Azerbaijan : Health Sector Review Note, Volume 1, Main Report
This two-volume Health Sector Review Note for Azerbaijan addresses the adequacy of the existing healthcare system to meet unmet healthcare needs and respond to epidemiologic and demographic challenges. The main rationale behind this Sector Note is to spur policymakers to consider a set of options fo...
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| Format: | Other Health Study |
| Language: | English en_US |
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Washington, DC
2012
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| Online Access: | http://documents.worldbank.org/curated/en/2005/06/6249756/azerbaijan-health-sector-review-note-vol-1-2-main-report http://hdl.handle.net/10986/8692 |
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okr-10986-8692 |
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oai_dc |
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Digital Repository |
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Foreign Institution |
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Digital Repositories |
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World Bank Open Knowledge Repository |
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World Bank |
| language |
English en_US |
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ABORTION ABSOLUTE POVERTY ACCIDENTS ACQUIRED IMMUNODEFICIENCY SYNDROME ADDICTION ADULT MORTALITY AGED AGING ALCOHOL ALCOHOL ABUSE ANALYSIS AVERAGE GROWTH RATE BEDS BIRTH RATE BIRTH WEIGHT BIRTHS BURDEN OF DISEASE CARE PROVIDERS CARE SERVICES CENTRAL ASIAN CERTIFICATION CHILD HEALTH CHILD MORTALITY CHILDBEARING CHILDREN PER WOMAN CITIES COMMERCIAL SEX COMMERCIAL SEX WORKERS COMMUNICABLE DISEASES COST SAVINGS COUNSELING CRUDE BIRTH RATE CURRENCY UNIT DATA DEATHS DEMOGRAPHIC TRANSITION DENTAL CARE DEPENDENCY RATIO DEVELOPMENT GOALS DEVELOPMENT INDICATORS DEVELOPMENT PROGRAMME DIABETES DIARRHEA DIPHTHERIA DISPENSARIES DISTRICT HOSPITAL DISTRICTS DOCTORS DRINKING WATER DRUG ADDICTION DRUG USE DRUGS ECONOMIC DEVELOPMENT ECONOMIC GROWTH EMIGRATION EXCHANGE RATE EXPENDITURES FAMILIES FEMALES FERTILITY RATES FINANCIAL CONTRIBUTION FINANCIAL RESOURCES FINANCIAL SUPPORT GDP PER CAPITA GENDER GROWTH RATE HEALTH CARE HEALTH CONDITIONS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FINANCING HEALTH FOR ALL HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH POLICY HEALTH PROBLEMS HEALTH PROMOTION HEALTH REFORM HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HIGH BLOOD PRESSURE HIV INFECTION HMO HOSPITALS HOUSEHOLD SIZE HOUSEHOLDS HUMAN DEVELOPMENT HUMAN DEVELOPMENT REPORT HUMAN DEVELOPMENT SECTOR UNIT HUMAN IMMUNODEFICIENCY VIRUS IMMUNODEFICIENCY IMPLEMENTATION PLAN IMPROVED ACCESS INCOME INFANT MORTALITY INFANT MORTALITY RATE INFANTS INFECTIOUS DISEASES INJURIES INPATIENT CARE INSTITUTIONAL FRAMEWORK INTRAUTERINE DEVICE LAWS LIFE EXPECTANCY LIVE BIRTHS LONG-TERM PLANNING LOW-INCOME COUNTRIES MALARIA MALNUTRITION MARKET ECONOMY MATERNAL DEATHS MATERNAL MORTALITY MEDIA MEDICAL EDUCATION MEDICAL SERVICES MEDICINES MENTAL ILLNESS MMR MORBIDITY MORTALITY NATIONAL DRUG POLICY NATIONAL HEALTH NURSES OCCUPANCY OIL OUTPATIENT CARE PANDEMIC PHYSICAL ACTIVITY PHYSICIANS POLICY DECISIONS POLICY DIALOGUE POOL RESOURCES POOR HOUSEHOLDS POPULATION 65 YEARS POPULATION GROWTH POST-ABORTION POSTNATAL CARE POVERTY ASSESSMENT POVERTY LEVELS POVERTY LINE POVERTY REDUCTION POVERTY REDUCTION STRATEGY PREGNANT WOMEN PRIMARY CARE PROBABILITY PRODUCTIVITY PUBLIC BUDGET PUBLIC EXPENDITURE PUBLIC EXPENDITURE REVIEW PUBLIC HEALTH PUBLIC HEALTH SERVICES QUALITY CONTROL RELATIVE IMPORTANCE REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH SURVEY RESOURCE ALLOCATION RETIREMENT RURAL AREAS RURAL HOSPITALS SEX SEX WORKER SEX WORKERS SEXUALLY TRANSMITTED INFECTIONS SHORT TERM SMALL TOWNS SOCIAL PROTECTION SOCIAL SECTORS SOCIOECONOMIC FACTORS TECHNICAL ASSISTANCE TETANUS TFR TOBACCO TOBACCO USE TOTAL FERTILITY RATE TOTAL POPULATION TRANSITION COUNTRIES TUBERCULOSIS URBAN AREAS URBAN DWELLERS WAGES YOUNG PEOPLE |
