Turning Challenges into Opportunities : The Medium Term Health Expenditure Pressure Study in Timor-Leste
Timor-Leste has achieved significant improvements in the health sector since becoming independent a little over a decade ago. Timor-Leste is undergoing an epidemiology transition as the non-communicable disease burden increases, while infectious di...
| Main Authors: | , |
|---|---|
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2017
|
| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/593891480572877831/Turning-challenges-into-opportunities-the-medium-term-health-expenditure-pressure-study-in-Timor-Leste http://hdl.handle.net/10986/25785 |
| Summary: | Timor-Leste has achieved significant
improvements in the health sector since becoming independent
a little over a decade ago. Timor-Leste is undergoing an
epidemiology transition as the non-communicable disease
burden increases, while infectious disease prevalence
remains high. The report aims to: (i) analyze trends in
health sector public expenditures (budgets and realized
expenditures); (ii) document trends in staffing and
training, including their costs; (iii) understand the likely
resource envelope available to the health sector over the
next five years (from all sources); and (iv) provide options
to adjust expenditures, to support key priorities, and
improve the efficiency of existing expenditures to create
space for key priorities. This report reviews the critical
fiscal issues facing the health sector in the medium term,
including the key areas demanding fiscal space, and the
likely resource envelope from government and donors. The
report analyzes past trends in health expenditures (by the
government and donors), forecasts future resource
availability, and examines implications for the Ministry of
Health (MOH) to sustain delivery of quality health services.
The report is organized as follows: chapter one gives
introduction. Chapter two analyzes human resource
development in health by discussing three scenarios for
medium term health staff planning. Chapter three examines
trends in government health spending by key expenditure
areas and discusses the increasingly important role that
government spending will play in the health sector. Chapter
four analyzes the past trends in donor health financing in
Timor-Leste. Chapter five concludes by reviewing four key
areas (rising wage bill, pharmaceutical spending, overseas
medical transfers, and declining donor spending) that are
exerting pressure on health sector financing, and suggests
policy recommendations based on the analysis detailed in
this report. |
|---|