Health Financing in the Republic of Gabon

This 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....

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Main Authors:	Saleh, Karima, Couttolenc, Bernard F., Barroy, Helene
Format:	Publication
Language:	English en_US
Published:	Washington, DC: World Bank 2014
Subjects:	ABORTION ACCESS TO DRUGS ACCESS TO HEALTH SERVICES ACCOUNTABILITY MECHANISMS ADMINISTRATIVE COSTS ADVERSE SELECTION AGE GROUPS AGED ANTENATAL CARE BASIC HEALTH CARE BEDS BIRTH ATTENDANT BREASTFEEDING BUDGET ALLOCATION BURDEN OF DISEASE CAPITA HEALTH SPENDING CAPITATION CAUSES OF DEATH CHILD BIRTH CHILD HEALTH CHILD MORTALITY CHILDBIRTH CITIES CLEAN WATER CLINICS COMMUNICABLE DISEASES CONTRACEPTIVES COST SHARING COSTS OF CARE DEATHS DELIVERY OF HEALTH SERVICES DEMOGRAPHIC CHANGES DIABETES DISPENSARIES DOCTORS EPIDEMIOLOGICAL CHANGES EPIDEMIOLOGICAL TRANSITION EPIDEMIOLOGY EQUITY IN ACCESS EXPENDITURES FAMILY HEALTH FEE-FOR-SERVICE FEE-FOR-SERVICE PAYMENT FERTILITY FINANCIAL MANAGEMENT FINANCIAL PROTECTION FORECASTS GROSS DOMESTIC PRODUCT GROSS NATIONAL INCOME HEALTH CARE COSTS HEALTH CARE FACILITIES HEALTH CARE SERVICES HEALTH CENTERS HEALTH CLINICS HEALTH COVERAGE HEALTH DELIVERY HEALTH DELIVERY STANDARDS HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCE HEALTH FINANCING HEALTH FINANCING REFORM HEALTH FINANCING SYSTEM HEALTH INDICATORS HEALTH INSURANCE PROGRAM HEALTH INSURANCE SCHEME HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH POSTS HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH RESEARCH HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE PROVIDERS HEALTH SERVICE USE HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH STATUS HEALTH STRATEGY HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HIGH BLOOD PRESSURE HIV HIV/AIDS HOSPITAL BEDS HOSPITAL CARE HOSPITAL MANAGEMENT HOSPITAL SERVICES HOSPITALS HOUSEHOLD INCOME HOUSEHOLD LEVEL HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HYGIENE HYPERTENSION ILLNESS IMMUNIZATION IMMUNODEFICIENCY INCENTIVES FOR SUPPLIER INCIDENCE ANALYSIS INCOME INCOME COUNTRIES INCOME GROUPS INCOME GROWTH INDIVIDUAL INCOMES INDUCED DEMAND INFANT INFANT MORTALITY INFANT MORTALITY RATE INFANT MORTALITY RATES INFANTS INFORMAL SECTOR INFORMAL SECTOR WORKERS INFORMATION SYSTEMS INJURIES INSURANCE SCHEMES INTERNATIONAL COMPARISONS INTERNATIONAL ORGANIZATIONS LEGAL STATUS LIFE EXPECTANCY LIVE BIRTHS LIVING CONDITIONS LOW INCOME LOW-INCOME COUNTRIES MALARIA MALARIA INCIDENCE MATERNAL DEATHS MATERNAL MORTALITY MATERNAL MORTALITY RATIO MATERNAL MORTALITY RATIOS MEDICAL BENEFIT MEDICAL CARE MEDICAL CENTER MEDICAL CENTERS MEDICAL EQUIPMENT MEDICINES MILLENNIUM DEVELOPMENT GOAL MINISTRY OF HEALTH MORAL HAZARD MORBIDITY MORTALITY MORTALITY REDUCTIONS NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL HEALTH SERVICE NATIONAL HEALTH SERVICES NEONATAL CARE NURSES NURSING NUTRITION OBESITY OFFICIAL DEVELOPMENT ASSISTANCE ORAL REHYDRATION THERAPY PATIENT PATIENTS PAYMENTS FOR HEALTH SERVICES PHARMACIES PHARMACISTS PHARMACY PHYSICIAN PHYSICIANS POLICY RESEARCH POOR HEALTH POPULATION DYNAMICS POPULATION GROUPS POSTNATAL CARE PREGNANT WOMEN PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE FACILITIES PRIVATE CONSUMPTION PRIVATE HOSPITALS PRIVATE