATUSHEALTH SURVEILLANCEHEALTH SURVEYSHEALTH SYSTEMHEALTH SYSTEMSHEALTH WORKERSHIVHIV POSITIVEHIV/AIDSHOSPITAL BEDSHOSPITAL MANAGEMENTHOSPITALSHOUSEHOLD EXPENDITUREHUMAN RESOURCESILLNESSIMMUNIZATIONINCIDENCE ANALYSISINCOMEINCOME COUNTRIESINCOME GROUPSINEQUALITIES IN HEALTH CAREINFANT MORTALITYINFANT MORTALITY RATEINJURYINPATIENT CAREINTERNATIONAL COMPARISONSLIVING CONDITIONSLIVING STANDARDSLOW INCOMEMALARIAMAMMOGRAMMATERNAL AND CHILD HEALTHMEASLESMEDICAL CAREMEDICAL STAFFMEDICAL TREATMENTMIDWIFEMORTALITYMORTALITY RATESMOSQUITO NETMOTHERSNATIONAL HEALTHNATIONAL HEALTH POLICIESNATIONAL HEALTH SERVICESNON-GOVERNMENTAL ORGANIZATIONSNURSENUTRITIONOBESITYORAL REHYDRATIONORAL REHYDRATION SALTSOUTPATIENT CAREPAP SMEARPAYMENTS FOR HEALTH CAREPHYSICAL ACTIVITYPHYSICIANSPOCKET PAYMENTSPOISONINGPOLIOPREGNANT WOMENPREPAYMENT SCHEMESPREVALENCEPRIMARY CAREPRIMARY HEALTH CAREPRIMARY HEALTH CARE SERVICESPRIVATE HEALTH INSURANCEPRIVATE INSURANCEPRIVATE SECTORPUBLIC HEALTHPUBLIC HOSPITALSPUBLIC SECTORRISK FACTORSSCREENINGSEXUAL INTERCOURSESEXUALLY TRANSMITTED INFECTIONSSHARE OF HEALTH SPENDINGSMOKINGSOCIAL HEALTH INSURANCESOCIAL INSURANCESOCIAL SECURITYSPECIALISTSSUSTAINABLE DEVELOPMENTSYMPTOMSTBTOBACCO PRODUCTSTUBERCULOSISUNDER-FIVE MORTALITYVIOLENCEWORKERSReportWorld Bank10.1596/27169