Health Financing in the Republic of Gabon
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Washington, DC: World Bank
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This is a review of the health financing
situation in the Republic of Gabon. The book reviews the
situation in the country under the lens of the principles of
health financing: revenue mobilization for health, risk
pooling, and purchasing services. The book also estimates
the fiscal space in health that is, looking at options that
can increase resources for health within a macroeconomic and
fiscal context. Universal health coverage has been defined
as a situation where all people who need health services
(prevention, promotion, treatment, rehabilitation, and
palliative) receive them, without undue financial hardship.
Universal health coverage consists of three inter-related
components: (i) the full spectrum of quality health services
according to need; (ii) financial protection from direct
payment for health services when consumed; and (iii)
coverage for the entire population. Because of Gabon's
commitment to universal health coverage, certain segments
are calling for additional resources for this sector. As a
result, the country is grappling with the following: (i) how
are resources being spent, (ii) is there room for a more
efficient allocation of current resources, or (iii) is there
an urgent need to mobilize additional resources to meet the
goal. This book attempts to diagnose the situation and offer
additional information to enlighten and fuel the debate. The
book has six chapters: chapter one gives background and
objectives. Chapter two provides an overview of the
country s health status and service use patterns. Chapter
three provides an overview of health financing systems and
outputs. Chapter four provides an overview of the national
health insurance and social security (caisse nationale
d'assurance maladie et de garantie sociale) (CNAMGS).
Chapter five provides fiscal space analysis for health.
Finally, chapter six provides the reform issues and policy
options in health financing.
Palabras clave
ABORTION, ACCESS TO DRUGS, ACCESS TO HEALTH SERVICES, ACCOUNTABILITY MECHANISMS, ADMINISTRATIVE COSTS, ADVERSE SELECTION, AGE GROUPS, AGED, ANTENATAL CARE, BASIC HEALTH CARE, BEDS, BIRTH ATTENDANT, BREASTFEEDING, BUDGET ALLOCATION, BURDEN OF DISEASE, CAPITA HEALTH SPENDING, CAPITATION, CAUSES OF DEATH, CHILD BIRTH, CHILD HEALTH, CHILD MORTALITY, CHILDBIRTH, CITIES, CLEAN WATER, CLINICS, COMMUNICABLE DISEASES, CONTRACEPTIVES, COST SHARING, COSTS OF CARE, DEATHS, DELIVERY OF HEALTH SERVICES, DEMOGRAPHIC CHANGES, DIABETES, DISPENSARIES, DOCTORS, EPIDEMIOLOGICAL CHANGES, EPIDEMIOLOGICAL TRANSITION, EPIDEMIOLOGY, EQUITY IN ACCESS, EXPENDITURES, FAMILY HEALTH, FEE-FOR-SERVICE, FEE-FOR-SERVICE PAYMENT, FERTILITY, FINANCIAL MANAGEMENT, FINANCIAL PROTECTION, FORECASTS, GROSS DOMESTIC PRODUCT, GROSS NATIONAL INCOME, HEALTH CARE COSTS, HEALTH CARE