SECTOR PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH SPENDING PUBLIC HEALTH SYSTEM PUBLIC HOSPITAL PUBLIC HOSPITALS PUBLIC PROVIDERS PUBLIC SECTOR PURCHASING POWER PURCHASING POWER PARITY QUALITY CONTROL QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE REGIONAL HOSPITAL REHABILITATION RESOURCE MOBILIZATION RISK FACTORS RURAL AREAS SMOKERS SOCIAL SECURITY SOCIAL SERVICES TREATMENT TUBERCULOSIS UNEMPLOYMENT UNFPA UNITED NATIONS POPULATION FUND UNIVERSAL HEALTH INSURANCE COVERAGE USE OF HEALTH SERVICES USER FEES VACCINATION WORK EXPERIENCE WORKERS WORLD HEALTH ORGANIZATION WOUNDS
Online Access:	http://documents.worldbank.org/curated/en/2014/09/20274030/health-financing-republic-gabon http://hdl.handle.net/10986/20411

id	okr-10986-20411
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	ABORTION ACCESS TO DRUGS ACCESS TO HEALTH SERVICES ACCOUNTABILITY MECHANISMS ADMINISTRATIVE COSTS ADVERSE SELECTION AGE GROUPS AGED ANTENATAL CARE BASIC HEALTH CARE BEDS BIRTH ATTENDANT BREASTFEEDING BUDGET ALLOCATION BURDEN OF DISEASE CAPITA HEALTH SPENDING CAPITATION CAUSES OF DEATH CHILD BIRTH CHILD HEALTH CHILD MORTALITY CHILDBIRTH CITIES CLEAN WATER CLINICS COMMUNICABLE DISEASES CONTRACEPTIVES COST SHARING COSTS OF CARE DEATHS DELIVERY OF HEALTH SERVICES DEMOGRAPHIC CHANGES DIABETES DISPENSARIES DOCTORS EPIDEMIOLOGICAL CHANGES EPIDEMIOLOGICAL TRANSITION EPIDEMIOLOGY EQUITY IN ACCESS EXPENDITURES FAMILY HEALTH FEE-FOR-SERVICE FEE-FOR-SERVICE PAYMENT FERTILITY FINANCIAL MANAGEMENT FINANCIAL PROTECTION FORECASTS GROSS DOMESTIC PRODUCT GROSS NATIONAL INCOME HEALTH CARE COSTS HEALTH CARE FACILITIES HEALTH CARE SERVICES HEALTH CENTERS HEALTH CLINICS HEALTH COVERAGE HEALTH DELIVERY HEALTH DELIVERY STANDARDS HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCE HEALTH FINANCING HEALTH FINANCING REFORM HEALTH FINANCING SYSTEM HEALTH INDICATORS HEALTH INSURANCE PROGRAM HEALTH INSURANCE SCHEME HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH POSTS HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH RESEARCH HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE PROVIDERS HEALTH SERVICE USE HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH STATUS HEALTH STRATEGY HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HIGH BLOOD PRESSURE HIV HIV/AIDS HOSPITAL BEDS HOSPITAL CARE HOSPITAL MANAGEMENT HOSPITAL SERVICES HOSPITALS HOUSEHOLD INCOME HOUSEHOLD LEVEL HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HYGIENE HYPERTENSION ILLNESS IMMUNIZATION IMMUNODEFICIENCY INCENTIVES FOR SUPPLIER INCIDENCE ANALYSIS INCOME INCOME COUNTRIES INCOME GROUPS INCOME GROWTH INDIVIDUAL INCOMES INDUCED DEMAND INFANT INFANT MORTALITY INFANT MORTALITY RATE INFANT MORTALITY RATES INFANTS INFORMAL SECTOR INFORMAL SECTOR WORKERS INFORMATION SYSTEMS INJURIES INSURANCE SCHEMES INTERNATIONAL COMPARISONS INTERNATIONAL ORGANIZATIONS LEGAL STATUS LIFE EXPECTANCY LIVE BIRTHS LIVING CONDITIONS LOW INCOME LOW-INCOME COUNTRIES MALARIA MALARIA INCIDENCE MATERNAL DEATHS MATERNAL MORTALITY MATERNAL MORTALITY RATIO MATERNAL MORTALITY RATIOS MEDICAL BENEFIT MEDICAL CARE MEDICAL CENTER MEDICAL CENTERS MEDICAL EQUIPMENT MEDICINES MILLENNIUM DEVELOPMENT GOAL MINISTRY OF HEALTH MORAL HAZARD MORBIDITY MORTALITY MORTALITY REDUCTIONS NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL HEALTH SERVICE NATIONAL HEALTH SERVICES NEONATAL CARE NURSES NURSING NUTRITION OBESITY OFFICIAL DEVELOPMENT ASSISTANCE ORAL REHYDRATION THERAPY PATIENT PATIENTS PAYMENTS FOR HEALTH SERVICES PHARMACIES PHARMACISTS PHARMACY PHYSICIAN PHYSICIANS POLICY RESEARCH POOR HEALTH POPULATION DYNAMICS POPULATION GROUPS POSTNATAL CARE PREGNANT WOMEN PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE FACILITIES PRIVATE CONSUMPTION PRIVATE HOSPITALS PRIVATE SECTOR PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH SPENDING PUBLIC HEALTH SYSTEM PUBLIC HOSPITAL PUBLIC HOSPITALS PUBLIC PROVIDERS PUBLIC SECTOR PURCHASING POWER PURCHASING POWER PARITY QUALITY CONTROL QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE REGIONAL HOSPITAL REHABILITATION RESOURCE MOBILIZATION RISK FACTORS RURAL AREAS SMOKERS SOCIAL SECURITY SOCIAL SERVICES TREATMENT TUBERCULOSIS UNEMPLOYMENT UNFPA UNITED NATIONS POPULATION FUND UNIVERSAL HEALTH INSURANCE COVERAGE USE OF HEALTH SERVICES USER FEES VACCINATION WORK EXPERIENCE WORKERS WORLD HEALTH ORGANIZATION WOUNDS
spellingShingle	ABORTION ACCESS TO DRUGS ACCESS TO HEALTH SERVICES ACCOUNTABILITY MECHANISMS ADMINISTRATIVE COSTS ADVERSE SELECTION AGE GROUPS AGED ANTENATAL CARE BASIC HEALTH CARE BEDS BIRTH ATTENDANT BREASTFEEDING BUDGET ALLOCATION BURDEN OF DISEASE CAPITA HEALTH SPENDING CAPITATION CAUSES OF DEATH CHILD BIRTH CHILD HEALTH CHILD MORTALITY CHILDBIRTH CITIES CLEAN WATER CLINICS COMMUNICABLE DISEASES CONTRACEPTIVES COST SHARING COSTS OF CARE DEATHS DELIVERY OF HEALTH SERVICES DEMOGRAPHIC CHANGES DIABETES DISPENSARIES DOCTORS EPIDEMIOLOGICAL CHANGES EPIDEMIOLOGICAL TRANSITION EPIDEMIOLOGY EQUITY IN ACCESS EXPENDITURES FAMILY HEALTH FEE-FOR-SERVICE FEE-FOR-SERVICE PAYMENT FERTILITY FINANCIAL MANAGEMENT FINANCIAL PROTECTION FORECASTS GROSS DOMESTIC PRODUCT GROSS NATIONAL INCOME HEALTH CARE COSTS HEALTH CARE FACILITIES HEALTH CARE SERVICES HEALTH CENTERS HEALTH CLINICS HEALTH COVERAGE HEALTH DELIVERY HEALTH DELIVERY STANDARDS HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCE HEALTH FINANCING HEALTH FINANCING REFORM HEALTH FINANCING SYSTEM HEALTH INDICATORS HEALTH INSURANCE PROGRAM HEALTH INSURANCE SCHEME HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH POSTS HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH RESEARCH HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE PROVIDERS HEALTH SERVICE USE HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH STATUS HEALTH STRATEGY HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HIGH BLOOD PRESSURE HIV HIV/AIDS HOSPITAL BEDS HOSPITAL CARE HOSPITAL MANAGEMENT HOSPITAL SERVICES HOSPITALS HOUSEHOLD INCOME HOUSEHOLD LEVEL HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HYGIENE HYPERTENSION ILLNESS IMMUNIZATION IMMUNODEFICIENCY INCENTIVES FOR SUPPLIER INCIDENCE ANALYSIS INCOME INCOME COUNTRIES INCOME GROUPS INCOME GROWTH INDIVIDUAL INCOMES INDUCED DEMAND INFANT INFANT MORTALITY INFANT MORTALITY RATE INFANT MORTALITY RATES INFANTS INFORMAL SECTOR INFORMAL SECTOR WORKERS INFORMATION SYSTEMS INJURIES INSURANCE SCHEMES INTERNATIONAL COMPARISONS INTERNATIONAL ORGANIZATIONS LEGAL STATUS LIFE EXPECTANCY LIVE BIRTHS LIVING CONDITIONS LOW INCOME LOW-INCOME COUNTRIES MALARIA MALARIA INCIDENCE