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TBS Seminar on Essential Medicines and Health Products. Health financing policy, medicines and universal health coverage. Matthew Jowett, PhD Senior Health Financing Specialist Dept. Health Systems Governance & Financing WHO Geneva 29 th October 2013. Financial protection
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TBS Seminar on Essential Medicines and Health Products Health financing policy, medicines and universal health coverage Matthew Jowett, PhD Senior Health Financing Specialist Dept. Health Systems Governance & Financing WHO Geneva 29th October 2013
Financial protection • (no-one becomes poor as a result of paying for care) Equity in service use • (reduce gap between need and utilization) • Quality of services • (sufficient to improve health) Universal health coverage goals
3 dimensions of health care coverage Equity in service use Quality
Moldova 2007Population enrolment in national health insurance scheme
- Formal sector workers (salaried) - Civil servants and private sector - Mandatory contributions (payroll tax) • Informal sector / non-salaried • Above the official poverty line • Voluntary contributions with no subsidy • Informal sector / non-wage • Below the official poverty line • Fully subsidized insurance contributions shared between local and national government
More (public) moneyforhealthPublicspendingcrowds displaces out-of-pocketpayments
More health for the money……Ref: World Health Report 2010, Chapter 4
Estimated average (median) retail mark-ups: Georgia and selected EU countries EU price source: OBIG/PPRI
Affordability of standard treatments as % of minimum subsistence allowance