Qatar National Health Accounts: Evidence-Based Approach for Allocating Health Funds

1. Altijani Hussin, MA Manager – Health Economics Supreme Council of Health Qatar National Statistics Day 6 – 8 December, 2010 Doha – Qatar Qatar National Health Accounts: The Evidence-Based for Allocating Health Funds

2. Advocating for the importance of the NHA as an Evidence Based approach Framework for implementing and using the NHA How it will be implemented? Who will do it? What is needed? Purpose of This Presentation

3. Introduction

4. Health Spending: Only One Component to a Population’s Health Outcomes Sustainability of HC System Accessibility to HC Equity in HC Intrinsic to HC Effective and Efficient Health Spending Quality of HC GOOD HEALTH OUTCOMES Income Level Empowerment of Women Extrinsic to HC Education Access to Sanitation Access to Nutritious Food HC: Health Care

5. A set of accounts that describe all expenditure flows within the health sector (Public and Private) A tool for policy formulation, monitoring, and evaluation: diagnose the financial information Answer the following questions: Where does the money come from? (Sources of funding) How are resources managed? (Financing agents) Who provides what services? (Uses of funds) Which patients receive what? (Beneficiaries of funds) What are National Health Accounts?

6. Flow of Funds in Qatar Financing Sources Financing Agencies Health Providers SCH MOEF SCH Facilities Social Health Insurance Agency/Fund Other Organizations Other Gov/ Non Gov Orgs Private Facilities Private Health Insurance Households Work Based Clinics Households Current Envisioned

7. Per Capita Total Health Expenditure (PCTHE)? PCTHE = Total Health Expenditure (THE)/Total Pop. THE= (SCH + HMC + PHC + Other Public Funds) + (Private/Semi Private Orgs + OOP) Other Public Funds: Armed Forces, Police, QP, etc. Private/Semi Private: QTel, Qatar Airways, etc. OOP: Households WHO (estimates 2007): $3,416 Example of A Question Answered by NHA

8. Contribute to the health policy process Inclusive of all financing stakeholders Monitor and evaluate the SHI Project Compare health financing within the country and with other countries Informed health policy decisions and avoid potentially adverse policy choices Why Qatar Needs National Health Accounts?

9. How it will be done?

10. Offers effective institutional arrangement for consistent and sustainable NHA Ensures the NHA is a government-driven program Fosters effective partnership among all stakeholders Training, data collection, analysis, and dissemination Strategic Needs Environment for advocacy and consensus building Capacity building of the producers and users of QHA Resource mobilization QHA Strategic Plan

11. The Steering Committee: Senior Government officials SCH Ministry of Economy and Finance Ministry of Interior Qatar Statistics Authority Hamad Medical Corporation (HMC) Qatar Chamber of Commerce and Industry The Technical Team: SCH Who Will Manage it?

12. What is needed? Financing Sources Financing Agencies Health Providers SCH MOEF SCH Facilities Social Health Insurance Agency/Fund Other Organizations Other Gov/ Non Gov Orgs Private Facilities Private Health Insurance Households Work Based Clinics Households Current Envisioned

13. Financing Sources Financing Agencies Health Providers SCH MOEF SCH Facilities Social Health Insurance Agency/Fund Other Organizations Other Gov/ Non Gov Orgs Private Facilities Private Health Insurance Households Work Based Clinics Households Current Envisioned

14. Responsible Parties: MoEF QSA Needed Information: Health expenditure budget documents Overall By beneficiary Financing Sources: Government

15. Responsible Party: QSA Needed Information: Annual EMPLOYER health expenditure survey Annual HOUSEHOLD health expenditure and utilization survey Financing Sources: Non- & Quasi Government

16. Financing Sources Financing Agents Health Providers SCH MOEF SCH Facilities Social Health Insurance Agency/Fund Other Organizations Other Gov/ Non Gov Orgs Private Facilities Private Health Insurance Households Work Based Clinics Households Current Envisioned

17. Responsible Party: SCH Armed Forces MoI QSA Needed Information: Health expenditures budget documents Household Survey Financing Agents: Government

18. Responsible Party: SCH Needed Information: Budget documents that include the health expenditure Internships Health Research Others Financing Agents: Other Government Orgs.

19. Responsible Party: QSA Needed Information: Budget documents that include the health expenditure Annual EMPLOYER health expenditure survey Annual HOUSEHOLD health expenditure and utilization survey Annual Private Health Insurance Survey Financing Agents: Non Government

20. Financing Sources Financing Agencies Health Care Providers SCH MOEF SCH Facilities Social Health Insurance Agency/Fund Other Organizations Other Gov/ Non Gov Orgs Private Facilities Private Health Insurance Households Work Based Clinics Households Current Envisioned

21. Responsible Party: All health care providers (public and private) Needed Information: Budget documents that include the health expenditure Detailed health care functions Detailed health care providers Revenues, by source (premiums, co-payment, cash, etc.) Detailed health care burden of diseases Detailed health care beneficiaries Healthcare Providers

22. Conclusion • Trace healthcare funds using • Evidence Based • Inclusive of the entire health sector • International standard Resource mobilization Capacity building Effective partnership

23. The End