Independent Evaluation Group2015-01-202015-01-202014-07https://hdl.handle.net/10986/21310The way countries finance health care influences how well a health system performs and achieves its expected outcomes, including how equitable and efficient it is. Countries decide how to mobilize revenues from different sources for financing health care, how to pool revenues in public and private insurance and in a national health system with automatic coverage (risk pooling), and how to purchase care from health care providers. The World Bank has implemented health financing activities in 68 countries during FY03-12. Health financing interventions are found in about 40 percent of the Bank s Health, Nutrition, and Population portfolio. Most projects include interventions on revenue collection from public sources. Almost half of the projects support public health insurance and automatic coverage. More recently, results-based financing (RBF) operations became more prominent. The International Finance Corporation (IFC) delivered a small program in health financing. The evaluation makes five main recommendations: support government commitment and build technical and information capacity; address health financing as a cross-cutting issue at the country level; focus on health financing as a core comparative advantage; integrate all health financing functions; and strengthen monitoring and evaluation in Bank and IFC projects.en-USCC BY 3.0 IGOACCESS TO CAPITALACCOUNTABILITYADMINISTRATIVE COSTSADULT MORTALITYADVERSE SELECTIONADVISORY SERVICEADVISORY SERVICESADVISORY WORKALTERNATIVE INVESTMENTSAUTONOMYBANK LENDINGCAPACITY BUILDINGCAPITATIONCASH PAYMENTCHILD HEALTHCOMMUNICABLE DISEASESCREDITSDEBTSDEVELOPMENT ASSISTANCEDIABETESDONOR FUNDSECONOMIC ANALYSISECONOMIC CRISISECONOMIC DEVELOPMENTECONOMIC GROWTHEMPLOYERSENROLLMENTENTREPRENEURIAL BEHAVIOREPIDEMIOLOGICAL CHANGESEQUITY FUNDEQUITY FUNDSEQUITY IN ACCESSEXCISE TAXESEXTERNAL FUNDSEXTERNALITIESFINANCESFINANCIAL ASSISTANCEFINANCIAL CONSEQUENCESFINANCIAL CONTRIBUTIONSFINANCIAL INCENTIVESFINANCIAL MANAGEMENTFINANCIAL PROTECTIONFINANCIAL RISKFINANCIAL RISK PROTECTIONFINANCIAL SUPPORTFINANCIAL SUSTAINABILITYFINANCING HEALTH CAREFISCAL DECENTRALIZATIONFISCAL POLICIESFISCAL POLICYFLOW OF FUNDSHEALTH AFFAIRSHEALTH BUDGETSHEALTH CAREHEALTH CARE ACCESSHEALTH CARE COSTSHEALTH CARE COVERAGEHEALTH CARE DELIVERYHEALTH CARE NETWORKSHEALTH CARE PROVIDERSHEALTH CARE SERVICESHEALTH CARE SYSTEMSHEALTH CARE UTILIZATIONHEALTH COVERAGEHEALTH EXPENDITURESHEALTH FACILITIESHEALTH FINANCEHEALTH FINANCINGHEALTH FINANCING REFORMHEALTH FINANCING SYSTEMHEALTH INSURANCEHEALTH INSURANCE PLANSHEALTH INSURANCE SYSTEMHEALTH INSURERSHEALTH INTERVENTIONSHEALTH MAINTENANCEHEALTH MAINTENANCE ORGANIZATIONHEALTH MAINTENANCE ORGANIZATIONSHEALTH ORGANIZATIONHEALTH OUTCOMESHEALTH PROGRAMSHEALTH PROJECTHEALTH PROJECTSHEALTH SECTORHEALTH SECTOR REFORMHEALTH SERVICEHEALTH SERVICE USEHEALTH SERVICESHEALTH SPECIALISTHEALTH SPENDINGHEALTH STATUSHEALTH STRATEGYHEALTH SYSTEMHEALTH SYSTEM PERFORMANCEHEALTH SYSTEM STRENGTHENINGHEALTH SYSTEMSHEALTH SYSTEMS RESEARCHHEALTH SYSTEMS STRENGTHENINGHEALTH WORKERSHEALTH-FINANCINGHEALTHY DEVELOPMENTHMOHMOSHOLISTIC APPROACHHUMAN CAPITALHUMAN RESOURCESILLNESSIMMUNIZATIONIMPACT EVALUATIONSIMPACT ON HEALTH OUTCOMESINCOMEINCOME COUNTRIESINCOME GROUPSINCOME HOUSEHOLDSINEQUALITIESINFECTIOUS DISEASESINFORMAL PAYMENTSINFORMAL SECTORINFORMAL SECTOR WORKERSINFORMATION SYSTEMSINSTITUTIONAL CAPACITYINSTITUTIONAL CAPACITY BUILDINGINSTITUTIONAL REFORMSINSURANCE COMPANIESINSURANCE CONTRIBUTIONSINTEGRATIONINTERNATIONAL BANKINTERNATIONAL FINANCEINTERVENTIONLABOR MARKETLABOR MARKETSLOCAL GOVERNMENTLOW-INCOME COUNTRIESMARKET FAILURESMEDICAL INSURANCEMEDICAL SERVICESMEDICAL TECHNOLOGIESMORTALITYMUNICIPALITIESNATIONAL HEALTHNATIONAL HEALTH INSURANCENATIONAL HEALTH SERVICESNONGOVERNMENTAL ORGANIZATIONSNUTRITIONPATIENTPATIENT SURVEYSPATIENTSPHARMACIESPOCKET PAYMENTSPORTFOLIO ANALYSISPOSTNATAL CAREPREPAYMENT MECHANISMSPRIVATE EQUITYPRIVATE HEALTH INSURANCEPRIVATE INSURANCEPRIVATE INSURERSPRIVATE SECTORPRODUCTIVITYPROVIDER PAYMENTPROVISION OF CAREPROVISION OF HEALTH CAREPUBLIC EXPENDITUREPUBLIC FINANCEPUBLIC FUNDSPUBLIC HEALTHPUBLIC HEALTH INSURANCEPUBLIC HEALTH INTERVENTIONSPUBLIC INSURERSPUBLIC POLICYPUBLIC SECTORPUBLIC SPENDINGPUBLIC SUBSIDIESQUALITY OF HEALTHQUALITY OF HEALTH CAREREVENUE MOBILIZATIONSAFETY NETSSOCIAL HEALTH INSURANCESOCIAL SAFETY NETSSUBSIDIARYSUPPLY OF HEALTH CARETAX ADMINISTRATIONTAX COLLECTIONTECHNICAL ASSISTANCETOBACCO TAXESTRANSPORTTUBERCULOSISUSER FEESWAGESWAREHOUSEWORKERS10.1596/21310