How are Health Services, Financing and Status Evaluated? An Analysis of Implementation Completion Reports of World Bank Assistance in Health
This paper reports on an analysis of how World Bank assistance at the country level has influenced health services, health financing, and status on peoples' health. The Implementation Completion Reports used to evaluate all 118 projects involv...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2006/11/7405675/health-services-financing-status-evaluated-analysis-implementation-completion-reports-world-bank-assistance-health http://hdl.handle.net/10986/13638 |
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okr-10986-136382021-04-23T14:03:09Z How are Health Services, Financing and Status Evaluated? An Analysis of Implementation Completion Reports of World Bank Assistance in Health Subramanian, Savitha Peters, David Willis, Jeffrey ANTENATAL CARE CHILD HEALTH COMMUNICABLE DISEASES CONTRACEPTIVES DELIVERY OF HEALTH SERVICES DELIVERY SYSTEMS DISEASE DISEASE CONTROL DISEASE PREVALENCE ESSENTIAL DRUGS EXPENDITURES FAMILY PLANNING FOOD SECURITY HEALTH CARE HEALTH CARE FINANCING HEALTH CARE SYSTEMS HEALTH FACILITIES HEALTH FINANCING HEALTH FUNDING HEALTH INSURANCE HEALTH INSURANCE PROGRAM HEALTH MANAGEMENT HEALTH OUTCOMES HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTH STATUS INDICATORS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HEALTH WORKERS HOSPITAL SERVICES IMMUNIZATION INCOME COUNTRIES INFORMATION SYSTEMS INJURIES LIFE EXPECTANCY LOW INCOME MALARIA MEDICINE MIDDLE EAST MORTALITY NORTH AFRICA NUTRITION OUTPATIENT SERVICES PREVALENCE PUBLIC HEALTH PUBLIC SECTOR QUALITY OF HEALTH CARE SUSTAINABLE HEALTH CARE TUBERCULOSIS WORKERS This paper reports on an analysis of how World Bank assistance at the country level has influenced health services, health financing, and status on peoples' health. The Implementation Completion Reports used to evaluate all 118 projects involving health services completed between fiscal years 2003-2005 were systematically analyzed to determine how they measured changes in health services, health financing, and health status outcomes. The results showed that few Bank-assisted projects in the health sector evaluated changes in health services, health financing, or health status, with nearly all those measuring change demonstrating improvements. In multivariate models including the type of project organization (e.g. disease program, sector wide approach), project inputs, key project activities, and contextual factors including per capita income level, geographic region, and Country Policy and Institutional Assessment ratings, there was a statistically significant association between use of a sector-wide approach (SWAp) and measurement of improvements in health services and improvements in health status. Projects that used contracting mechanisms were also more likely to show an improvement in health services. No other type of organization of project support, project input or project activity was statistically associated with measurement of improvements in health services in the multivariate analysis. The results from this analysis show that the three strategic priorities outlined in the 1997 HNP Strategy-- (i) to improve health, nutrition, and population outcomes of the poor; (ii) to enhance the performance of health care systems; and to (iii) secure sustainable health care financing, were not well measured in the evaluation frameworks of Bank assistance in health. With the development of the new HNP Strategy, the World Bank should encourage policy makers to demand more rigorous monitoring and evaluation of health sector investments with Bank funds. 2013-05-29T17:48:02Z 2013-05-29T17:48:02Z 2006-11 http://documents.worldbank.org/curated/en/2006/11/7405675/health-services-financing-status-evaluated-analysis-implementation-completion-reports-world-bank-assistance-health http://hdl.handle.net/10986/13638 English en_US HNP discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ANTENATAL CARE CHILD HEALTH COMMUNICABLE DISEASES CONTRACEPTIVES DELIVERY OF HEALTH SERVICES DELIVERY SYSTEMS DISEASE DISEASE CONTROL DISEASE PREVALENCE ESSENTIAL DRUGS EXPENDITURES FAMILY PLANNING FOOD SECURITY HEALTH CARE HEALTH CARE FINANCING HEALTH CARE SYSTEMS HEALTH FACILITIES HEALTH FINANCING HEALTH FUNDING HEALTH INSURANCE HEALTH INSURANCE PROGRAM HEALTH MANAGEMENT HEALTH OUTCOMES HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTH STATUS INDICATORS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HEALTH WORKERS HOSPITAL SERVICES IMMUNIZATION INCOME COUNTRIES INFORMATION SYSTEMS INJURIES LIFE EXPECTANCY LOW INCOME MALARIA MEDICINE MIDDLE EAST MORTALITY NORTH AFRICA NUTRITION OUTPATIENT SERVICES PREVALENCE PUBLIC HEALTH PUBLIC SECTOR QUALITY OF HEALTH CARE SUSTAINABLE HEALTH CARE TUBERCULOSIS WORKERS |
