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Health care financing case study. Group 4. Country profile. GDP per capita: 900 USD GDP: 9% Population growth rate: 3% Unemployment: 20% 50% employed people in the informal sector: 25 million Population marginalised: 40% = 20 million 4,5 million covered by health insurance: 9%
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Health care financing case study Group 4
Country profile • GDP per capita: 900 USD • GDP: 9% • Population growth rate: 3% • Unemployment: 20% • 50% employed people in the informal sector: 25 million • Population marginalised: 40% = 20 million • 4,5 million covered by health insurance: 9% • Gov. Health expenditures: 3% • HE percapita: 5,6 USD • Utilization rate: app. 1,1 visit/pers/year
Total Health Expenditures • THE: 1,184 billion USD
Discussion points • Level of expenditures: Large amount for unknown purpose Little funds for health • Distribution of cost for services High household expenditures Health care outside country • Social security Low coverage Unemployment High informal sector >>Equity ??
Suggestions • Improve equity (provide health care for marginalized population) • Improve fiscal transparency • Improve health care delivery quality • Widen & improve health insurance coverage • Strengthen decentralized system throughout country