Health Financing for Poor People : Resource Mobilization and Risk Sharing

Most community financing schemes have evolved in the context of severe economic constraints, political instability, and lack of good governance. Usually government taxation capacity is weak, formal mechanisms of social protection for vulnerable pop...

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Main Authors:	Preker, Alexander S., Carrin, Guy
Format:	Publication
Language:	English en_US
Published:	Washington, DC: World Bank 2013
Subjects:	HEALTH FINANCING HEALTH CARE ADMINISTRATION COMMUNITY FINANCING COMMUNITY PARTICIPATION RESOURCE MOBILIZATION GOVERNMENT ROLE RISK MANAGEMENT HEALTH OUTREACH SERVICES ACCESS TO HEALTH CARE LOW INCOME POPULATIONS INFORMAL SECTOR HEALTH EXPENDITURES RISK POOLING HEALTH CARE DELIVERY HEALTH CARE FOR POOR CHILDREN ADMINISTRATIVE CAPABILITY HEALTH CARE COST CONTROL HEALTH CARE COVERAGE ABILITY TO PAY BASIC HEALTH CARE BASIC HEALTH SERVICES BASIC SERVICES CASE STUDIES CLINICS COMMUNITY HEALTH COMMUNITY LEADERS COMMUNITY MEMBERS CONCEPTUAL FRAMEWORK COST RECOVERY DATA ANALYSIS DATA SOURCES DEBT RELIEF DEVELOPED COUNTRIES DEVELOPING COUNTRIES DEVELOPMENT GOALS EMPLOYMENT EXPENDITURES FAMILIES FINANCING MECHANISMS HEALTH CARE HEALTH CARE COSTS HEALTH CARE FINANCE HEALTH CARE FINANCING HEALTH CARE PROVIDERS HEALTH CENTER HEALTH EXPENDITURE HEALTH INSURANCE HEALTH OUTCOMES HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEM GOALS HEALTH WORKERS HOSPITAL SERVICES HOSPITAL UTILIZATION HOSPITALIZATION HOSPITALS HOUSEHOLD CHARACTERISTICS HOUSEHOLD DATA HOUSEHOLD LEVEL HOUSEHOLD SURVEY HOUSEHOLD SURVEYS IMPROVED ACCESS INCOME INCOME POPULATIONS INDIVIDUAL LEVEL INPATIENT CARE INTERNATIONAL LABOUR ISOLATION LABOR MARKET LIFE INSURANCE LOCAL LEVEL LOW- INCOME COUNTRIES LOW-INCOME COUNTRIES MANAGEMENT CAPACITY MEDICAL CARE MEDICAL ECONOMICS MEDICAL INSURANCE MORTALITY PATIENTS POLICY MEASURES POLICY OPTIONS POOR COMMUNITIES POOR HOUSEHOLDS POOR LIVING POOR PEOPLE POPULATION SIZE POVERTY ALLEVIATION PRIMARY CARE PRIVATE SECTOR PROBABILITY PUBLIC EXPENDITURE PUBLIC FUNDS PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC POLICY PUBLIC SECTOR PUBLIC SERVICES RESEARCH DESIGN RESOURCE ALLOCATION RESOURCE CONSTRAINTS RISK SHARING RURAL AREAS RURAL COMMUNITIES RURAL POOR RURAL RESIDENTS SECTOR PROVIDERS SERVICE DELIVERY SOCIAL CAPITAL SOCIAL EXCLUSION SOCIAL INCLUSION SOCIAL PROTECTION STATISTICAL DATA SUSTAINABILITY TAX COLLECTION TECHNICAL ASSISTANCE TECHNICAL SUPPORT URBAN CENTERS URBAN HOUSEHOLDS URBAN POOR WORKERS
Online Access:	http://documents.worldbank.org/curated/en/2004/05/3522037/health-financing-poor-people-resource-mobilization-risk-sharing http://hdl.handle.net/10986/15019

id	okr-10986-15019
recordtype	oai_dc
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	HEALTH FINANCING HEALTH CARE ADMINISTRATION COMMUNITY FINANCING COMMUNITY PARTICIPATION RESOURCE MOBILIZATION GOVERNMENT ROLE RISK MANAGEMENT HEALTH OUTREACH SERVICES ACCESS TO HEALTH CARE LOW INCOME POPULATIONS INFORMAL SECTOR HEALTH EXPENDITURES RISK POOLING COMMUNITY FINANCING HEALTH CARE DELIVERY HEALTH CARE FOR POOR CHILDREN ADMINISTRATIVE CAPABILITY HEALTH CARE COST CONTROL HEALTH CARE COVERAGE ABILITY TO PAY BASIC HEALTH CARE BASIC HEALTH SERVICES BASIC SERVICES CASE STUDIES CLINICS COMMUNITY HEALTH COMMUNITY LEADERS COMMUNITY MEMBERS COMMUNITY PARTICIPATION CONCEPTUAL FRAMEWORK COST RECOVERY DATA ANALYSIS DATA SOURCES DEBT RELIEF DEVELOPED COUNTRIES DEVELOPING COUNTRIES DEVELOPMENT GOALS EMPLOYMENT EXPENDITURES FAMILIES FINANCING MECHANISMS HEALTH CARE HEALTH CARE COSTS HEALTH CARE FINANCE HEALTH CARE FINANCING