Turning Challenges into Opportunities : The Medium Term Health Expenditure Pressure Study in Timor-Leste
Timor-Leste has achieved significant improvements in the health sector since becoming independent a little over a decade ago. Timor-Leste is undergoing an epidemiology transition as the non-communicable disease burden increases, while infectious di...
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| Format: | Report |
| Language: | English en_US |
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World Bank, Washington, DC
2017
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| Online Access: | http://documents.worldbank.org/curated/en/593891480572877831/Turning-challenges-into-opportunities-the-medium-term-health-expenditure-pressure-study-in-Timor-Leste http://hdl.handle.net/10986/25785 |
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okr-10986-257852021-05-25T08:56:14Z Turning Challenges into Opportunities : The Medium Term Health Expenditure Pressure Study in Timor-Leste Hou, Xiaohui Asante, Augustine health financing demographics health systems reform health workforce health spending donor funding Timor-Leste has achieved significant improvements in the health sector since becoming independent a little over a decade ago. Timor-Leste is undergoing an epidemiology transition as the non-communicable disease burden increases, while infectious disease prevalence remains high. The report aims to: (i) analyze trends in health sector public expenditures (budgets and realized expenditures); (ii) document trends in staffing and training, including their costs; (iii) understand the likely resource envelope available to the health sector over the next five years (from all sources); and (iv) provide options to adjust expenditures, to support key priorities, and improve the efficiency of existing expenditures to create space for key priorities. This report reviews the critical fiscal issues facing the health sector in the medium term, including the key areas demanding fiscal space, and the likely resource envelope from government and donors. The report analyzes past trends in health expenditures (by the government and donors), forecasts future resource availability, and examines implications for the Ministry of Health (MOH) to sustain delivery of quality health services. The report is organized as follows: chapter one gives introduction. Chapter two analyzes human resource development in health by discussing three scenarios for medium term health staff planning. Chapter three examines trends in government health spending by key expenditure areas and discusses the increasingly important role that government spending will play in the health sector. Chapter four analyzes the past trends in donor health financing in Timor-Leste. Chapter five concludes by reviewing four key areas (rising wage bill, pharmaceutical spending, overseas medical transfers, and declining donor spending) that are exerting pressure on health sector financing, and suggests policy recommendations based on the analysis detailed in this report. 2017-01-03T20:12:21Z 2017-01-03T20:12:21Z 2016 Report http://documents.worldbank.org/curated/en/593891480572877831/Turning-challenges-into-opportunities-the-medium-term-health-expenditure-pressure-study-in-Timor-Leste http://hdl.handle.net/10986/25785 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 Timor-Leste |
| 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 demographics health systems reform health workforce health spending donor funding |
| spellingShingle |
health financing demographics health systems reform health workforce health spending donor funding Hou, Xiaohui Asante, Augustine Turning Challenges into Opportunities : The Medium Term Health Expenditure Pressure Study in Timor-Leste |
| geographic_facet |
East Asia and Pacific Timor-Leste |
| description |
Timor-Leste has achieved significant
improvements in the health sector since becoming independent
a little over a decade ago. Timor-Leste is undergoing an
epidemiology transition as the non-communicable disease
burden increases, while infectious disease prevalence
remains high. The report aims to: (i) analyze trends in
health sector public expenditures (budgets and realized
expenditures); (ii) document trends in staffing and
training, including their costs; (iii) understand the likely
resource envelope available to the health sector over the
next five years (from all sources); and (iv) provide options
to adjust expenditures, to support key priorities, and
improve the efficiency of existing expenditures to create
space for key priorities. This report reviews the critical
fiscal issues facing the health sector in the medium term,
including the key areas demanding fiscal space, and the
likely resource envelope from government and donors. The
report analyzes past trends in health expenditures (by the
government and donors), forecasts future resource
availability, and examines implications for the Ministry of
Health (MOH) to sustain delivery of quality health services.
The report is organized as follows: chapter one gives
introduction. Chapter two analyzes human resource
development in health by discussing three scenarios for
medium term health staff planning. Chapter three examines
trends in government health spending by key expenditure
areas and discusses the increasingly important role that
government spending will play in the health sector. Chapter
four analyzes the past trends in donor health financing in
Timor-Leste. Chapter five concludes by reviewing four key
areas (rising wage bill, pharmaceutical spending, overseas
medical transfers, and declining donor spending) that are
exerting pressure on health sector financing, and suggests
policy recommendations based on the analysis detailed in
this report. |
| format |
Report |
| author |
Hou, Xiaohui Asante, Augustine |
| author_facet |
Hou, Xiaohui Asante, Augustine |
| author_sort |
Hou, Xiaohui |
| title |
Turning Challenges into Opportunities : The Medium Term Health Expenditure Pressure Study in Timor-Leste |
| title_short |
Turning Challenges into Opportunities : The Medium Term Health Expenditure Pressure Study in Timor-Leste |
| title_full |
Turning Challenges into Opportunities : The Medium Term Health Expenditure Pressure Study in Timor-Leste |
| title_fullStr |
Turning Challenges into Opportunities : The Medium Term Health Expenditure Pressure Study in Timor-Leste |
| title_full_unstemmed |
Turning Challenges into Opportunities : The Medium Term Health Expenditure Pressure Study in Timor-Leste |
| title_sort |
turning challenges into opportunities : the medium term health expenditure pressure study in timor-leste |
| publisher |
World Bank, Washington, DC |
| publishDate |
2017 |
| url |
http://documents.worldbank.org/curated/en/593891480572877831/Turning-challenges-into-opportunities-the-medium-term-health-expenditure-pressure-study-in-Timor-Leste http://hdl.handle.net/10986/25785 |
| _version_ |
1764460122646511616 |