MATERNAL DEATHS MATERNAL MORTALITY MATERNAL MORTALITY RATIO MATERNAL MORTALITY RATIOS MEDICAL BENEFIT MEDICAL CARE MEDICAL CENTER MEDICAL CENTERS MEDICAL EQUIPMENT MEDICINES MILLENNIUM DEVELOPMENT GOAL MINISTRY OF HEALTH MORAL HAZARD MORBIDITY MORTALITY MORTALITY REDUCTIONS NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL HEALTH SERVICE NATIONAL HEALTH SERVICES NEONATAL CARE NURSES NURSING NUTRITION OBESITY OFFICIAL DEVELOPMENT ASSISTANCE ORAL REHYDRATION THERAPY PATIENT PATIENTS PAYMENTS FOR HEALTH SERVICES PHARMACIES PHARMACISTS PHARMACY PHYSICIAN PHYSICIANS POLICY RESEARCH POOR HEALTH POPULATION DYNAMICS POPULATION GROUPS POSTNATAL CARE PREGNANT WOMEN PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE FACILITIES PRIVATE CONSUMPTION PRIVATE HOSPITALS PRIVATE SECTOR PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH SPENDING PUBLIC HEALTH SYSTEM PUBLIC HOSPITAL PUBLIC HOSPITALS PUBLIC PROVIDERS PUBLIC SECTOR PURCHASING POWER PURCHASING POWER PARITY QUALITY CONTROL QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE REGIONAL HOSPITAL REHABILITATION RESOURCE MOBILIZATION RISK FACTORS RURAL AREAS SMOKERS SOCIAL SECURITY SOCIAL SERVICES TREATMENT TUBERCULOSIS UNEMPLOYMENT UNFPA UNITED NATIONS POPULATION FUND UNIVERSAL HEALTH INSURANCE COVERAGE USE OF HEALTH SERVICES USER FEES VACCINATION WORK EXPERIENCE WORKERS WORLD HEALTH ORGANIZATION WOUNDS Saleh, Karima Couttolenc, Bernard F. Barroy, Helene Health Financing in the Republic of Gabon
geographic_facet	Africa Gabon
relation	A World Bank study;
description	This 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.
format	Publications & Research :: Publication
author	Saleh, Karima Couttolenc, Bernard F. Barroy, Helene
author_facet	Saleh, Karima Couttolenc, Bernard F. Barroy, Helene
author_sort	Saleh, Karima
title	Health Financing in the Republic of Gabon
title_short	Health Financing in the Republic of Gabon
title_full	Health Financing in the Republic of Gabon
title_fullStr	Health Financing in the Republic of Gabon
title_full_unstemmed	Health Financing in the Republic of Gabon
title_sort	health financing in the republic of gabon
publisher	Washington, DC: World Bank
publishDate	2014
url	http://documents.worldbank.org/curated/en/2014/09/20274030/health-financing-republic-gabon http://hdl.handle.net/10986/20411
_version_	1764445334036021248
spelling	okr-10986-204112021-04-23T14:03:55Z Health Financing in the Republic of Gabon Saleh, Karima Couttolenc, Bernard F. Barroy, Helene ABORTION ACCESS TO DRUGS ACCESS TO HEALTH SERVICES ACCOUNTABILITY MECHANISMS ADMINISTRATIVE COSTS ADVERSE SELECTION AGE GROUPS AGED ANTENATAL CARE BASIC HEALTH CARE BEDS BIRTH ATTENDANT BREASTFEEDING BUDGET ALLOCATION BURDEN OF DISEASE CAPITA HEALTH SPENDING CAPITATION CAUSES OF DEATH CHILD BIRTH CHILD HEALTH CHILD MORTALITY CHILDBIRTH CITIES CLEAN WATER CLINICS COMMUNICABLE DISEASES CONTRACEPTIVES COST SHARING COSTS OF CARE DEATHS DELIVERY OF HEALTH SERVICES DEMOGRAPHIC CHANGES DIABETES DISPENSARIES DOCTORS EPIDEMIOLOGICAL CHANGES EPIDEMIOLOGICAL TRANSITION EPIDEMIOLOGY EQUITY IN ACCESS EXPENDITURES FAMILY HEALTH FEE-FOR-SERVICE FEE-FOR-SERVICE PAYMENT FERTILITY FINANCIAL MANAGEMENT FINANCIAL PROTECTION FORECASTS GROSS DOMESTIC PRODUCT GROSS NATIONAL INCOME HEALTH CARE COSTS HEALTH