Investing in Universal Health Coverage

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dc.creatorBarroy, Hélène
dc.creatorAndré, Françoise
dc.creatorMayaka, Serge
dc.creatorSamaha, Hadia
dc.date2016-03-07T20:03:05Z
dc.date2016-03-07T20:03:05Z
dc.date2014-01
dc.date.accessioned2026-07-01T00:53:34Z
dc.descriptionThe report contains eight chapters. Chapter one leads off with the main macroeconomic and fiscal determinants to understand the general health financing situation in DRC. Its sections one and two provide a brief overview of the country’s macroeconomic and fiscal environment. Section three sheds new light on decentralization, a core health issue, and focuses on the fiscal implications of decentralization. Section 4 offers a brief analysis of the management of public finance, a key element for the effectiveness and quality of expenditure, especially in health. Chapter two starts with a brief overview of the main objectives and analyzes its organization and governance, with a focus on health care delivery. Chapter three discusses the performance of the main health system’s outputs and outcomes. Section one analyzes major changes in health outcomes based on different household surveys. Section two addresses service coverage with a focus on mother and child services. Section three explores service quality issues. In a detailed analysis of health financing sources, Chapter four looks at changes in public, external, and private sources over 2008–2013 (section one). Section two analyzes the adequacy of government funding for health financing needs, and assesses the prospects for expanding fiscal space for health. Chapter five examines government funds mobilized for health, both allocated in the budget and executed (or actuals). Government resources for health are taken to mean all domestic financing sources allocated to the Ministry of Public Health and other health entities. Section one examines changes in the health budget envelope over 2007–2013, while section two focuses on actual spending. Section three analyzes government executed expenditure by nature and section four reviews trends and types of personnel expenditure, the largest share of government health expenditure. Chapter six focuses on health expenditure performance in the light of three main parameters: financial protection; equity; and efficiency. Section one analyzes financial protection using standard indicators (share of out-of-pocket payments, catastrophic expenditure, and impoverishing expenditure). Section two scrutinizes health outcomes and service use disparities and inequalities based on income, gender, and place of residence. The last section presents an overview of the efficiency of health expenditure in DRC, primarily in comparison to its peer countries. Chapter seven analyzes health financing from the point of view of the provinces, the new ‘entitled’ authorities for the health sector, drawing on a survey of financial and fiscal data from six provinces. Section one presents an overview of health financing flows after decentralization. Section two focuses on financing sources for the health sector at the provincial level, examining provincial government funds, external assistance, and central government transfers. The chapter ends with an analysis of the volume and type of decentralized government health expenditure. The report concludes in a brief chapter eight with a series of recommendations to improve short- and medium-term health sector financing and performance.
