Guinea-Bissau : Service Delivery Indicators Report - Health
Guinea-Bissau meets many, if not all, criteria that characterize health systems in fragile states. The country’s health system faces persistent challenges related to low public spending, poor infrastructure, inadequate supply of health workers, ina...
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| Format: | Report |
| Language: | English |
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World Bank, Washington, DC
2019
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| Online Access: | http://documents.worldbank.org/curated/en/294721561652896187/Guinea-Bissau-Service-Delivery-Indicators-Report-Health http://hdl.handle.net/10986/32029 |
| Summary: | Guinea-Bissau meets many, if not all,
criteria that characterize health systems in fragile states.
The country’s health system faces persistent challenges
related to low public spending, poor infrastructure,
inadequate supply of health workers, inadequate clinical and
managerial training systems, malfunctioning referral system,
non-operational health-information systems, weak governance
and inadequate management capacity and systems (such as
budgeting, public financial management and human resources
management). Public spending accounts for about 20 percent
of total health spending and is mostly used to pay staff
salaries, while donors finance nearly 90 percent of the
recurrent costs of the sector, including medicines and other
critical health inputs. This report provides a comprehensive
diagnostic of the health service delivery system in
Guinea-Bissau. It explores quality of care,
workload/productivity and absenteeism. A service delivery
indicators (SDI) survey was implemented to cover these and
other key aspects of the health system for which no data
were available in Guinea-Bissau (such as public expenditure
tracking survey). The report provides an extensive analysis
of the data and links it to other analytical and operational
work under implementation in the country. |
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