Health Financing System Assessment
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World Bank, Washington, DC
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The health sector of Papua New Guinea
(PNG) has seen significant positive developments in recent
years. Key indicators of health access and quality have,
however, barely improved or have even declined (for example,
maternal and child health) from 2006 to 2015. In 2016, PNG
entered the accelerated transition phase from the vaccine
alliance (Gavi) support. During this time, the government
will be expected to increase its share of co-financing for
vaccines, while Gavi gradually decreases their contribution.
The government is simultaneously moving towards universal
health coverage (UHC), along with many other developing
countries, and has recently established fee free primary
health care and subsidized secondary care. Given this
backdrop, the health financing system assessment (HFSA),
which evaluates the financing system and institutional
sustainability, comes at an opportune time. The report
begins by providing a comprehensive background, including an
overview of PNG’s economic situation, health demographics,
health financing, human resources for health and the health
system. It then analyses two areas critical to sustainable
health financing: (i) PNG expenditure, with a focus on
levels and sources of health expenditure, as well as
resource allocation; and (ii) PNG reliance on donor
resources, in particular, the global fund to fight aids,
tuberculosis, and malaria (GFATM) and Gavi.
Palabras clave
DEMOGRAPHICS, HEALTH SYSTEM, HEALTH SERVICES, HEALTH FINANCE, HEALTH EXPENDITURE, DONOR FINANCING, INSTITUTIONS, IMMUNIZATION, HIV AIDS, TUBERCULOSIS, MALARIA