Cost Recovery in Public Health Services in Sub-Saharan Africa PDF Download
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Author: Brian Nolan
Publisher: World Bank Publications
ISBN: 9780821332405
Category : Business & Economics
Languages : en
Pages : 118
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Book Description
This report describes and evaluates the ways in which user-fees are currently implemented to finance public health services in Sub- Saharan Africa. It presents the main issues that arise in assessing cost recovery through user fees and evaluates experiences to date. The authors highlight variety of practices encountered in different countries, the too common failure to structure charges so as to promote efficient use, and the lack of effective exemption structures for protecting the poor. The study thoroughly reviews standard cost recovery models and describes an initiative launched in Bamako, Mali, in 1987. Issues, experience, and conclusions are drawn from a sample of 38 countries.
Author: Brian Nolan
Publisher: World Bank Publications
ISBN: 9780821332405
Category : Business & Economics
Languages : en
Pages : 118
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Book Description
This report describes and evaluates the ways in which user-fees are currently implemented to finance public health services in Sub- Saharan Africa. It presents the main issues that arise in assessing cost recovery through user fees and evaluates experiences to date. The authors highlight variety of practices encountered in different countries, the too common failure to structure charges so as to promote efficient use, and the lack of effective exemption structures for protecting the poor. The study thoroughly reviews standard cost recovery models and describes an initiative launched in Bamako, Mali, in 1987. Issues, experience, and conclusions are drawn from a sample of 38 countries.
Author: Quinette Louw
Publisher: AOSIS
ISBN: 1928523862
Category : Medical
Languages : en
Pages : 536
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Book Description
This scholarly book focuses on stroke in Africa. Stroke is a leading cause of disability among adults of all ages, contributing significantly to health care costs related to long term implications, particularly if rehabilitation is sub-optimal. Given the burden of stroke in Africa, there is a need for a book that focuses on functioning African stroke survivors and the implications for rehabilitation within the African context. In addition, there is a need to progress with contextualised, person-centred, evidence-based guidance for the rehabilitation of people with stroke in Africa, thereby enabling them to lead socially and economically meaningful lives. The research incorporated in the book used a range of primary and secondary methodological approaches (scoping reviews, systematic reviews, meta-analyses, descriptive studies, surveys, health economics, and clinical practice guideline methodology) to shed new insights into African-centred issues and strategies to optimise function post-stroke.
Author: Mario J. Azevedo
Publisher: Springer
ISBN: 3319325647
Category : History
Languages : en
Pages : 305
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Book Description
This book focuses on Africa’s challenges, achievements, and failures over the past several centuries using an interdisciplinary approach that combines theory and fact and evidence-based practices and interventions in public health, and argues that most of the health problems in Africa are not a result of scarce or lack of resources, but of the misconceived and misplaced priorities that have left the continent behind every other on the globe in terms of health, education, and equitable distribution of opportunities and access to (quality) health as agreed by the United Nations member states at Alma-Ata in 1978.
Author: John S. Akin
Publisher: World Bank Publications
ISBN: 9780821309001
Category : Business & Economics
Languages : en
Pages : 104
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Book Description
This report discusses several different approaches that support reforming health care services in developing countries. For some time now, health care services have been supported by government funds. As demands for improving health care services continue to increase additional demands will be placed on governments to respond. This, however, will not be easy. Slow economic growth and record budget deficits in the 1980's have forced reductions in public spending. Alternative approaches to finance health care services are needed. Such possible changes could involve: decentralization of federal government involvement; the promotion of nongovernment involvement; the imposition of user fees; and, establishing health insurance. Finally, the role of the Bank in pursuing new financing strategies is discussed.
Author: Amewu, Sena
Publisher: Intl Food Policy Res Inst
ISBN:
Category : Political Science
Languages : en
Pages : 24
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Book Description
The objective in this paper is to estimate the economic costs of COVID-19 policies and external shocks in a developing country context, with a focus on agri-food system impacts. Ghana is selected as a case study. Ghana recorded its first two cases of COVID-19 infection on 12 March 2020. The government responded by gradually introducing social distancing measures, travel restrictions, border closures, and eventually a partial, two-week “partial” lockdown in the country’s largest metropolitan areas of Accra and Kumasi. Social distancing measures have been enforced nationwide and include bans on conferences, workshops, and sporting and religious events, as well as the closure of bars and nightclubs. All educational institutions are also closed. The partial lockdown measures in urban areas directed all residents to remain home except for essential business, prohibited non-essential inter-city travel and transport, and only essential manufacturing and services operations were permitted to continue (The Presidency 2020). At the time the lockdown was announced, Ghana’s Ministry of Finance revised its GDP growth estimate for 2020 downwards from 6.8 to 1.5 percent (MoF 2020), although the Minister warned that growth could fall further if lockdown measures were extended. The lockdown was initially extended for a third week but was officially lifted on 20 April. Social distancing measures remain in place nationwide, although a gradual easing of restrictions commenced in June. Ghana’s borders remain closed at the time of writing.
