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Financing health services in Africa : an assessment of alternative approaches

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  • Mwabu, Germano
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    Abstract

    This paper outlines a strategy for financing health services in sub-Saharan Africa. The individual components of the strategy are as follows: general tax revenues, international finance, a system of user charges, community finance, health insurance, and contributions from nongovernmental organizations, including the private sector. The author states that financial positions of public health care systems in sub-Saharan Africa would be greatly enhanced if governments in the region were to adopt policies that would use each of the above sources of finance. Since a strong financial base is a prerequisite for an effective health care system, such policies would considerably improve the health status of the population. It is important that for each country different policies be pursued at various levels of society, and in different sectors of the economy.

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    Bibliographic Info

    Paper provided by The World Bank in its series Policy Research Working Paper Series with number 457.

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    Date of creation: 30 Jun 1990
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    Handle: RePEc:wbk:wbrwps:457

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    Related research

    Keywords: Health Systems Development&Reform; Health Monitoring&Evaluation; Housing&Human Habitats; Health Economics&Finance; Pharmaceuticals&Pharmacoeconomics;

    References

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    Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
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    1. ALan Williams, 1988. "Priority setting in public and private health care: a guide through the ideological jungle," Working Papers, Centre for Health Economics, University of York 036chedp, Centre for Health Economics, University of York.
    2. Vogel, R.J., 1988. "Cost Recovery In The Health Care Sector - Selected Country Studies In West Africa," Papers, World Bank - Technical Papers 82, World Bank - Technical Papers.
    3. Gertler, Paul & Locay, Luis & Sanderson, Warren, 1987. "Are user fees regressive? : The welfare implications of health care financing proposals in Peru," Journal of Econometrics, Elsevier, Elsevier, vol. 36(1-2), pages 67-88.
    4. Dunlop, David W., 1983. "Health care financing: Recent experience in Africa," Social Science & Medicine, Elsevier, Elsevier, vol. 17(24), pages 2017-2025, January.
    5. Reinhardt, Uwe E, 1989. "Economists in Health Care: Saviors, or Elephants in a Porcelain Shop?," American Economic Review, American Economic Association, American Economic Association, vol. 79(2), pages 337-42, May.
    6. Bitran-Dicowsky, Ricardo & Dunlop, David W., 1989. "The determinants of hospital costs : an analysis of Ethiopia," Policy Research Working Paper Series 249, The World Bank.
    7. Ellis, Randall P., 1987. "The revenue generating potential of user fees in Kenyan government health facilities," Social Science & Medicine, Elsevier, Elsevier, vol. 25(9), pages 995-1002, January.
    8. Yoder, Richard A., 1989. "Are people willing and able to pay for health services?," Social Science & Medicine, Elsevier, Elsevier, vol. 29(1), pages 35-42, January.
    9. Mwabu, Germano M, 1989. "Nonmonetary Factors in the Household Choice of Medical Facilities," Economic Development and Cultural Change, University of Chicago Press, vol. 37(2), pages 383-92, January.
    10. Cross, Peter N. & Huff, Maggie A. & Quick, Jonathan D. & Bates, James A., 1986. "Revolving drug funds: Conducting business in the public sector," Social Science & Medicine, Elsevier, Elsevier, vol. 22(3), pages 335-343, January.
    11. Bonair, Ann & Rosenfield, Patricia & Tengvald, Karin, 1989. "Medical technologies in developing countries: Issues of technology development, transfer, diffusion and use," Social Science & Medicine, Elsevier, Elsevier, vol. 28(8), pages 769-781, January.
    12. Williams, Alan, 1988. "Priority setting in public and private health care : A guide through the ideological jungle," Journal of Health Economics, Elsevier, Elsevier, vol. 7(2), pages 173-183, June.
    13. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1.
    14. Akin, John S, et al, 1986. "The Demand for Primary Health Care Services in the Bicol Region of the Philippines," Economic Development and Cultural Change, University of Chicago Press, vol. 34(4), pages 755-82, July.
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    Cited by:
    1. Gertler, Paul J. & Hammer, Jeffrey S., 1997. "Strategies for pricing publicly provided health services," Policy Research Working Paper Series 1762, The World Bank.
    2. Ardeshir Sepehri & Robert Chernomas, 2001. "Are user charges efficiency- and equity-enhancing? A critical review of economic literature with particular reference to experience from developing countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 13(2), pages 183-209.

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