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Creating Evidence for Better Health Financing Policy Decisions and Greater Accountability - A Strategic Guide for the Institutionalization of National Health Accounts (Paperback, New)
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Creating Evidence for Better Health Financing Policy Decisions and Greater Accountability - A Strategic Guide for the Institutionalization of National Health Accounts (Paperback, New)
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Any analysis of health financing issues has to begin with sound
estimates of the level and flow of resources in a health system,
including total levels of spending, the sources of health
expenditures, the uses of funds in terms of services purchased, and
in terms of who purchases them. The analysis should also aim at
understanding how these resource flows are correlated with health
system outcomes, including those of improving health, reducing
health inequalities, and reducing the incidence of catastrophic
health expenditure. National Health Accounts (NHA) provide a
framework to collect, compile, and analyze such data on all types
of health spending in a country and so create a robust evidence
base for policy making. Although NHA data delineate the key
financial metrics of a health system, the collection of these data
have not been institutionalized in most developing countries. The
root problems are often the same: insufficient resources to
collect, collate, analyze and produce information on spending; poor
development of health and other information systems; low levels of
local capacity to interpret information to meet policy needs; and
inadequate demand for data within countries. Furthermore, in many
low- and middle-income countries, NHA activities have been
conducted as ad hoc, donor-driven initiatives. Since 2008, the
World Bank has been coordinating a global initiative to identify
bottlenecks to the institutionalization of NHA, and to learn
lessons in countries at different stages on the journey towards
this institutionalization. The focus has been less on the
production of NHA and more on its relevance as a tool to enable
policy makers develop and implement evidence-based decisions, and
better measure the impact of health reforms, especially those
related to health financing. This report has been developed through
a consultative process, involving experts and policy makers from
more than fifty low-, middle- and high-income countries, large and
small, in all corners of the world, development partners and World
Bank staff globally. The report represents a synthesis of lessons
learned from country experiences and is intended to serve as a
strategic guide to countries and their development partners as they
design and implement their strategy to develop nationally relevant
and internationally comparable data, collected in a routine and
cost-effective manner."
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