Couttolenc, Bernard F.Saleh, KarimaBarroy, Helene2014-10-102014-10-102014-09-30978-1-4648-0289-8https://hdl.handle.net/10986/20411This is a review of the health financing situation in the Republic of Gabon. The book reviews the situation in the country under the lens of the principles of health financing: revenue mobilization for health, risk pooling, and purchasing services. The book also estimates the fiscal space in health that is, looking at options that can increase resources for health within a macroeconomic and fiscal context. Universal health coverage has been defined as a situation where all people who need health services (prevention, promotion, treatment, rehabilitation, and palliative) receive them, without undue financial hardship. Universal health coverage consists of three inter-related components: (i) the full spectrum of quality health services according to need; (ii) financial protection from direct payment for health services when consumed; and (iii) coverage for the entire population. Because of Gabon's commitment to universal health coverage, certain segments are calling for additional resources for this sector. As a result, the country is grappling with the following: (i) how are resources being spent, (ii) is there room for a more efficient allocation of current resources, or (iii) is there an urgent need to mobilize additional resources to meet the goal. This book attempts to diagnose the situation and offer additional information to enlighten and fuel the debate. The book has six chapters: chapter one gives background and objectives. Chapter two provides an overview of the country s health status and service use patterns. Chapter three provides an overview of health financing systems and outputs. Chapter four provides an overview of the national health insurance and social security (caisse nationale d'assurance maladie et de garantie sociale) (CNAMGS). Chapter five provides fiscal space analysis for health. Finally, chapter six provides the reform issues and policy options in health financing.en-USCC BY 3.0 IGOABORTIONACCESS TO DRUGSACCESS TO HEALTH SERVICESACCOUNTABILITY MECHANISMSADMINISTRATIVE COSTSADVERSE SELECTIONAGE GROUPSAGEDANTENATAL CAREBASIC HEALTH CAREBEDSBIRTH ATTENDANTBREASTFEEDINGBUDGET ALLOCATIONBURDEN OF DISEASECAPITA HEALTH SPENDINGCAPITATIONCAUSES OF DEATHCHILD BIRTHCHILD HEALTHCHILD MORTALITYCHILDBIRTHCITIESCLEAN WATERCLINICSCOMMUNICABLE DISEASESCONTRACEPTIVESCOST SHARINGCOSTS OF CAREDEATHSDELIVERY OF HEALTH SERVICESDEMOGRAPHIC CHANGESDIABETESDISPENSARIESDOCTORSEPIDEMIOLOGICAL CHANGESEPIDEMIOLOGICAL TRANSITIONEPIDEMIOLOGYEQUITY IN ACCESSEXPENDITURESFAMILY HEALTHFEE-FOR-SERVICEFEE-FOR-SERVICE PAYMENTFERTILITYFINANCIAL MANAGEMENTFINANCIAL