FACILITIES, HEALTH CARE SERVICES, HEALTH CENTERS, HEALTH CLINICS, HEALTH COVERAGE, HEALTH DELIVERY, HEALTH DELIVERY STANDARDS, HEALTH ECONOMICS, HEALTH EXPENDITURE, HEALTH EXPENDITURES, HEALTH FACILITIES, HEALTH FINANCE, HEALTH FINANCING, HEALTH FINANCING REFORM, HEALTH FINANCING SYSTEM, HEALTH INDICATORS, HEALTH INSURANCE PROGRAM, HEALTH INSURANCE SCHEME, HEALTH NEEDS, HEALTH ORGANIZATION, HEALTH OUTCOMES, HEALTH POLICY, HEALTH POSTS, HEALTH PROFESSIONALS, HEALTH PROVIDERS, HEALTH RESEARCH, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICE DELIVERY, HEALTH SERVICE PROVIDERS, HEALTH SERVICE USE, HEALTH SERVICE UTILIZATION, HEALTH SERVICES, HEALTH STATUS, HEALTH STRATEGY, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH WORKERS, HIGH BLOOD PRESSURE, HIV, HIV/AIDS, HOSPITAL BEDS, HOSPITAL CARE, HOSPITAL MANAGEMENT, HOSPITAL SERVICES, HOSPITALS, HOUSEHOLD INCOME, HOUSEHOLD LEVEL, HUMAN DEVELOPMENT, HUMAN IMMUNODEFICIENCY VIRUS, HYGIENE, HYPERTENSION, ILLNESS, IMMUNIZATION, IMMUNODEFICIENCY, INCENTIVES FOR SUPPLIER, INCIDENCE ANALYSIS, INCOME, INCOME COUNTRIES, INCOME GROUPS, INCOME GROWTH, INDIVIDUAL INCOMES, INDUCED DEMAND, INFANT, INFANT MORTALITY, INFANT MORTALITY RATE, INFANT MORTALITY RATES, INFANTS, INFORMAL SECTOR, INFORMAL SECTOR WORKERS, INFORMATION SYSTEMS, INJURIES, INSURANCE SCHEMES, INTERNATIONAL COMPARISONS, INTERNATIONAL ORGANIZATIONS, LEGAL STATUS, LIFE EXPECTANCY, LIVE BIRTHS, LIVING CONDITIONS, LOW INCOME, LOW-INCOME COUNTRIES, MALARIA, MALARIA INCIDENCE, MATERNAL DEATHS, MATERNAL MORTALITY, MATERNAL MORTALITY RATIO, MATERNAL MORTALITY RATIOS, MEDICAL BENEFIT, MEDICAL CARE, MEDICAL CENTER, MEDICAL CENTERS, MEDICAL EQUIPMENT, MEDICINES, MILLENNIUM DEVELOPMENT GOAL, MINISTRY OF HEALTH, MORAL HAZARD, MORBIDITY, MORTALITY, MORTALITY REDUCTIONS, NATIONAL HEALTH, NATIONAL HEALTH INSURANCE, NATIONAL HEALTH SERVICE, NATIONAL HEALTH SERVICES, NEONATAL CARE, NURSES, NURSING, NUTRITION, OBESITY, OFFICIAL DEVELOPMENT ASSISTANCE, ORAL REHYDRATION THERAPY, PATIENT, PATIENTS, PAYMENTS FOR HEALTH SERVICES, PHARMACIES, PHARMACISTS, PHARMACY, PHYSICIAN, PHYSICIANS, POLICY RESEARCH, POOR HEALTH, POPULATION DYNAMICS, POPULATION GROUPS, POSTNATAL CARE, PREGNANT WOMEN, PRIMARY CARE, PRIMARY HEALTH CARE, PRIMARY HEALTH CARE FACILITIES, PRIVATE CONSUMPTION, PRIVATE HOSPITALS, PRIVATE SECTOR, PROVIDER PAYMENT, PUBLIC EXPENDITURE, PUBLIC HEALTH, PUBLIC HEALTH SPENDING, PUBLIC HEALTH SYSTEM, PUBLIC HOSPITAL, PUBLIC HOSPITALS, PUBLIC PROVIDERS, PUBLIC SECTOR, PURCHASING POWER, PURCHASING POWER PARITY, QUALITY CONTROL, QUALITY OF CARE, QUALITY OF HEALTH, QUALITY OF HEALTH CARE, REGIONAL HOSPITAL, REHABILITATION, RESOURCE MOBILIZATION, RISK FACTORS, RURAL AREAS, SMOKERS, SOCIAL SECURITY, SOCIAL SERVICES, TREATMENT, TUBERCULOSIS, UNEMPLOYMENT, UNFPA, UNITED NATIONS POPULATION FUND, UNIVERSAL HEALTH INSURANCE COVERAGE, USE OF HEALTH SERVICES, USER FEES, VACCINATION, WORK EXPERIENCE, WORKERS, WORLD HEALTH ORGANIZATION, WOUNDS