CARE FACILITIES HEALTH CARE SERVICES HEALTH CENTERS HEALTH CLINICS HEALTH COVERAGE HEALTH DELIVERY HEALTH DELIVERY STANDARDS HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCE HEALTH FINANCING HEALTH FINANCING REFORM HEALTH FINANCING SYSTEM HEALTH INDICATORS HEALTH INSURANCE PROGRAM HEALTH INSURANCE SCHEME HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH POSTS HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH RESEARCH HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE PROVIDERS HEALTH SERVICE USE HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH STATUS HEALTH STRATEGY HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HIGH BLOOD PRESSURE HIV HIV/AIDS HOSPITAL BEDS HOSPITAL CARE HOSPITAL MANAGEMENT HOSPITAL SERVICES HOSPITALS HOUSEHOLD INCOME HOUSEHOLD LEVEL HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HYGIENE HYPERTENSION ILLNESS IMMUNIZATION IMMUNODEFICIENCY INCENTIVES FOR SUPPLIER INCIDENCE ANALYSIS INCOME INCOME COUNTRIES INCOME GROUPS INCOME GROWTH INDIVIDUAL INCOMES INDUCED DEMAND INFANT INFANT MORTALITY INFANT MORTALITY RATE INFANT MORTALITY RATES INFANTS INFORMAL SECTOR INFORMAL SECTOR WORKERS INFORMATION SYSTEMS INJURIES INSURANCE SCHEMES INTERNATIONAL COMPARISONS INTERNATIONAL ORGANIZATIONS LEGAL STATUS LIFE EXPECTANCY LIVE BIRTHS LIVING CONDITIONS LOW INCOME LOW-INCOME COUNTRIES MALARIA MALARIA INCIDENCE MATERNAL DEATHS MATERNAL MORTALITY MATERNAL MORTALITY RATIO MATERNAL MORTALITY RATIOS MEDICAL BENEFIT MEDICAL CARE MEDICAL CENTER MEDICAL CENTERS MEDICAL EQUIPMENT MEDICINES MILLENNIUM DEVELOPMENT GOAL MINISTRY OF HEALTH MORAL HAZARD MORBIDITY MORTALITY MORTALITY REDUCTIONS NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL HEALTH SERVICE NATIONAL HEALTH SERVICES NEONATAL CARE NURSES NURSING NUTRITION OBESITY OFFICIAL DEVELOPMENT ASSISTANCE ORAL REHYDRATION THERAPY PATIENT PATIENTS PAYMENTS FOR HEALTH SERVICES PHARMACIES PHARMACISTS PHARMACY PHYSICIAN PHYSICIANS POLICY RESEARCH POOR HEALTH POPULATION DYNAMICS POPULATION GROUPS POSTNATAL CARE PREGNANT WOMEN PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE FACILITIES PRIVATE CONSUMPTION PRIVATE HOSPITALS PRIVATE SECTOR PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH SPENDING PUBLIC HEALTH SYSTEM PUBLIC HOSPITAL PUBLIC HOSPITALS PUBLIC PROVIDERS PUBLIC SECTOR PURCHASING POWER PURCHASING POWER PARITY QUALITY CONTROL QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE REGIONAL HOSPITAL REHABILITATION RESOURCE MOBILIZATION RISK FACTORS RURAL AREAS SMOKERS SOCIAL SECURITY SOCIAL SERVICES TREATMENT TUBERCULOSIS UNEMPLOYMENT UNFPA UNITED NATIONS POPULATION FUND UNIVERSAL HEALTH INSURANCE COVERAGE USE OF HEALTH SERVICES USER FEES VACCINATION WORK EXPERIENCE WORKERS WORLD HEALTH ORGANIZATION WOUNDS This 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. 2014-10-10T15:24:40Z 2014-10-10T15:24:40Z 2014-09-30 http://documents.worldbank.org/curated/en/2014/09/20274030/health-financing-republic-gabon 978-1-4648-0289-8 http://hdl.handle.net/10986/20411 English en_US A World Bank study; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ Washington, DC: World Bank Publications & Research :: Publication Africa Gabon

Health Financing in the Republic of Gabon

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