Author: Donald S. Shepard
Publisher: World Health Organization
ISBN: 9789241545280
Category : Medical
Languages : en
Pages : 106
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Book Description
A practical guide to the principles and methods of cost analysis as a managerial tool for improving the efficiency of hospitals. Addressed to managers and administrators, the manual aims to equip its readers with the knowledge and skills needed to calculate the costs of different activities or departments, analyse their significance, and use this information to manage resources wisely. Throughout, recommendations and advice are specific to the different purposes of cost analysis and the different types of decisions commonly facing managers. The manual, which is intended for use as a training tool, was finalized following extensive field testing in workshops in Bangladesh, Egypt, and Zimbabwe. Methods of cost-finding and cost analysis are thoroughly explained and illustrated with practical examples and model step-by-step procedures for performing calculations. Since hospital accounting systems in developing countries may have gaps or inaccuracies, the manual gives particular attention to reliable methods for estimating costs when existing data are problematic. The manual opens with an explanation of the many advantages of using cost-finding and cost analysis as managerial tools. These include the provision of data needed for informed decisions on operations and infrastructure investment, the planning of future budgets, the establishment of charges for patient services, and the development of mechanisms for ensuring that costs do not exceed available revenues and subsidies. Against this background, the core of the manual is presented in three chapters. The first and most extensive chapter explains how to allocate costs to cost centres and how to compute unit costs. Information and examples are presented according to seven steps. Each is discussed in terms of the types of data needed, how component cost items should be treated, and how costs can be computed in particular situations or cases. Practical examples are used to illustrate the types of questions addressed in cost analysis and the value of this information in guiding decisions. Chapter two explains how cost data can be used to improve the management of an individual hospital. Information is intended to guide decisions at both the cost centre, or department, level and the hospital level. Managerial tasks covered include budgeting, profitability, efficiency improvements, contracting outside services or producing in-house, and assessing fiscal solvency. Chapter three considers the use of cost data in managing national and regional hospital systems. Specific applications include improvements in the referral system, the appropriate use of different providers of services, and the comparison of similar hospitals to identify inefficiencies or sources of waste. The manual concludes with a series of practical exercises, followed by explanations of their answers.
Author: Moeletsi Mbeki
Publisher: Picador USA
ISBN: 9781770101616
Category : Africa
Languages : en
Pages : 0
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Book Description
Of an estimated 1 billion people in the world who are trapped in a cycle of grinding poverty and despair, a disproportionate number live in sub-Saharan Africa. In this innovative and challenging account, Moeletsi Mbeki analyses the plight of Africa and concludes that the fault lies not with the mass of its people but with its rulers - the political elites who contrive to keep their fellow citizens poor while enriching themselves. Concentrating mainly on South Africa, his country of birth, and Zimbabwe, his home when he was in exile, Mbeki tells a tale of lost opportunities and extinguished hopes. Yet Mbeki is no Afro-pessimist. Along with his candid expose of the problems, he offers some suggestions about what needs to be done to break the stranglehold of the African elites on political power, and to set sub-Saharan Africa once more on the road to development.
Author: Paul Gertler
Publisher: World Bank Publications
ISBN:
Category : Afgifter
Languages : en
Pages : 42
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Book Description
Author: Howard Barnum
Publisher:
ISBN: 9780801845321
Category : Business & Economics
Languages : en
Pages : 335
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Book Description
Hospitals receive the lion's share of resources in developing countries although other types of care are more cost effective. This study shows how hospital waste can be cut, improvements in managerial and technical efficiency, and involvement of hospitals in the policy dialog regarding use of resources can yield great benefits. Published for the World Bank. Annotation copyright by Book News, Inc., Portland, OR
Author: Quentin Wodon
Publisher: World Bank Publications
ISBN: 0821399667
Category : Business & Economics
Languages : en
Pages : 180
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Book Description
This study provides evidence on the role of faith-inspired, private secular, and public schools in Africa using nationally representative household surveys as well as qualitative data. The study focuses on a comparative assessment of market share, reach to the poor, cost for households, and satisfaction of households with the services received.
