Description: Government Spending on Health in Lao PDR : Evidence and Issues

Government Spending on Health in Lao PDR : Evidence and Issues

The note analyzes overall trends in government health financing and expenditure patterns and discusses some of the efficiency and equity issues pertaining to current government health spending patterns. The policy note is one of a series of health...

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Bibliographic Details
Main Author:	World Bank
Language:	English en_US
Published:	Washington, DC 2013
Subjects:	ACCESS TO HEALTH CARE ACCESS TO HEALTH CARE SERVICES ACCESS TO HEALTH SERVICES ACCESS TO SERVICES ACCREDITATION ACUPUNCTURE ADMINISTRATIVE COSTS AFFORDABLE ACCESS AGED ALLOCATION OF FUNDS AMBULANCE ANTENATAL CARE APPLICABLE LAW AVAILABILITY OF DRUGS BLOCK GRANTS BORROWING BUDGET ALLOCATION BUDGET LAW BUDGET PROCESS BUDGETARY ALLOCATIONS CAPITA HEALTH EXPENDITURE CAPITA HEALTH SPENDING CAPITAL EXPENDITURE CAPITAL INVESTMENT CAPITAL INVESTMENTS CAPITATION CENTRAL BUDGET CERTIFICATION CHILD HEALTH CHILD HEALTH SERVICES CHILDBIRTH CITIES CLINICS COMMUNICABLE DISEASES CORRUPTION COSTS OF HEALTH CARE CREDIT REPORTING DEBT DEVELOPMENT ASSISTANCE DIABETES DIAGNOSIS DIAGNOSTIC TESTS DISEASE CONTROL DOCTORS DONOR SUPPORT ECONOMIC DEVELOPMENT ECONOMIC GROWTH EDUCATION LEVELS ELIGIBILITY CRITERIA EMPLOYEE EMPLOYER ENROLLMENT EPIDEMIOLOGY EQUAL ACCESS EQUITABLE ACCESS EQUITY FUNDS ESSENTIAL DRUGS EXPENDITURES EXTERNAL CAPITAL EXTERNAL FINANCE EXTERNAL FINANCING FAMILIES FEE FOR SERVICE FEE SCHEDULE FEE SCHEDULES FEE-FOR-SERVICE FEE-FOR-SERVICE BASIS FEE-FOR-SERVICE PAYMENTS FINANCES FINANCIAL BARRIERS FINANCIAL BURDEN FINANCIAL CAPACITY FINANCIAL MANAGEMENT FINANCIAL PROTECTION FINANCIAL RISK FINANCIAL SITUATION FINANCIAL SUPPORT FINANCIAL SUSTAINABILITY FINANCING INITIATIVES FISCAL DEFICIT FORECASTS FREE CARE GENERAL PRACTITIONERS HEALTH CARE HEALTH CARE PROFESSIONALS HEALTH CARE WORKERS HEALTH CENTERS HEALTH EXPENDITURE HEALTH EXPENDITURE PER CAPITA HEALTH EXPENDITURE SHARE HEALTH FACILITIES HEALTH FINANCING HEALTH FUNDING HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURANCE EXPENDITURE HEALTH INSURANCE FUND HEALTH INSURANCE SCHEME HEALTH MINISTRIES HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH PROFESSIONALS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH SPENDING HEALTH SPENDING SHARE HEALTH SYSTEM HEALTH SYSTEMS HEALTH SYSTEMS STRENGTHENING HEALTH WORKERS HEALTH WORKFORCE HEALTH-FINANCING HEALTH-SECTOR HEALTHCARE HIGH BLOOD PRESSURE HIV/AIDS HOSPITAL AUTONOMY HOSPITAL BEDS HOSPITAL COSTS HOSPITALIZATION HOSPITALS HOUSEHOLDS HUMAN RESOURCES HYGIENE ID IMMUNIZATION INCOME INCOME COUNTRIES INCOME GROUPS INEQUALITIES INEQUALITY INFANT MORTALITY INFANT MORTALITY RATES INFECTIOUS DISEASE CONTROL INFORMAL SECTOR INPATIENT CARE INTERNATIONAL BANK INTERNATIONAL ORGANIZATIONS LABOR MARKET LAWS LIFE EXPECTANCY LIVING STANDARDS LOW INCOME MEDICAL RECORDS MEDICAL SERVICES MEDICAL SUPPLIES MEDICAL TREATMENT MEDICINES MORTALITY NATIONAL HEALTH NATIONAL HEALTH SPENDING NURSES NUTRITION OPERATING COSTS OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENTS PHARMACIES PHO POCKET PAYMENTS POLICY DISCUSSIONS POLICY RESEARCH PREGNANCY PREPAYMENT SCHEMES PRIVATE CLINICS PRIVATE INSURANCE PRIVATE SECTOR PROFIT MARGINS PROVIDER PAYMENT PUBLIC ADMINISTRATION PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH CARE SERVICES PUBLIC HOSPITAL PUBLIC HOSPITAL STAFF PUBLIC HOSPITAL SYSTEM PUBLIC HOSPITALS PUBLIC SECTOR QUALITY CONTROL QUALITY OF HEALTH QUALITY OF HEALTH CARE RADIOLOGY REHABILITATION RETAIL PHARMACIES RISK OF DEBT SAFETY NET SAVINGS SHARE OF HEALTH SPENDING SICK LEAVE SOCIAL FUND SOCIAL HEALTH INSURANCE SOCIAL HEALTH INSURANCE SCHEMES SOCIAL INSURANCE SOCIAL SECURITY SOCIAL WELFARE SUBSIDIZATION SURGERY TRAINING CENTERS TUBERCULOSIS UNDER-FIVE MORTALITY UNIFORMS UNION URBAN AREAS USER FEE USER FEES VILLAGE VILLAGES VISITS WORKERS
Online Access:	http://documents.worldbank.org/curated/en/2012/12/17485706/government-spending-health-lao-pdr-evidence-issues http://hdl.handle.net/10986/13211

Description
Summary:	The note analyzes overall trends in government health financing and expenditure patterns and discusses some of the efficiency and equity issues pertaining to current government health spending patterns. The policy note is one of a series of health financing analyses, complementing earlier policy notes focusing on out-of-pocket spending as well as community-based and social health insurance schemes in the country. This reliance on out-of-pocket payments represents a considerable financial barrier to utilization of health services. The prominence of out-of-pocket spending in the form of user fees and revolving drug funds (RDFs) also raises concerns over management of funds at health facility level and regarding the potential for over prescription. In contrast, social health insurance expenditures are very low in Lao PDR: social insurance schemes cover about 11.4 percent of the population but account for only about 2.8 percent of total health spending. The Lao government has committed to increasing government spending to 9 percent of the budget, implying roughly a three-fold rise compared to plan spending for fiscal year 2011/12. If the policy goal is to raise government health spending equitably across the provinces, achieving it will be challenging. The overall economic outlook for Lao PDR is positive. Economic growth is projected to be 8.3 percent in 2012, and is expected to be in the range of 7-8 percent over the period 2013-2015. This note is one of a series of complementary health financing analyses on out-of-pocket spending and community-based and social health insurance schemes in the country. Additional analytical work in progress will review and assess demand-side pilot interventions currently being initiated by the government, such as the national free maternal and child health policy and the conditional cash transfer pilot.

Government Spending on Health in Lao PDR : Evidence and Issues

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