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Tanzania is currently developing a Health Financing Strategy to
provide a medium to long-term road map for a sustainable and
integrated health financing system. This book is designed to inform
this discussion by providing an analytical basis for the discussion
of options, a series of policy options which could be considered in
moving forward, and the economic and financial implications of
these options. In doing so, it is hoped that this book will help
stimulate the discussion of options and help Tanzania develop a
health financing strategy which meets its long-term needs. Health
financing in Tanzania is currently highly fragmented, with many
different sources of funds and programs directed at specific
population groups. Despite this, many people still do not access
health services because of financial barriers, and this burden
falls disproportionately on the poor. This book looks at the
current situation with respect to health financing as well as the
experience in other countries to address health financing for the
poor and the population generally, using a common analytical
framework. The book then explores a number of options in the areas
of revenue generation, pooling of funds, purchasing and service
provision, and also looks at the regulatory and political
environment, making specific recommendations which can be
considered in each of these areas. The focus of these
recommendations is particularly on improving financial health
protection for the poor. The economic, financial and service
delivery implications are then examined, using several different
scenarios for extending pre-paid health insurance coverage to the
population. Making Health Financing Work for the Poor in Tanzania
will be of interest to readers working in the areas of health care
and public health, social protection, and social analysis and
policy, in Tanzania and in other countries aiming for improvements
in their health financing systems.
The Countries of Southeastern Europe (Bulgaria, Croatia, and
Romania) have re-committed themselves to scale up action on the
prevention and treatment of HIV/AIDS in the sub-region. These three
countries share several social conditions that have led to an
alarming increase in HIV infection. These conditions include
increasing unemployment and poverty, rapid social changes, a
decrease in the accessibility and quality of services and
educational opportunities, psychological stress from post-conflict
situations, increased substance abuse and sex work, and increased
trafficking in women for sexual exploitation. This paper reviews
the current status of the AIDS epidemics in the three countries,
evaluates the approaches and strategies currently being used in
each country, and makes recommendation both for government
strategies and for the World Bank's current and potential future
involvement in relation to these strategies. Potential
interventions are organized according to four general groupings:
Epidemiology and Operational Research Health Care and Social
Services Health Communications and Promotion Civil Society and
Advocacy"
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