PROTECTIONFORECASTSGROSS DOMESTIC PRODUCTGROSS NATIONAL INCOMEHEALTH CARE COSTSHEALTH CARE FACILITIESHEALTH CARE SERVICESHEALTH CENTERSHEALTH CLINICSHEALTH COVERAGEHEALTH DELIVERYHEALTH DELIVERY STANDARDSHEALTH ECONOMICSHEALTH EXPENDITUREHEALTH EXPENDITURESHEALTH FACILITIESHEALTH FINANCEHEALTH FINANCINGHEALTH FINANCING REFORMHEALTH FINANCING SYSTEMHEALTH INDICATORSHEALTH INSURANCE PROGRAMHEALTH INSURANCE SCHEMEHEALTH NEEDSHEALTH ORGANIZATIONHEALTH OUTCOMESHEALTH POLICYHEALTH POSTSHEALTH PROFESSIONALSHEALTH PROVIDERSHEALTH RESEARCHHEALTH SECTORHEALTH SERVICEHEALTH SERVICE DELIVERYHEALTH SERVICE PROVIDERSHEALTH SERVICE USEHEALTH SERVICE UTILIZATIONHEALTH SERVICESHEALTH STATUSHEALTH STRATEGYHEALTH SYSTEMHEALTH SYSTEMSHEALTH WORKERSHIGH BLOOD PRESSUREHIVHIV/AIDSHOSPITAL BEDSHOSPITAL CAREHOSPITAL MANAGEMENTHOSPITAL SERVICESHOSPITALSHOUSEHOLD INCOMEHOUSEHOLD LEVELHUMAN DEVELOPMENTHUMAN IMMUNODEFICIENCY VIRUSHYGIENEHYPERTENSIONILLNESSIMMUNIZATIONIMMUNODEFICIENCYINCENTIVES FOR SUPPLIERINCIDENCE ANALYSISINCOMEINCOME COUNTRIESINCOME GROUPSINCOME GROWTHINDIVIDUAL INCOMESINDUCED DEMANDINFANTINFANT MORTALITYINFANT MORTALITY RATEINFANT MORTALITY RATESINFANTSINFORMAL SECTORINFORMAL SECTOR WORKERSINFORMATION SYSTEMSINJURIESINSURANCE SCHEMESINTERNATIONAL COMPARISONSINTERNATIONAL ORGANIZATIONSLEGAL STATUSLIFE EXPECTANCYLIVE BIRTHSLIVING CONDITIONSLOW INCOMELOW-INCOME COUNTRIESMALARIAMALARIA INCIDENCEMATERNAL DEATHSMATERNAL MORTALITYMATERNAL MORTALITY RATIOMATERNAL MORTALITY RATIOSMEDICAL BENEFITMEDICAL CAREMEDICAL CENTERMEDICAL CENTERSMEDICAL EQUIPMENTMEDICINESMILLENNIUM DEVELOPMENT GOALMINISTRY OF HEALTHMORAL HAZARDMORBIDITYMORTALITYMORTALITY REDUCTIONSNATIONAL HEALTHNATIONAL HEALTH INSURANCENATIONAL HEALTH SERVICENATIONAL HEALTH SERVICESNEONATAL CARENURSESNURSINGNUTRITIONOBESITYOFFICIAL DEVELOPMENT ASSISTANCEORAL REHYDRATION THERAPYPATIENTPATIENTSPAYMENTS FOR HEALTH SERVICESPHARMACIESPHARMACISTSPHARMACYPHYSICIANPHYSICIANSPOLICY RESEARCHPOOR HEALTHPOPULATION DYNAMICSPOPULATION GROUPSPOSTNATAL CAREPREGNANT WOMENPRIMARY CAREPRIMARY HEALTH CAREPRIMARY HEALTH CARE FACILITIESPRIVATE CONSUMPTIONPRIVATE HOSPITALSPRIVATE SECTORPROVIDER PAYMENTPUBLIC EXPENDITUREPUBLIC HEALTHPUBLIC HEALTH SPENDINGPUBLIC HEALTH SYSTEMPUBLIC HOSPITALPUBLIC HOSPITALSPUBLIC PROVIDERSPUBLIC SECTORPURCHASING POWERPURCHASING POWER PARITYQUALITY CONTROLQUALITY OF CAREQUALITY OF HEALTHQUALITY OF HEALTH CAREREGIONAL HOSPITALREHABILITATIONRESOURCE MOBILIZATIONRISK FACTORSRURAL AREASSMOKERSSOCIAL SECURITYSOCIAL SERVICESTREATMENTTUBERCULOSISUNEMPLOYMENTUNFPAUNITED NATIONS POPULATION FUNDUNIVERSAL HEALTH INSURANCE COVERAGEUSE OF HEALTH SERVICESUSER FEESVACCINATIONWORK EXPERIENCEWORKERSWORLD HEALTH ORGANIZATIONWOUNDS10.1596/978-1-4648-0289-8