HEALTH CARE PROVIDERS HEALTH CENTER HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEM GOALS HEALTH WORKERS HOSPITAL SERVICES HOSPITAL UTILIZATION HOSPITALIZATION HOSPITALS HOUSEHOLD CHARACTERISTICS HOUSEHOLD DATA HOUSEHOLD LEVEL HOUSEHOLD SURVEY HOUSEHOLD SURVEYS IMPROVED ACCESS INCOME INCOME POPULATIONS INDIVIDUAL LEVEL INFORMAL SECTOR INPATIENT CARE INTERNATIONAL LABOUR ISOLATION LABOR MARKET LIFE INSURANCE LOCAL LEVEL LOW- INCOME COUNTRIES LOW-INCOME COUNTRIES MANAGEMENT CAPACITY MEDICAL CARE MEDICAL ECONOMICS MEDICAL INSURANCE MORTALITY PATIENTS POLICY MEASURES POLICY OPTIONS POOR COMMUNITIES POOR HOUSEHOLDS POOR LIVING POOR PEOPLE POPULATION SIZE POVERTY ALLEVIATION PRIMARY CARE PRIVATE SECTOR PROBABILITY PUBLIC EXPENDITURE PUBLIC FUNDS PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC POLICY PUBLIC SECTOR PUBLIC SERVICES RESEARCH DESIGN RESOURCE ALLOCATION RESOURCE CONSTRAINTS RISK SHARING RURAL AREAS RURAL COMMUNITIES RURAL POOR RURAL RESIDENTS SECTOR PROVIDERS SERVICE DELIVERY SOCIAL CAPITAL SOCIAL EXCLUSION SOCIAL INCLUSION SOCIAL PROTECTION STATISTICAL DATA SUSTAINABILITY TAX COLLECTION TECHNICAL ASSISTANCE TECHNICAL SUPPORT URBAN CENTERS URBAN HOUSEHOLDS URBAN POOR WORKERS
spellingShingle	HEALTH FINANCING HEALTH CARE ADMINISTRATION COMMUNITY FINANCING COMMUNITY PARTICIPATION RESOURCE MOBILIZATION GOVERNMENT ROLE RISK MANAGEMENT HEALTH OUTREACH SERVICES ACCESS TO HEALTH CARE LOW INCOME POPULATIONS INFORMAL SECTOR HEALTH EXPENDITURES RISK POOLING COMMUNITY FINANCING HEALTH CARE DELIVERY HEALTH CARE FOR POOR CHILDREN ADMINISTRATIVE CAPABILITY HEALTH CARE COST CONTROL HEALTH CARE COVERAGE ABILITY TO PAY BASIC HEALTH CARE BASIC HEALTH SERVICES BASIC SERVICES CASE STUDIES CLINICS COMMUNITY HEALTH COMMUNITY LEADERS COMMUNITY MEMBERS COMMUNITY PARTICIPATION CONCEPTUAL FRAMEWORK COST RECOVERY DATA ANALYSIS DATA SOURCES DEBT RELIEF DEVELOPED COUNTRIES DEVELOPING COUNTRIES DEVELOPMENT GOALS EMPLOYMENT EXPENDITURES FAMILIES FINANCING MECHANISMS HEALTH CARE HEALTH CARE COSTS HEALTH CARE FINANCE HEALTH CARE FINANCING HEALTH CARE PROVIDERS HEALTH CENTER HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEM GOALS HEALTH WORKERS HOSPITAL SERVICES HOSPITAL UTILIZATION HOSPITALIZATION HOSPITALS HOUSEHOLD CHARACTERISTICS HOUSEHOLD DATA HOUSEHOLD LEVEL HOUSEHOLD SURVEY HOUSEHOLD SURVEYS IMPROVED ACCESS INCOME INCOME POPULATIONS INDIVIDUAL LEVEL INFORMAL SECTOR INPATIENT CARE INTERNATIONAL LABOUR ISOLATION LABOR MARKET LIFE INSURANCE LOCAL LEVEL LOW- INCOME COUNTRIES LOW-INCOME COUNTRIES MANAGEMENT CAPACITY MEDICAL CARE MEDICAL ECONOMICS MEDICAL INSURANCE MORTALITY PATIENTS POLICY MEASURES POLICY OPTIONS POOR COMMUNITIES POOR HOUSEHOLDS POOR LIVING POOR PEOPLE POPULATION SIZE POVERTY ALLEVIATION PRIMARY CARE PRIVATE SECTOR PROBABILITY PUBLIC EXPENDITURE PUBLIC FUNDS PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC POLICY PUBLIC SECTOR PUBLIC SERVICES RESEARCH DESIGN RESOURCE ALLOCATION RESOURCE CONSTRAINTS RISK SHARING RURAL AREAS RURAL COMMUNITIES RURAL POOR RURAL RESIDENTS SECTOR PROVIDERS SERVICE DELIVERY SOCIAL CAPITAL SOCIAL EXCLUSION SOCIAL INCLUSION SOCIAL PROTECTION STATISTICAL DATA SUSTAINABILITY TAX COLLECTION TECHNICAL ASSISTANCE TECHNICAL SUPPORT URBAN CENTERS URBAN HOUSEHOLDS URBAN POOR WORKERS Preker, Alexander S. Carrin, Guy Health Financing for Poor People : Resource Mobilization and Risk Sharing
