Madagascar Public Expenditure Review 2014
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Washington, DC
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Since the crisis, the health sector has
suffered from a lack of strategic leadership. From 2009 to
2014, there were four Ministers of Health appointed, The
objectives of the National Health Strategy, which ended in
2011, was informally extended with no interim strategy put
in place. This resulted in a general loss of direction in
the sector and fragmentation of coordination and funding
among partners. In the first year after the elections and
the placement of the new Government, the Ministry of Health
went through a period of transition. In March 2014, the
Prime Minister was also appointed the Minister of Health. In
that past year, some key developments have taken place
including the launch of the development of the new health
sector strategy and the revitalization of the International
Health Partnership in Madagascar. As of March 2015, a new
Minster of Health and Secretary General of the MOH have been
appointed with the key objectives of re-instilling strategic
direction in the sector. The new Health Sector Strategy
(2015-2019) is awaiting final Government validation. There
are six strategic axes and the estimated budget needed when
prioritizing maternal and child health interventions is
estimated to be US$1.4 billion over the next five years. The
Ministry has also explicitly committed to a the development
of a Universal Coverage Strategy by the end calendar year
2015 with the first mission already having taken place.
There are important challenges in the overall budget
envelope and the coordination of financing (much of it being
external financing) which should be addressed as they are
key drivers to the success of the implementation these strategies.
Palabras clave
PHARMACY, HEALTH INFORMATION SYSTEM, CHILD HEALTH, EMPLOYMENT, PARASITIC DISEASES, HEALTH PLANNING, HEALTH SERVICE DELIVERY, REPRODUCTIVE HEALTH, VACCINATION, FINANCING, FINANCIAL MANAGEMENT, ANTENATAL CARE, DEATHS, INCOME, UNDER-FIVE MORTALITY, PREVENTION, HEALTH EXPENDITURES, DOCTORS, MORBIDITY, INTERNATIONAL ORGANIZATIONS, BASIC HEALTH SERVICES, COMMUNITY HEALTH, PRIMARY CARE, HEALTH INSURANCE, HEALTH CARE, POPULATION POLICIES, HEALTH CARE FACILITIES, INCENTIVES, HEALTH, HUMAN RESOURCES DEVELOPMENT, ENVIRONMENTAL HEALTH, BASIC HEALTH CARE, HEALTH FACILITIES, PUBLIC HEALTH, QUALITY OF HEALTH, HEALTH SECTOR, KNOWLEDGE, FINANCE MANAGEMENT, PHARMACIES, CHOICE, EXERCISES, PUBLIC HEALTH ADMINISTRATION, INCIDENCE ANALYSIS, COSTS, IMMUNIZATION, PATIENTS, PATIENT, HEALTH INDICATORS, PUBLIC HEALTH CARE, HEALTH CENTERS, EXTERNALITIES, NURSES, HEALTH CARE SERVICES, ACCESS TO HEALTH SERVICES, USE OF HEALTH SERVICES, ALLOCATIVE EFFICIENCY, MEDICAL CARE, HOSPITAL CARE, HEALTH WORKFORCE, HEALTH CARE PERSONNEL, TUBERCULOSIS, HOSPITAL SERVICES, OUTPATIENT SERVICES, HEALTH CARE COVERAGE, MORTALITY, HEALTH ADMINISTRATION, HEALTH PROMOTION, MEDICAL TREATMENT, HEALTH INFORMATION, EQUITY, INFANT MORTALITY, WORKERS, SURGERY, PUBLIC HEALTH EXPENDITURES, SOCIAL SERVICES, HEALTH CARE PROVISION, HEALTH PLANS, PUBLIC HEALTH PROGRAMS, HEALTH DELIVERY, MATERNAL & CHILD HEALTH, CARE, POPULATION GROWTH RATES, HEALTH POLICY, HEALTH CARE COSTS, BUDGETS, DEMAND, HEALTH OUTCOMES, FAMILY PLANNING, MEDICAL SUPPLIES, STRESS, PREVENTIVE HEALTH SERVICES, EXPENDITURES, HOSPITAL UTILIZATION, MEDICAL PERSONNEL, HEALTH CLINICS, NUTRITION, HEALTH CARE EXPENDITURES, ADOLESCENTS, QUALITY CONTROL, PRIMARY HEALTH CARE, BURDEN OF DISEASE, HEALTH CARE CENTERS, HEALTH SYSTEM, INSURANCE, WEIGHT, PHYSICIANS, COMMUNICABLE DISEASES, PREGNANT WOMEN, ESSENTIAL DRUGS, CHILDREN, PUBLIC HEALTH SERVICES, DISEASE CONTROL, CLINICS, EVALUATION, INPATIENT CARE, HUMAN RESOURCES, HEALTH PROVIDERS, POVERTY, HEALTH EXPENDITURE, ILLNESS, PUBLIC ADMINISTRATION, SURGICAL EQUIPMENT, GENERAL PRACTITIONERS, COOPERATION, EVALUATION OF RESULTS, INCIDENCE, COUNSELING, POPULATION, POLIO, STRATEGY, CHILD HEALTH SERVICES, MEDICINES, HEALTH FINANCING, HOSPITALS, HEALTH INTERVENTIONS, HEALTH SERVICE, INFANT MORTALITY RATE, HEALTH PROGRAMS, HEALTH SERVICES, IMPLEMENTATION, INTERNATIONAL COMPARISONS, HEALTH STRATEGY, PATIENT CARE, NURSING, HUMAN DEVELOPMENT, PRIMARY HEALTH CARE SERVICES, MIDWIFES