Maternal and Child Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey (2013 Update)

Maternal and Child Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey (2013 Update)

Lao PDR has made notable progress in improving maternal health, with mater¬nal mortality decreasing from 1,600 per 100,000 births in 1990 to 220 in 2013.1 However, in order for further gains to be realized, at least two barriers need to be addresse...

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Main Author: World Bank Group
Format: Report
Language:English
en_US
Published: World Bank, Washington, DC 2016
Subjects:
prenatal care
maternal health
health expenditure
health centers
health systems reform
Online Access:http://documents.worldbank.org/curated/en/2016/07/26611769/maternal-child-health-out-of-pocket-expenditure-service-readiness-lao-pdr-evidence-national-free-maternal-child-health-policy-household-health-center-survey-2013-update
http://hdl.handle.net/10986/24951
id okr-10986-24951
recordtype oai_dc
spelling okr-10986-249512021-05-25T08:51:01Z Maternal and Child Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey (2013 Update) World Bank Group prenatal care maternal health health expenditure health centers health systems reform Lao PDR has made notable progress in improving maternal health, with mater¬nal mortality decreasing from 1,600 per 100,000 births in 1990 to 220 in 2013.1 However, in order for further gains to be realized, at least two barriers need to be addressed – the low utilization of maternal health (MH) services and weak financial protection, especially among the lower wealth quintiles, in order to improve the level and equity of maternal health. In order to address these financial barriers, the Government of Lao PDR introduced a national free maternal and child health (MCH) policy. Although there were geographic variations in the operationalization of this policy,4 the essence is that user fees paid OOP by pregnant women or for children under-five were replaced with case-based payments paid by or through the government or donors, for essential MCH services. In addition, small cash payments were provided to patients to cover opportunity and transport costs. This report summarizes key findings from two household, village, and health center surveys in southern and rural Lao PDR conducted in 2010 and 2013, providing for the first time in Lao PDR, large-scale household-level data on OOP expenditure for MCH-specific services. 2016-08-25T21:00:43Z 2016-08-25T21:00:43Z 2016-05-01 Report http://documents.worldbank.org/curated/en/2016/07/26611769/maternal-child-health-out-of-pocket-expenditure-service-readiness-lao-pdr-evidence-national-free-maternal-child-health-policy-household-health-center-survey-2013-update http://hdl.handle.net/10986/24951 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Economic & Sector Work :: Other Health Study Economic & Sector Work East Asia and Pacific Lao People's Democratic Republic
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 prenatal care
maternal health
health expenditure
health centers
health systems reform
spellingShingle prenatal care
maternal health
health expenditure
health centers
health systems reform
World Bank Group
Maternal and Child Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey (2013 Update)
geographic_facet East Asia and Pacific
Lao People's Democratic Republic
description Lao PDR has made notable progress in improving maternal health, with mater¬nal mortality decreasing from 1,600 per 100,000 births in 1990 to 220 in 2013.1 However, in order for further gains to be realized, at least two barriers need to be addressed – the low utilization of maternal health (MH) services and weak financial protection, especially among the lower wealth quintiles, in order to improve the level and equity of maternal health. In order to address these financial barriers, the Government of Lao PDR introduced a national free maternal and child health (MCH) policy. Although there were geographic variations in the operationalization of this policy,4 the essence is that user fees paid OOP by pregnant women or for children under-five were replaced with case-based payments paid by or through the government or donors, for essential MCH services. In addition, small cash payments were provided to patients to cover opportunity and transport costs. This report summarizes key findings from two household, village, and health center surveys in southern and rural Lao PDR conducted in 2010 and 2013, providing for the first time in Lao PDR, large-scale household-level data on OOP expenditure for MCH-specific services.
format Report
author World Bank Group
author_facet World Bank Group
author_sort World Bank Group
title Maternal and Child Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey (2013 Update)
title_short Maternal and Child Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey (2013 Update)
title_full Maternal and Child Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey (2013 Update)
title_fullStr Maternal and Child Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey (2013 Update)
title_full_unstemmed Maternal and Child Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey (2013 Update)
title_sort maternal and child health out-of-pocket expenditure and service readiness in lao pdr : evidence for the national free maternal and child health policy from a household and health center survey (2013 update)
publisher World Bank, Washington, DC
publishDate 2016
url http://documents.worldbank.org/curated/en/2016/07/26611769/maternal-child-health-out-of-pocket-expenditure-service-readiness-lao-pdr-evidence-national-free-maternal-child-health-policy-household-health-center-survey-2013-update
http://hdl.handle.net/10986/24951
_version_ 1764458038925721600

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