description	Most community financing schemes have evolved in the context of severe economic constraints, political instability, and lack of good governance. Usually government taxation capacity is weak, formal mechanisms of social protection for vulnerable populations absent, and government oversight of the informal health sector lacking. In this context of extreme public sector failure, community involvement in the financing of health care provides a critical albeit insufficient first step in the long march towards improved access to health care by the poor and social protection against the cost of illness. Health Financing for Poor People stresses that community financing schemes are no panacea for the problems that low-income countries face in resource mobilization. They should be regarded as a complement to - not as a substitute for - strong government involvement in health care financing and risk management related to the cost of illness. Based on an extensive survey of the literature, the main strengths of community financing schemes are the extent of outreach penetration achieved through community participation, their contribution to financial protection against illness, and increase in access to health care by low-income rural and informal sector workers. Their main weaknesses are the low volume of revenues that can be mobilized from poor communities, the frequent exclusion of the very poorest from participation in such schemes without some form of subsidy, the small size of the risk pool, the limited management capacity that exists in rural and low-income contexts, and their isolation from the more comprehensive benefits that are often available through more formal health financing mechanisms and provider networks. The authors conclude by proposing concrete public policy measures that governments can introduce to strengthen and improve the effectiveness of community involvement in health care financing.
author2	Preker, Alexander S.
author_facet	Preker, Alexander S. Preker, Alexander S. Carrin, Guy
format	Publications & Research :: Publication
author	Preker, Alexander S. Carrin, Guy
author_sort	Preker, Alexander S.
title	Health Financing for Poor People : Resource Mobilization and Risk Sharing
title_short	Health Financing for Poor People : Resource Mobilization and Risk Sharing
title_full	Health Financing for Poor People : Resource Mobilization and Risk Sharing
title_fullStr	Health Financing for Poor People : Resource Mobilization and Risk Sharing
title_full_unstemmed	Health Financing for Poor People : Resource Mobilization and Risk Sharing
title_sort	health financing for poor people : resource mobilization and risk sharing
publisher	Washington, DC: World Bank
publishDate	2013
url	http://documents.worldbank.org/curated/en/2004/05/3522037/health-financing-poor-people-resource-mobilization-risk-sharing http://hdl.handle.net/10986/15019
_version_	1764425987453353984
spelling	okr-10986-150192021-04-23T14:03:12Z Health Financing for Poor People : Resource Mobilization and Risk Sharing Preker, Alexander S. Carrin, Guy Preker, Alexander S. Carrin, Guy HEALTH FINANCING HEALTH CARE ADMINISTRATION COMMUNITY FINANCING COMMUNITY PARTICIPATION RESOURCE MOBILIZATION GOVERNMENT ROLE RISK MANAGEMENT HEALTH OUTREACH SERVICES ACCESS TO HEALTH CARE LOW INCOME POPULATIONS INFORMAL SECTOR HEALTH EXPENDITURES RISK POOLING COMMUNITY FINANCING HEALTH CARE DELIVERY HEALTH CARE FOR POOR CHILDREN ADMINISTRATIVE CAPABILITY HEALTH CARE COST CONTROL HEALTH CARE COVERAGE ABILITY TO PAY BASIC HEALTH CARE BASIC HEALTH SERVICES BASIC SERVICES CASE STUDIES CLINICS COMMUNITY HEALTH COMMUNITY LEADERS COMMUNITY MEMBERS COMMUNITY PARTICIPATION CONCEPTUAL FRAMEWORK COST RECOVERY DATA ANALYSIS DATA SOURCES DEBT RELIEF DEVELOPED COUNTRIES DEVELOPING COUNTRIES DEVELOPMENT GOALS EMPLOYMENT EXPENDITURES FAMILIES FINANCING MECHANISMS HEALTH CARE HEALTH CARE COSTS HEALTH CARE FINANCE HEALTH CARE FINANCING