| spellingShingle |
ABORTION ABSOLUTE POVERTY ACCIDENTS ACQUIRED IMMUNODEFICIENCY SYNDROME ADDICTION ADULT MORTALITY AGED AGING ALCOHOL ALCOHOL ABUSE ANALYSIS AVERAGE GROWTH RATE BEDS BIRTH RATE BIRTH WEIGHT BIRTHS BURDEN OF DISEASE CARE PROVIDERS CARE SERVICES CENTRAL ASIAN CERTIFICATION CHILD HEALTH CHILD MORTALITY CHILDBEARING CHILDREN PER WOMAN CITIES COMMERCIAL SEX COMMERCIAL SEX WORKERS COMMUNICABLE DISEASES COST SAVINGS COUNSELING CRUDE BIRTH RATE CURRENCY UNIT DATA DEATHS DEMOGRAPHIC TRANSITION DENTAL CARE DEPENDENCY RATIO DEVELOPMENT GOALS DEVELOPMENT INDICATORS DEVELOPMENT PROGRAMME DIABETES DIARRHEA DIPHTHERIA DISPENSARIES DISTRICT HOSPITAL DISTRICTS DOCTORS DRINKING WATER DRUG ADDICTION DRUG USE DRUGS ECONOMIC DEVELOPMENT ECONOMIC GROWTH EMIGRATION EXCHANGE RATE EXPENDITURES FAMILIES FEMALES FERTILITY RATES FINANCIAL CONTRIBUTION FINANCIAL RESOURCES FINANCIAL SUPPORT GDP PER CAPITA GENDER GROWTH RATE HEALTH CARE HEALTH CONDITIONS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FINANCING HEALTH FOR ALL HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH POLICY HEALTH PROBLEMS HEALTH PROMOTION HEALTH REFORM HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HIGH BLOOD PRESSURE HIV INFECTION HMO HOSPITALS HOUSEHOLD SIZE HOUSEHOLDS HUMAN DEVELOPMENT HUMAN DEVELOPMENT REPORT HUMAN DEVELOPMENT SECTOR UNIT HUMAN IMMUNODEFICIENCY VIRUS IMMUNODEFICIENCY IMPLEMENTATION PLAN IMPROVED ACCESS INCOME INFANT MORTALITY INFANT MORTALITY RATE INFANTS INFECTIOUS DISEASES INJURIES INPATIENT CARE INSTITUTIONAL FRAMEWORK INTRAUTERINE DEVICE LAWS LIFE EXPECTANCY LIVE BIRTHS LONG-TERM PLANNING LOW-INCOME COUNTRIES MALARIA MALNUTRITION MARKET ECONOMY MATERNAL DEATHS MATERNAL MORTALITY MEDIA MEDICAL EDUCATION MEDICAL SERVICES MEDICINES MENTAL ILLNESS MMR MORBIDITY MORTALITY NATIONAL DRUG POLICY NATIONAL HEALTH NURSES OCCUPANCY OIL OUTPATIENT CARE PANDEMIC PHYSICAL ACTIVITY PHYSICIANS POLICY DECISIONS POLICY DIALOGUE POOL RESOURCES POOR HOUSEHOLDS POPULATION 65 YEARS POPULATION GROWTH POST-ABORTION POSTNATAL CARE POVERTY ASSESSMENT POVERTY LEVELS POVERTY LINE POVERTY REDUCTION POVERTY REDUCTION STRATEGY PREGNANT WOMEN PRIMARY CARE PROBABILITY PRODUCTIVITY PUBLIC BUDGET PUBLIC EXPENDITURE PUBLIC EXPENDITURE REVIEW PUBLIC HEALTH PUBLIC HEALTH SERVICES QUALITY CONTROL RELATIVE IMPORTANCE REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH SURVEY RESOURCE ALLOCATION RETIREMENT RURAL AREAS RURAL HOSPITALS SEX SEX WORKER SEX WORKERS SEXUALLY TRANSMITTED INFECTIONS SHORT TERM SMALL TOWNS SOCIAL PROTECTION SOCIAL SECTORS SOCIOECONOMIC FACTORS TECHNICAL ASSISTANCE TETANUS TFR TOBACCO TOBACCO USE TOTAL FERTILITY RATE TOTAL POPULATION TRANSITION COUNTRIES TUBERCULOSIS URBAN AREAS URBAN DWELLERS WAGES YOUNG PEOPLE World Bank Azerbaijan : Health Sector Review Note, Volume 1, Main Report |
| geographic_facet |
Europe and Central Asia Asia Commonwealth of Independent States Eastern Europe Azerbaijan |
| description |
