Health Financing in Vanuatu : Challenges and Options
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World Bank, Washington, DC
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Population growth, an unfinished
agenda of communicable diseases and maternal health and
nutrition, and the rapid rise of Non-communicable diseases
are putting increasing strain on not just the Ministry of
Health budget, but also the broader financial position of
the government as a whole. These pressures are ultimately
financially unsustainable, given current and projected
future economic conditions. But many of the health burdens
and costs can be avoided, or at least delayed, with good
primary and secondary prevention. There are practical
options for making health financing in Vanuatu more
effective, efficient, equitable, affordable, and
accountable. Improving efficiency of public expenditure is a
key to achieving this.
Palabras clave
ACQUIRED IMMUNODEFICIENCY SYNDROME, ADDICTION, AGED, AGEING POPULATIONS, ALLOCATIVE EFFICIENCY, BABIES, BASIC NEEDS, BIRTH ATTENDANTS, BLINDNESS, BOTH SEXES, BREAST FEEDING, BURDEN OF DISEASE, CANCER, CARDIOVASCULAR DISEASE, CAUSES OF DEATH, CHILD HEALTH, CHILD HEALTH SERVICES, CHILD MORTALITY, CITIES, CITIZENS, CLINICS, COMMUNICABLE DISEASES, COMMUNITY HEALTH, COMMUNITY HEALTH SERVICES, COMPLICATIONS, CONTRACEPTIVE PREVALENCE, DEATHS, DEBT, DECISION MAKING, DEMOGRAPHIC FACTORS, DEMOGRAPHIC TRENDS, DEVELOPING COUNTRIES, DEVELOPMENT ASSISTANCE, DEVELOPMENT GOALS, DEVELOPMENT OBJECTIVES, DEWORMING, DIABETES, DIETS, DISABILITIES, DISABILITY, DISASTERS, DISPARITIES IN HEALTH, DISPENSARIES, DOCTORS, DRUGS, EARLY MARRIAGE, ECONOMIC CONDITIONS, ECONOMIC GROWTH, EMPLOYMENT, EMPLOYMENT OPPORTUNITIES, EPIDEMIC, EPIDEMIOLOGICAL TRANSITION, ESSENTIAL MEDICINES, EXPENDITURES, FAMILY PLANNING, FERTILITY, FERTILITY RATE, FINANCIAL MANAGEMENT, FINANCIAL POSITION, FINANCIAL PRESSURES, GENDER DISPARITY, GIRLS' EDUCATION, GLOBAL HEALTH, GLUCOSE, GOVERNMENT FINANCES, GROSS DOMESTIC PRODUCT, GROSS NATIONAL INCOME, HEALTH BURDEN, HEALTH CARE, HEALTH CENTERS, HEALTH CENTRES, HEALTH COSTS, HEALTH EFFECTS, HEALTH EXPENDITURE, HEALTH FACILITIES, HEALTH FINANCING, HEALTH INFORMATION, HEALTH INFORMATION SYSTEM, HEALTH INSURANCE, HEALTH ORGANIZATION, HEALTH OUTCOMES, HEALTH PROBLEMS, HEALTH RISKS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICE DELIVERY, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH SYSTEM, HEALTH WORKFORCE, HEALTHY LIFESTYLES, HIGH RATE OF POPULATION GROWTH, HIV, HOSPITAL, HOSPITAL BUILDINGS, HOSPITAL SERVICES, HOSPITALIZATION, HOSPITALS, HUMAN DEVELOPMENT, HUMAN IMMUNODEFICIENCY VIRUS, HUMAN RESOURCES, HUNGER, HYPERTENSION, ILL HEALTH, ILLNESS, IMMUNIZATION, IMMUNODEFICIENCY, INCOME, INEQUITIES, INFANT, INFANT MORTALITY, INFANT MORTALITY RATE, INFANT MORTALITY RATES, INFANTS, INJURIES, INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES, INTERVENTION, LARGE NUMBERS OF PEOPLE, LEADING CAUSE OF DEATH, LEADING CAUSES, LIFE EXPECTANCY, LIVE BIRTHS, MALARIA, MARRIED WOMEN, MATERNAL HEALTH, MATERNAL MORTALITY, MATERNAL MORTALITY RATE, MEASLES, MEDICAL SUPPLIES, MEDICAL TREATMENT, MEDICINES, MENTAL HEALTH, MIDWIVES, MIGRATION, MILLENNIUM DEVELOPMENT GOAL, MILLENNIUM DEVELOPMENT GOALS, MINISTRY OF EDUCATION, MINISTRY OF FINANCE, MINISTRY OF HEALTH, MODERN FAMILY, MODERN FAMILY PLANNING, MORBIDITY, MORTALITY, NATIONAL BUDGET, NATIONAL LEVEL, NATURAL DISASTER, NATURAL DISASTERS, NATURE OF HEALTH, NEONATAL CARE, NEWBORN, NEWBORN CARE, NEWBORNS, NUMBER OF WOMEN, NURSE, NURSES, NUTRITION, OBESITY, OBSTETRIC CARE, OFFICIAL DEVELOPMENT ASSISTANCE, OLD AGE, PATIENT, PATIENTS, PHYSICAL ACTIVITY, PHYSICIANS, POLICY DECISIONS, POLICY MAKERS, POPULATION GROWTH, POPULATION GROWTH RATE, POPULATION PRESSURES, POVERTY REDUCTION, PREGNANCY, PREGNANT WOMEN, PREMATURE DEATH, PRIMARY HEALTH CARE, PRIMARY SCHOOL, PROGRAM MANAGER, PROGRESS, PUBLIC EXPENDITURE, PUBLIC FINANCIAL MANAGEMENT, PUBLIC HEALTH, PUBLIC HEALTH EXPENDITURE, PUBLIC POLICY, PURCHASING POWER, PURCHASING POWER PARITY, REDUCING MATERNAL MORTALITY, REMITTANCES, REPRODUCTIVE AGE, REPRODUCTIVE HEALTH, RESOURCE ALLOCATION, RESPECT, RISK FACTORS, RURAL AREAS, SANITATION, SANITATION FACILITIES, SCARCE RESOURCES, SCHOOL ATTENDANCE, SCHOOL CHILDREN, SCREENING, SERVICES FOR CHILDREN, SEXUALLY TRANSMITTED INFECTIONS, SKILLED ATTENDANCE, SKILLED ATTENDANCE AT DELIVERY, SKILLED BIRTH ATTENDANCE, SKILLED BIRTH ATTENDANTS, SMOKERS, SOCIAL HEALTH INSURANCE, SPILLOVER, STRATEGIC PRIORITIES, TUBERCULOSIS, UNDER-FIVE MORTALITY, UNFPA, UNIVERSAL ACCESS, URBAN AREAS, URBANIZATION, VACCINE COVERAGE, VILLAGE HEALTH WORKERS, VULNERABILITY, VULNERABLE GROUPS, WOMAN, WORKERS, WORLD HEALTH ORGANIZATION, YOUNG WOMEN