Social Health Insurance for Developing Nations
Specialist groups have often advised health ministers and other decision makers in developing countries on the use of social health insurance (SHI) as a way of mobilizing revenue for health, reforming health sector performance, and providing universal coverage. This book reviews the specific design and implementation challenges facing SHI in low- and middle-income countries and presents case studies on Ghana, Kenya, Philippines, Colombia, and Thailand.
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accredited achieve universal coverage administrative adverse selection beneﬁciaries beneﬁts package budget Colombia contributions contributory regime copayments costs cover CSMBS deﬁned developing countries difﬁcult district mutual health drugs economic enroll enrollees fee-for-service ﬁgure ﬁnancial ﬁnancing ﬁrst ﬁve formal sector Ghana groups health care health ﬁnancing health insurance schemes health plans health sector health services health system implementation income indigent inﬂuence informal sector workers inpatient Kenya ment MHOs million Ministry of Health Ministry of Public mutual health insurance National Health Insurance near-poor NHIA NHIP NHSO nonpoor NSHIF Ofﬁce organization outpatient patients payment methods percent percentage PhilHealth Philippines poor population poverty line premiums private sector public and private Public Health public hospitals purchasing power parity reform revenues risk self-employed SHI agency SISBEN Social Health Insurance Social Security Source subsidized regime Table Thailand Transparency International World Bank 2006 World Bank Institute
Page 62 - Economy • overview: Well endowed with natural resources, Ghana has roughly twice the per capita output of the poorer countries in West Africa. Even so, Ghana remains heavily dependent on international financial and technical assistance. Gold, timber, and cocoa production are major sources of foreign exchange. The domestic economy continues to revolve around subsistence agriculture, which accounts for 35% of GDP and employs 60% of the workforce, mainly small landholders.
Page 19 - Efficiency and Quality in the Public and Private Sectors in Senegal.
Page 61 - Introduction Background: Formed from the merger of the British colony of the Gold Coast and the Togoland trust territory, Ghana in 1957 became the first country in colonial Africa to gain its independence. A long series of coups resulted in the suspension of the constitution in 1981 and the banning of political parties.
Page 41 - Achieving Universal Health Insurance in Korea: A Model for Other Developing Countries?
Page 40 - Health Care Systems in Transition: Germany. Copenhagen: European Observatory on Health Care Systems.
Page 83 - Three trends in the United States and other countries of the Organisation for Economic Co-operation and Development (OECD...
Page 105 - Northern South America, bordering the Caribbean Sea, between Panama and Venezuela, and bordering the North Pacific Ocean, between Ecuador and Panama...
Page 19 - Household Utilization and Expenditure on Private and Public Health Services in Vietnam.