This two-volume Health Sector Review Note for Azerbaijan addresses the adequacy of the existing healthcare system to meet unmet healthcare needs and respond to epidemiologic and demographic challenges. The main rationale behind this Sector Note is to spur policymakers to consider a set of options for reforming the system, thereby enabling them to embark on a long-awaited reform initiative to improve health outcomes. The current system suffers from the following shortcomings: a legal and regulatory platform that is not conducive to effective system stewardship; fragmented accountability for technical, administrative and financial matters, excessive hospital and specialized care facilities; poorly funded and managed, as well as highly fragmented, primary healthcare services; a de-motivated health workforce that relies on informal payments to cope with low wages and a practice environment devoid of incentives; and, major inequalities in health and healthcare as a result of very low public outlays, coupled with increasingly high levels of out-of-pocket payments. The note makes a number of recommendations with a view to moving away from a model of specialist physician-centered care towards a model of family-based primary healthcare (PHC); a biomedical care model towards a model that values disease prevention and health promotion; a model that does not solve most health problems (referring them instead to higher levels) towards one where most problems are solved at the PHC level; a model with extremely inefficient resource allocation towards a model that allocates resources according to healthcare needs; and, a model where provider payments are based on inputs towards a model where providers are paid on the basis of productivity and the appropriateness and quality of the care they provide. |
| format |
Economic & Sector Work :: Other Health Study |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Azerbaijan : Health Sector Review Note, Volume 1, Main Report |
| title_short |
Azerbaijan : Health Sector Review Note, Volume 1, Main Report |
| title_full |
Azerbaijan : Health Sector Review Note, Volume 1, Main Report |
| title_fullStr |
Azerbaijan : Health Sector Review Note, Volume 1, Main Report |
| title_full_unstemmed |
Azerbaijan : Health Sector Review Note, Volume 1, Main Report |
| title_sort |
azerbaijan : health sector review note, volume 1, main report |
| publisher |
Washington, DC |
| publishDate |
2012 |
| url |
http://documents.worldbank.org/curated/en/2005/06/6249756/azerbaijan-health-sector-review-note-vol-1-2-main-report http://hdl.handle.net/10986/8692 |
| _version_ |
1764405229285015552 |
| spelling |
okr-10986-86922021-04-23T14:02:39Z Azerbaijan : Health Sector Review Note, Volume 1, Main Report World Bank ABORTION ABSOLUTE POVERTY ACCIDENTS ACQUIRED IMMUNODEFICIENCY SYNDROME ADDICTION ADULT MORTALITY AGED AGING ALCOHOL ALCOHOL ABUSE ANALYSIS AVERAGE GROWTH RATE BEDS BIRTH RATE BIRTH WEIGHT BIRTHS BURDEN OF DISEASE CARE PROVIDERS CARE SERVICES CENTRAL ASIAN CERTIFICATION CHILD HEALTH CHILD MORTALITY CHILDBEARING CHILDREN PER WOMAN CITIES COMMERCIAL SEX COMMERCIAL SEX WORKERS COMMUNICABLE DISEASES COST SAVINGS COUNSELING CRUDE BIRTH RATE CURRENCY UNIT DATA DEATHS DEMOGRAPHIC TRANSITION DENTAL CARE DEPENDENCY RATIO DEVELOPMENT GOALS DEVELOPMENT INDICATORS DEVELOPMENT PROGRAMME DIABETES DIARRHEA DIPHTHERIA DISPENSARIES DISTRICT HOSPITAL DISTRICTS DOCTORS DRINKING WATER DRUG ADDICTION DRUG USE DRUGS ECONOMIC DEVELOPMENT ECONOMIC GROWTH EMIGRATION EXCHANGE RATE EXPENDITURES FAMILIES FEMALES FERTILITY RATES FINANCIAL CONTRIBUTION FINANCIAL RESOURCES FINANCIAL SUPPORT GDP PER CAPITA GENDER GROWTH RATE HEALTH CARE HEALTH CONDITIONS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FINANCING HEALTH FOR ALL HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH POLICY HEALTH PROBLEMS HEALTH PROMOTION HEALTH REFORM HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HIGH BLOOD PRESSURE HIV INFECTION HMO HOSPITALS HOUSEHOLD SIZE HOUSEHOLDS