Kiribati Health Financing System Assessment
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World Bank, Washington, DC
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This report identifies critical
opportunities and constraints faced by the Kiribati health
system as it makes progress towards Universal Health
Coverage. Protecting the achievements that have been made
over recent years, while continuing to improve a broader
range of health outcomes, requires effective management of
changes in financial and other institutional arrangements in
the health sector. Despite notable improvements in recent
decades, most population health outcomes in Kiribati do not
compare well with other small countries in the Pacific. In
many respects, this reflects the very difficult geographic,
environmental and social determinants of health that the
country faces. Strong collaboration across sectors is
essential to implement the commitment to “health in all
Government policies” agreed to in the Ambo Declaration in
2017. The Ministry of Health and Medical Services has taken
impressive steps to improve its oversight of health sector
performance. Continued attention to spending health dollars
better is needed to achieve more efficient and quality
outcomes from frontline service delivery, including for the
outer islands.
Palabras clave
HEALTH FINANCE, HEALTH SYSTEM FINANCING, PUBLIC FINANCIAL MANAGEMENT, PUBLIC EXPENDITURE, HEALTH SERVICES, POVERTY, UNIVERSAL HEALTH COVERAGE, DONOR FINANCING, ACCESS TO HEALTH CARE SERVICE