HEALTH CARE PROVIDERS HEALTH CENTER HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEM GOALS HEALTH WORKERS HOSPITAL SERVICES HOSPITAL UTILIZATION HOSPITALIZATION HOSPITALS HOUSEHOLD CHARACTERISTICS HOUSEHOLD DATA HOUSEHOLD LEVEL HOUSEHOLD SURVEY HOUSEHOLD SURVEYS IMPROVED ACCESS INCOME INCOME POPULATIONS INDIVIDUAL LEVEL INFORMAL SECTOR INPATIENT CARE INTERNATIONAL LABOUR ISOLATION LABOR MARKET LIFE INSURANCE LOCAL LEVEL LOW- INCOME COUNTRIES LOW-INCOME COUNTRIES MANAGEMENT CAPACITY MEDICAL CARE MEDICAL ECONOMICS MEDICAL INSURANCE MORTALITY PATIENTS POLICY MEASURES POLICY OPTIONS POOR COMMUNITIES POOR HOUSEHOLDS POOR LIVING POOR PEOPLE POPULATION SIZE POVERTY ALLEVIATION PRIMARY CARE PRIVATE SECTOR PROBABILITY PUBLIC EXPENDITURE PUBLIC FUNDS PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC POLICY PUBLIC SECTOR PUBLIC SERVICES RESEARCH DESIGN RESOURCE ALLOCATION RESOURCE CONSTRAINTS RISK SHARING RURAL AREAS RURAL COMMUNITIES RURAL POOR RURAL RESIDENTS SECTOR PROVIDERS SERVICE DELIVERY SOCIAL CAPITAL SOCIAL EXCLUSION SOCIAL INCLUSION SOCIAL PROTECTION STATISTICAL DATA SUSTAINABILITY TAX COLLECTION TECHNICAL ASSISTANCE TECHNICAL SUPPORT URBAN CENTERS URBAN HOUSEHOLDS URBAN POOR WORKERS Most community financing schemes have evolved in the context of severe economic constraints, political instability, and lack of good governance. Usually government taxation capacity is weak, formal mechanisms of social protection for vulnerable populations absent, and government oversight of the informal health sector lacking. In this context of extreme public sector failure, community involvement in the financing of health care provides a critical albeit insufficient first step in the long march towards improved access to health care by the poor and social protection against the cost of illness. Health Financing for Poor People stresses that community financing schemes are no panacea for the problems that low-income countries face in resource mobilization. They should be regarded as a complement to - not as a substitute for - strong government involvement in health care financing and risk management related to the cost of illness. Based on an extensive survey of the literature, the main strengths of community financing schemes are the extent of outreach penetration achieved through community participation, their contribution to financial protection against illness, and increase in access to health care by low-income rural and informal sector workers. Their main weaknesses are the low volume of revenues that can be mobilized from poor communities, the frequent exclusion of the very poorest from participation in such schemes without some form of subsidy, the small size of the risk pool, the limited management capacity that exists in rural and low-income contexts, and their isolation from the more comprehensive benefits that are often available through more formal health financing mechanisms and provider networks. The authors conclude by proposing concrete public policy measures that governments can introduce to strengthen and improve the effectiveness of community involvement in health care financing. 2013-08-12T18:52:26Z 2013-08-12T18:52:26Z 2004 http://documents.worldbank.org/curated/en/2004/05/3522037/health-financing-poor-people-resource-mobilization-risk-sharing 0-8213-5525-2 http://hdl.handle.net/10986/15019 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank Washington, DC: World Bank Publications & Research :: Publication Publications & Research :: Publication

Health Financing for Poor People : Resource Mobilization and Risk Sharing

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