dc.formatapplication/pdf
dc.identifierhttp://documents.worldbank.org/curated/en/2016/02/25967207/investing-universal-health-coverage-opportunities-challenges-health-financing-democratic-republic-congo
dc.identifierhttps://hdl.handle.net/10986/23880
dc.identifierhttps://doi.org/10.1596/23880
dc.identifier.urihttp://hdl.handle.net/123456789/412557
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectANNUAL REPORT
dc.subjectECONOMIC GROWTH
dc.subjectACCOUNTING
dc.subjectDOMESTIC REVENUE
dc.subjectVACCINATION
dc.subjectANNUAL REPORTS
dc.subjectPHARMACISTS
dc.subjectANTENATAL CARE
dc.subjectGOVERNMENT FUNDING
dc.subjectLOCAL REVENUE
dc.subjectHEALTH ESTABLISHMENTS
dc.subjectHEALTH CARE
dc.subjectREVENUES
dc.subjectEXPENDITURE DECENTRALIZATION
dc.subjectMACROECONOMIC FRAMEWORK
dc.subjectCAPACITY BUILDING
dc.subjectBUDGET CONSTRAINTS
dc.subjectLIFE EXPECTANCY
dc.subjectHOSPITALIZATION
dc.subjectMEDIUM-TERM EXPENDITURE FRAMEWORK
dc.subjectHEALTH SECTOR
dc.subjectBUDGET ALLOCATIONS
dc.subjectLEPROSY
dc.subjectTOTAL EXPENDITURE
dc.subjectIMMUNIZATION
dc.subjectPUBLIC TREASURY
dc.subjectEXPENDITURE FRAMEWORK
dc.subjectHEALTH CENTERS
dc.subjectEXCHANGE RATES
dc.subjectSECTOR EXPENDITURE
dc.subjectDEBT
dc.subjectPUBLIC FINANCE
dc.subjectBUDGET DEFICIT
dc.subjectTAX BREAKS
dc.subjectACCOUNTING SYSTEM
dc.subjectEXTERNAL ASSISTANCE
dc.subjectEXPENDITURE ITEM
dc.subjectCAPITAL EXPENDITURE
dc.subjectGYNECOLOGY
dc.subjectPROVINCIAL LEVEL
dc.subjectBUDGET ENVELOPE
dc.subjectAUDIT OFFICE
dc.subjectPUBLIC EXPENDITURE REVIEW
dc.subjectSERVICE DELIVERY
dc.subjectNATURAL RESOURCES
dc.subjectFISCAL COMMITMENTS
dc.subjectEXPENDITURE DATA
dc.subjectMORTALITY
dc.subjectHEALTH PROMOTION
dc.subjectCENTRAL GOVERNMENT EXPENDITURE
dc.subjectHEALTH INFORMATION
dc.subjectHEALTH SPENDING
dc.subjectGOVERNMENT BUDGETS
dc.subjectTAX INSTRUMENTS
dc.subjectMACROECONOMIC ENVIRONMENT
dc.subjectEXTERNAL AID
dc.subjectDATA AVAILABILITY
dc.subjectMANAGEMENT OF GOVERNMENT EXPENDITURE
dc.subjectGOVERNMENT BUDGET
dc.subjectSURGERY
dc.subjectAGED
dc.subjectBUDGET PROCESS
dc.subjectPUBLIC EXPENDITURE
dc.subjectPROVINCIAL REVENUES
dc.subjectBASIC SOCIAL SERVICES
dc.subjectGOVERNMENT EXPENDITURE
dc.subjectCENTRAL GOVERNMENT
dc.subjectPOVERTY REDUCTION STRATEGY
dc.subjectPRIVATE SECTOR
dc.subjectPUBLIC HEALTH SYSTEM
dc.subjectSERVICE QUALITY
dc.subjectECONOMIC CLASSIFICATION
dc.subjectINTERNET
dc.subjectCAPITAL SPENDING
dc.subjectSANITARY FACILITIES
dc.subjectDOMESTIC TAX
dc.subjectPUBLIC SECTOR EMPLOYMENT
dc.subjectWEIGHT
dc.subjectPHYSICIANS
dc.subjectCHILDREN
dc.subjectFISCAL MANAGEMENT
dc.subjectMINISTRY OF BUDGET
dc.subjectALLOCATION
dc.subjectPROVINCIAL GOVERNMENTS
dc.subjectSECTOR BUDGET