HUMAN DEVELOPMENT HUMAN DEVELOPMENT REPORT HUMAN DEVELOPMENT SECTOR UNIT HUMAN IMMUNODEFICIENCY VIRUS IMMUNODEFICIENCY IMPLEMENTATION PLAN IMPROVED ACCESS INCOME INFANT MORTALITY INFANT MORTALITY RATE INFANTS INFECTIOUS DISEASES INJURIES INPATIENT CARE INSTITUTIONAL FRAMEWORK INTRAUTERINE DEVICE LAWS LIFE EXPECTANCY LIVE BIRTHS LONG-TERM PLANNING LOW-INCOME COUNTRIES MALARIA MALNUTRITION MARKET ECONOMY MATERNAL DEATHS MATERNAL MORTALITY MEDIA MEDICAL EDUCATION MEDICAL SERVICES MEDICINES MENTAL ILLNESS MMR MORBIDITY MORTALITY NATIONAL DRUG POLICY NATIONAL HEALTH NURSES OCCUPANCY OIL OUTPATIENT CARE PANDEMIC PHYSICAL ACTIVITY PHYSICIANS POLICY DECISIONS POLICY DIALOGUE POOL RESOURCES POOR HOUSEHOLDS POPULATION 65 YEARS POPULATION GROWTH POST-ABORTION POSTNATAL CARE POVERTY ASSESSMENT POVERTY LEVELS POVERTY LINE POVERTY REDUCTION POVERTY REDUCTION STRATEGY PREGNANT WOMEN PRIMARY CARE PROBABILITY PRODUCTIVITY PUBLIC BUDGET PUBLIC EXPENDITURE PUBLIC EXPENDITURE REVIEW PUBLIC HEALTH PUBLIC HEALTH SERVICES QUALITY CONTROL RELATIVE IMPORTANCE REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH SURVEY RESOURCE ALLOCATION RETIREMENT RURAL AREAS RURAL HOSPITALS SEX SEX WORKER SEX WORKERS SEXUALLY TRANSMITTED INFECTIONS SHORT TERM SMALL TOWNS SOCIAL PROTECTION SOCIAL SECTORS SOCIOECONOMIC FACTORS TECHNICAL ASSISTANCE TETANUS TFR TOBACCO TOBACCO USE TOTAL FERTILITY RATE TOTAL POPULATION TRANSITION COUNTRIES TUBERCULOSIS URBAN AREAS URBAN DWELLERS WAGES YOUNG PEOPLE This two-volume Health Sector Review Note for Azerbaijan addresses the adequacy of the existing healthcare system to meet unmet healthcare needs and respond to epidemiologic and demographic challenges. The main rationale behind this Sector Note is to spur policymakers to consider a set of options for reforming the system, thereby enabling them to embark on a long-awaited reform initiative to improve health outcomes. The current system suffers from the following shortcomings: a legal and regulatory platform that is not conducive to effective system stewardship; fragmented accountability for technical, administrative and financial matters, excessive hospital and specialized care facilities; poorly funded and managed, as well as highly fragmented, primary healthcare services; a de-motivated health workforce that relies on informal payments to cope with low wages and a practice environment devoid of incentives; and, major inequalities in health and healthcare as a result of very low public outlays, coupled with increasingly high levels of out-of-pocket payments. The note makes a number of recommendations with a view to moving away from a model of specialist physician-centered care towards a model of family-based primary healthcare (PHC); a biomedical care model towards a model that values disease prevention and health promotion; a model that does not solve most health problems (referring them instead to higher levels) towards one where most problems are solved at the PHC level; a model with extremely inefficient resource allocation towards a model that allocates resources according to healthcare needs; and, a model where provider payments are based on inputs towards a model where providers are paid on the basis of productivity and the appropriateness and quality of the care they provide. 2012-06-21T19:09:07Z 2012-06-21T19:09:07Z 2005-06 http://documents.worldbank.org/curated/en/2005/06/6249756/azerbaijan-health-sector-review-note-vol-1-2-main-report http://hdl.handle.net/10986/8692 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work :: Other Health Study Economic & Sector Work Europe and Central Asia Asia Commonwealth of Independent States Eastern Europe Azerbaijan |