Toward a More Pro-Poor and Explicit Health Benefit Package in the Kyrgyz Republic : A Critical Review of the State Guaranteed Benefit Package and Options for Its Revision
The Kyrgyz Republic has made significant steps in reforming the health system through successive National Health Programs implemented over the last 20 years. One of the major achievements of such reforms was the establishment of a single-payer nati...
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| Format: | Working Paper |
| Language: | English |
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World Bank, Washington, DC
2019
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| Online Access: | http://documents.worldbank.org/curated/en/804141576844391955/Toward-a-More-Pro-Poor-and-Explicit-Health-Benefit-Package-in-the-Kyrgyz-Republic-A-Critical-Review-of-the-State-Guaranteed-Benefit-Package-and-Options-for-Its-Revision http://hdl.handle.net/10986/33096 |
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okr-10986-330962021-05-25T09:31:21Z Toward a More Pro-Poor and Explicit Health Benefit Package in the Kyrgyz Republic : A Critical Review of the State Guaranteed Benefit Package and Options for Its Revision Nguyen, Ha Thi Hong Strizrep, Tihomir BENEFIT PACKAGE UNIVERSAL HEALTH COVERAGE HEALTH INSURANCE HEALTH SYSTEM REFORM HEALTH SERVICE DELIVERY PRO-POOR REFORM The Kyrgyz Republic has made significant steps in reforming the health system through successive National Health Programs implemented over the last 20 years. One of the major achievements of such reforms was the establishment of a single-payer national health insurance and a basic benefit package. The State Guaranteed Benefit Package (SGBP) provides free basic health services at the primary care level for the whole population, and inpatient care with nominal copayments or no fee for certain groups. Even though the principles of the SGBP contain elements of international good practice, the SGBP has hardly changed since it was established. At the same time, many changes have taken place within and outside the health system, exerting mounting pressure for the SGBP to adapt to the new disease burden and meet the population’s expectations within the context of budget constraints. The current paper provides a critical assessment of the Kyrgyz Republic’s basic health benefit package. It reveals a number of issues in the actual benefits delivered to the population as opposed to the generous promise of the statutory package. Some important limitations include lack of clarity, persistent funding gap, the large number of fee exemption categories given the resource constraints, and at the same time lack of an effective mechanism to protect the poor. Most importantly, there is no systematic arrangement in place to ensure a regular evidence-based process to revise the benefit package. The paper proposes several measures that could guide the process of SGBP revision, taking into account the particular Kyrgyz context and building on international experiences. It is expected that information from the paper will be useful not only for Kyrgyz stakeholders, but also for other countries in making the benefit package an effective instrument for achieving universal health coverage. 2019-12-24T16:09:02Z 2019-12-24T16:09:02Z 2019-10 Working Paper http://documents.worldbank.org/curated/en/804141576844391955/Toward-a-More-Pro-Poor-and-Explicit-Health-Benefit-Package-in-the-Kyrgyz-Republic-A-Critical-Review-of-the-State-Guaranteed-Benefit-Package-and-Options-for-Its-Revision http://hdl.handle.net/10986/33096 English Health, Nutrition, and Population Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper Europe and Central Asia Kyrgyz Republic |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
BENEFIT PACKAGE UNIVERSAL HEALTH COVERAGE HEALTH INSURANCE HEALTH SYSTEM REFORM HEALTH SERVICE DELIVERY PRO-POOR REFORM |
| spellingShingle |
BENEFIT PACKAGE UNIVERSAL HEALTH COVERAGE HEALTH INSURANCE HEALTH SYSTEM REFORM HEALTH SERVICE DELIVERY PRO-POOR REFORM Nguyen, Ha Thi Hong Strizrep, Tihomir Toward a More Pro-Poor and Explicit Health Benefit Package in the Kyrgyz Republic : A Critical Review of the State Guaranteed Benefit Package and Options for Its Revision |
| geographic_facet |
Europe and Central Asia Kyrgyz Republic |
| relation |
Health, Nutrition, and Population Discussion Paper; |
| description |
The Kyrgyz Republic has made significant
steps in reforming the health system through successive
National Health Programs implemented over the last 20 years.
One of the major achievements of such reforms was the
establishment of a single-payer national health insurance
and a basic benefit package. The State Guaranteed Benefit
Package (SGBP) provides free basic health services at the
primary care level for the whole population, and inpatient
care with nominal copayments or no fee for certain groups.
Even though the principles of the SGBP contain elements of
international good practice, the SGBP has hardly changed
since it was established. At the same time, many changes
have taken place within and outside the health system,
exerting mounting pressure for the SGBP to adapt to the new
disease burden and meet the population’s expectations within
the context of budget constraints. The current paper
provides a critical assessment of the Kyrgyz Republic’s
basic health benefit package. It reveals a number of issues
in the actual benefits delivered to the population as
opposed to the generous promise of the statutory package.
Some important limitations include lack of clarity,
persistent funding gap, the large number of fee exemption
categories given the resource constraints, and at the same
time lack of an effective mechanism to protect the poor.
Most importantly, there is no systematic arrangement in
place to ensure a regular evidence-based process to revise
the benefit package. The paper proposes several measures
that could guide the process of SGBP revision, taking into
account the particular Kyrgyz context and building on
international experiences. It is expected that information
from the paper will be useful not only for Kyrgyz
stakeholders, but also for other countries in making the
benefit package an effective instrument for achieving
universal health coverage. |
| format |
Working Paper |
| author |
Nguyen, Ha Thi Hong Strizrep, Tihomir |
| author_facet |
Nguyen, Ha Thi Hong Strizrep, Tihomir |
| author_sort |
Nguyen, Ha Thi Hong |
| title |
Toward a More Pro-Poor and Explicit Health Benefit Package in the Kyrgyz Republic : A Critical Review of the State Guaranteed Benefit Package and Options for Its Revision |
| title_short |
Toward a More Pro-Poor and Explicit Health Benefit Package in the Kyrgyz Republic : A Critical Review of the State Guaranteed Benefit Package and Options for Its Revision |
| title_full |
Toward a More Pro-Poor and Explicit Health Benefit Package in the Kyrgyz Republic : A Critical Review of the State Guaranteed Benefit Package and Options for Its Revision |
| title_fullStr |
Toward a More Pro-Poor and Explicit Health Benefit Package in the Kyrgyz Republic : A Critical Review of the State Guaranteed Benefit Package and Options for Its Revision |
| title_full_unstemmed |
Toward a More Pro-Poor and Explicit Health Benefit Package in the Kyrgyz Republic : A Critical Review of the State Guaranteed Benefit Package and Options for Its Revision |
| title_sort |
toward a more pro-poor and explicit health benefit package in the kyrgyz republic : a critical review of the state guaranteed benefit package and options for its revision |
| publisher |
World Bank, Washington, DC |
| publishDate |
2019 |
| url |
http://documents.worldbank.org/curated/en/804141576844391955/Toward-a-More-Pro-Poor-and-Explicit-Health-Benefit-Package-in-the-Kyrgyz-Republic-A-Critical-Review-of-the-State-Guaranteed-Benefit-Package-and-Options-for-Its-Revision http://hdl.handle.net/10986/33096 |
| _version_ |
1764477992820539392 |