| spellingShingle |
ANTENATAL CARE CHILD HEALTH COMMUNICABLE DISEASES CONTRACEPTIVES DELIVERY OF HEALTH SERVICES DELIVERY SYSTEMS DISEASE DISEASE CONTROL DISEASE PREVALENCE ESSENTIAL DRUGS EXPENDITURES FAMILY PLANNING FOOD SECURITY HEALTH CARE HEALTH CARE FINANCING HEALTH CARE SYSTEMS HEALTH FACILITIES HEALTH FINANCING HEALTH FUNDING HEALTH INSURANCE HEALTH INSURANCE PROGRAM HEALTH MANAGEMENT HEALTH OUTCOMES HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH STATUS HEALTH STATUS INDICATORS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HEALTH WORKERS HOSPITAL SERVICES IMMUNIZATION INCOME COUNTRIES INFORMATION SYSTEMS INJURIES LIFE EXPECTANCY LOW INCOME MALARIA MEDICINE MIDDLE EAST MORTALITY NORTH AFRICA NUTRITION OUTPATIENT SERVICES PREVALENCE PUBLIC HEALTH PUBLIC SECTOR QUALITY OF HEALTH CARE SUSTAINABLE HEALTH CARE TUBERCULOSIS WORKERS Subramanian, Savitha Peters, David Willis, Jeffrey How are Health Services, Financing and Status Evaluated? An Analysis of Implementation Completion Reports of World Bank Assistance in Health |
| relation |
HNP discussion paper series; |
| description |
This paper reports on an analysis of how
World Bank assistance at the country level has influenced
health services, health financing, and status on
peoples' health. The Implementation Completion Reports
used to evaluate all 118 projects involving health services
completed between fiscal years 2003-2005 were systematically
analyzed to determine how they measured changes in health
services, health financing, and health status outcomes. The
results showed that few Bank-assisted projects in the health
sector evaluated changes in health services, health
financing, or health status, with nearly all those measuring
change demonstrating improvements. In multivariate models
including the type of project organization (e.g. disease
program, sector wide approach), project inputs, key project
activities, and contextual factors including per capita
income level, geographic region, and Country Policy and
Institutional Assessment ratings, there was a statistically
significant association between use of a sector-wide
approach (SWAp) and measurement of improvements in health
services and improvements in health status. Projects that
used contracting mechanisms were also more likely to show an
improvement in health services. No other type of
organization of project support, project input or project
activity was statistically associated with measurement of
improvements in health services in the multivariate
analysis. The results from this analysis show that the three
strategic priorities outlined in the 1997 HNP Strategy-- (i)
to improve health, nutrition, and population outcomes of the
poor; (ii) to enhance the performance of health care
systems; and to (iii) secure sustainable health care
financing, were not well measured in the evaluation
frameworks of Bank assistance in health. With the
development of the new HNP Strategy, the World Bank should
encourage policy makers to demand more rigorous monitoring
and evaluation of health sector investments with Bank funds. |
| format |
Publications & Research :: Working Paper |
| author |
Subramanian, Savitha Peters, David Willis, Jeffrey |
| author_facet |
Subramanian, Savitha Peters, David Willis, Jeffrey |
| author_sort |
Subramanian, Savitha |
| title |
How are Health Services, Financing and Status Evaluated? An Analysis of Implementation Completion Reports of World Bank Assistance in Health |
| title_short |
How are Health Services, Financing and Status Evaluated? An Analysis of Implementation Completion Reports of World Bank Assistance in Health |
| title_full |
How are Health Services, Financing and Status Evaluated? An Analysis of Implementation Completion Reports of World Bank Assistance in Health |
| title_fullStr |
How are Health Services, Financing and Status Evaluated? An Analysis of Implementation Completion Reports of World Bank Assistance in Health |
| title_full_unstemmed |
How are Health Services, Financing and Status Evaluated? An Analysis of Implementation Completion Reports of World Bank Assistance in Health |
| title_sort |
how are health services, financing and status evaluated? an analysis of implementation completion reports of world bank assistance in health |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2006/11/7405675/health-services-financing-status-evaluated-analysis-implementation-completion-reports-world-bank-assistance-health http://hdl.handle.net/10986/13638 |
| _version_ |
1764423941969936384 |