dc.subjectFISCAL BALANCE
dc.subjectTAX ADMINISTRATION
dc.subjectBUDGET PREPARATION
dc.subjectMEDICINES
dc.subjectHOSPITALS
dc.subjectOUTCOMES
dc.subjectPUBLIC SERVICE
dc.subjectINTERNATIONAL COMPARISONS
dc.subjectPREGNANCY
dc.subjectCASH FLOW
dc.subjectFOOD INDUSTRY
dc.subjectNURSING
dc.subjectDEBT RELIEF
dc.subjectFISCAL DATA
dc.subjectDEFICIT
dc.subjectFINANCIAL IMPACT
dc.subjectPEOPLE
dc.subjectPUBLIC PROCUREMENT
dc.subjectMEDIUM-TERM EXPENDITURE
dc.subjectPREVENTION
dc.subjectPUBLIC SECTOR
dc.subjectGOVERNMENT SPENDING
dc.subjectMONEY SUPPLY
dc.subjectFINANCIAL RESOURCES
dc.subjectDATA COLLECTION
dc.subjectPAYMENT SYSTEM
dc.subjectHEALTH ASSISTANCE
dc.subjectLIQUIDITY
dc.subjectPROGRAMS
dc.subjectRESOURCE ALLOCATION
dc.subjectSERVICES
dc.subjectHEALTH INSURANCE
dc.subjectTAX COLLECTION
dc.subjectBUDGETARY PROCESS
dc.subjectREAL GROWTH
dc.subjectHEALTH
dc.subjectNATIONAL PRIORITY
dc.subjectCENTRAL GOVERNMENT REVENUE
dc.subjectPUBLIC FUNDING
dc.subjectINFLATION
dc.subjectPUBLIC HEALTH
dc.subjectFINANCIAL POLICY
dc.subjectBUDGET
dc.subjectPOVERTY REDUCTION
dc.subjectCENTRAL GOVERNMENT BUDGET
dc.subjectCOST RECOVERY
dc.subjectPATIENTS
dc.subjectPROVINCIAL GOVERNMENT
dc.subjectAGING
dc.subjectBUDGET EXECUTION
dc.subjectNURSES
dc.subjectFISCAL CONSOLIDATION
dc.subjectPRIVATE INVESTMENT
dc.subjectEDUCATION SYSTEM
dc.subjectSOCIAL SECURITY
dc.subjectFISCAL EXPENDITURE
dc.subjectARTICLE
dc.subjectMIGRANTS
dc.subjectGROSS DOMESTIC PRODUCT
dc.subjectFINANCIAL HEALTH
dc.subjectNATIONAL STATISTICS
dc.subjectTAXES
dc.subjectCHANGES IN HEALTH OUTCOMES
dc.subjectEXPENDITURE
dc.subjectBUDGET CLASSIFICATION
dc.subjectPUBLIC SUBSIDIES
dc.subjectUNEMPLOYMENT
dc.subjectCHILDBIRTH
dc.subjectDEBT RATIO
dc.subjectTAX RATE
dc.subjectSOCIAL SERVICES
dc.subjectTAX POWERS
dc.subjectDECENTRALIZATION PROCESS
dc.subjectIMMUNODEFICIENCY
dc.subjectPOSTNATAL CARE
dc.subjectBUDGET DATA
dc.subjectHEALTH POLICY
dc.subjectBUDGETS
dc.subjectFINANCE MINISTRY
dc.subjectHEALTH OUTCOMES
dc.subjectWAGE EXPENDITURE
dc.subjectGOVERNMENT REVENUE
dc.subjectFORMAL ECONOMY
dc.subjectNUTRITION
dc.subjectWORKSHOPS
dc.subjectPRIMARY HEALTH CARE
dc.subjectTAX REVENUE
dc.subjectCOMMUNICABLE DISEASES
dc.subjectPREGNANT WOMEN
dc.subjectPUBLIC RESOURCES
dc.subjectMINISTRY OF ECONOMY
dc.subjectGROWTH RATE
dc.subjectFISCAL AUTHORITY
dc.subjectSERVICE DELIVERY SYSTEM
dc.subjectTAX SYSTEM
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH FINANCING SYSTEM
dc.subjectDECENTRALIZATION
dc.subjectEXTERNAL DEBT
dc.subjectEXTERNAL FINANCING
dc.subjectSTATE AUDIT OFFICE
dc.subjectSTRATEGY
dc.subjectEXCHANGE RATE
dc.subjectREGISTRATION
dc.subjectHEALTH FINANCING
dc.subjectPERSONNEL EXPENDITURE
dc.subjectCIVIL SERVICE
dc.subjectFISCAL IMPLICATIONS
dc.subjectHEALTH PROGRAMS
dc.subjectHEALTH SERVICES
dc.subjectIMPLEMENTATION
dc.subjectMACROECONOMIC PROJECTIONS
dc.titleInvesting in Universal Health Coverage
dc.titleOpportunities and Challenges for Health Financing in the Democratic Republic of Congo
dc.typeReport
dc.typeRapport
dc.typeInforme

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