Equity in Financing and Distribution of Health Benefits in Zambia
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World Bank, Washington, DC
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The Zambian health care system continues
to undergo various reforms. The system has experienced
health financing and organizational reforms since 2006.
Among the notable and common themes underpinning all the
health reforms across the different timelines have been the
following: the policy commitment continues to be associated
with the desire to ensure that resources and health care
services are distributed and provided as close to the
household or family as possible; and access to quality and
affordable health care services continues to be one of the
central themes of the reform process. In this regard, health
services are supposed to be generally available, adequate,
and of reasonable quality and cost. Given that a number of
health financing reforms have been implemented in Zambia
over the years, this study provides an updated analysis on
the extent to which government expenditures on health
provide an effective intervention in redistributing health
care resources in an equitable manner. The study looks at
the health system holistically and does not look at each of
the individual reforms.
Palabras clave
HEALTH FINANCING STRATEGY, HEALTH EXPENDITURE, BENEFIT INCIDENCE ANALYSIS, PROGRESSIVITY, SUBSIDY, HEALTH REFORM, CATASTROPHIC HEALTH SPENDING