Rapid Assessment of the Effect of the Economic Crisis on Health Spending in Mongolia

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dc.creatorSande Lie, Geir Sølve
dc.creatorBredenkamp, Caryn
dc.creatorBrenzel, Logan
dc.date2013-05-29T12:58:10Z
dc.date2013-05-29T12:58:10Z
dc.date2010-12
dc.date.accessioned2026-07-01T01:12:11Z
dc.descriptionThis rapid assessment examines the effect of Mongolia's economic crisis on government health budgets and health expenditure, household out-of-pocket spending and donor health commitments. This study was part of a larger assessment conducted in four countries on the effects of the economic crisis on health spending. A standardized approach was developed for all country case studies and consisted of a desk review of internationally-available literature and databases, extensive in-country review of data and documents available in government and donor offices, and semi-structured interviews with government staff, health providers and development partners. This assessment in Mongolia reveals a substantial reduction in the government health budget: the 2009 national health budget was significantly lower than the previous year's, and then was further reduced by 10 percent in a subsequent budget amendment. At national level, budget cuts were concentrated in investment line items. Among recurrent line items, the pharmaceutical budget was hardhit, but salaries were largely preserved, and there were no retrenchments. Similar patterns were observed at sub-national level for hospital budgets, which depend on the central allocations, but not for primary care facilities, which are funded on a capitation basis. Compared to other sectors, the health sector was relatively protected during the economic crisis and the share of health in the total government budget was higher after the budget amendment than before. To protect households from the effects of the economic crisis on health spending, the government undertook specific policy measures to expand health insurance coverage to vulnerable groups. Donor commitments to the health sector during the crisis largely tracked previously planned commitments.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2010/12/13260209/rapid-assessment-effect-economic-crisis-health-spending-mongolia
dc.identifierhttps://hdl.handle.net/10986/13599
dc.identifierhttps://doi.org/10.1596/13599
dc.identifier.urihttp://hdl.handle.net/123456789/416072
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationHealth, Nutrition And Population (HNP) discussion paper;
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectAMBULATORY CARE
dc.subjectARTICLE
dc.subjectBEDDING
dc.subjectBEDS
dc.subjectBUDGET ALLOCATION
dc.subjectBUDGET ALLOCATIONS
dc.subjectBUDGET DATA
dc.subjectBUDGET DEFICIT
dc.subjectBUDGET SAVINGS
dc.subjectBUDGETARY ALLOCATION
dc.subjectBUDGETARY ALLOCATIONS
dc.subjectBUDGETARY PRESSURES
dc.subjectCAPITA HEALTH EXPENDITURE
dc.subjectCAPITAL EXPENSES
dc.subjectCAPITAL INVESTMENT
dc.subjectCAPITAL PROJECTS
dc.subjectCAPITATION
dc.subjectCATEGORIES OF EXPENDITURE
dc.subjectCENTRAL ALLOCATION
dc.subjectCENTRAL BUDGET
dc.subjectCHILD HEALTH
dc.subjectCLINICAL SERVICES
dc.subjectCOMMODITY PRICES
dc.subjectCOMMON COLD
dc.subjectCOMMUNICABLE DISEASES
dc.subjectCOST CONTROL
dc.subjectCURRENCY DEVALUATION
dc.subjectDATA COLLECTION
dc.subjectDEBT
dc.subjectDECISION-MAKING
dc.subjectDEGREE OF COST-SHARING
dc.subjectDEMAND FOR HEALTH
dc.subjectDEMAND FOR HEALTH SERVICES
dc.subjectDOCTORS
dc.subjectDOMESTIC INVESTMENT
dc.subjectDONOR AGENCIES
dc.subjectDONOR ASSISTANCE
dc.subjectDONOR FINANCING
dc.subjectDONOR FUNDING
dc.subjectDRUG CONSUMPTION
dc.subjectECONOMIC GROWTH
dc.subjectECONOMIC POLICIES
dc.subjectECONOMIC SHOCKS
dc.subjectEQUITY OBJECTIVES
dc.subjectEXCHANGE RATE
dc.subjectEXPENDITURE DATA
dc.subjectEXPENDITURES
dc.subjectEXTERNAL FINANCING
dc.subjectFINANCIAL CRISES
dc.subjectFINANCIAL CRISIS
dc.subjectFINANCIAL IMPACT
dc.subjectFINANCIAL MANAGEMENT
dc.subjectFINANCIAL PRESSURE
dc.subjectFINANCIAL PROTECTION
dc.subjectFINANCIAL SUPPORT
dc.subjectFINANCIAL SYSTEM
dc.subjectFINANCING OF HEALTH CARE
dc.subjectFISCAL CAPACITY
dc.subjectFISCAL CONTRACTION
dc.subjectFISCAL DEFICIT
dc.subjectFISCAL POSITION
dc.subjectFISCAL PRESSURES
dc.subjectFIXED COSTS
dc.subjectFLAT RATE
dc.subjectFOREIGN TRADE
dc.subjectGOVERNMENT BUDGET
dc.subjectGOVERNMENT BUDGETING
dc.subjectGOVERNMENT BUDGETS
dc.subjectGOVERNMENT EXPENDITURE
dc.subjectGOVERNMENT REVENUES
dc.subjectGOVERNMENT SPENDING
dc.subjectHEALTH BUDGETS
dc.subjectHEALTH CARE CENTERS
dc.subjectHEALTH CARE DELIVERY
dc.subjectHEALTH CARE DEMAND
dc.subjectHEALTH CARE EXPENDITURE
dc.subjectHEALTH CARE FACILITIES
dc.subjectHEALTH CARE FINANCING
dc.subjectHEALTH CARE NEEDS
dc.subjectHEALTH CARE REFORM
dc.subjectHEALTH CARE SPENDING
dc.subjectHEALTH CARE SYSTEM
dc.subjectHEALTH CARE UTILIZATION
dc.subjectHEALTH CENTERS
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURE PER CAPITA
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH INFORMATION
dc.subjectHEALTH INFORMATION SYSTEM
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURANCE CONTRIBUTIONS
dc.subjectHEALTH INSURANCE COVERAGE
dc.subjectHEALTH INSURANCE FUND
dc.subjectHEALTH INSURANCE FUNDS
dc.subjectHEALTH INSURANCE SCHEME
dc.subjectHEALTH MANAGEMENT
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH PROJECT
dc.subjectHEALTH PROVIDERS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SERVICES RESEARCH
dc.subjectHEALTH SPENDING
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEM STRENGTHENING
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH SYSTEMS IN TRANSITION
dc.subjectHEALTH SYSTEMS STRENGTHENING
dc.subjectHEALTH WORKERS
dc.subjectHEALTH WORKFORCE
dc.subjectHIGH BLOOD PRESSURE
dc.subjectHIV/AIDS
dc.subjectHOSPITAL BEDS
dc.subjectHOSPITAL BUDGETS
dc.subjectHOSPITAL CARE
dc.subjectHOSPITAL SECTOR
dc.subjectHOSPITALS
dc.subjectHOUSEHOLD EXPENDITURE
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCES
dc.subjectILLNESS
dc.subjectIMMUNIZATION
dc.subjectINCOME
dc.subjectINCOME COUNTRIES
dc.subjectINCOME EFFECT
dc.subjectINFANT MORTALITY
dc.subjectINFANTS
dc.subjectINFLATION
dc.subjectINFLUENZA
dc.subjectINFORMAL PAYMENTS
dc.subjectINFORMAL SECTOR
dc.subjectINFORMAL SECTOR WORKERS
dc.subjectINPATIENT CARE
dc.subjectINSURANCE PREMIUMS
dc.subjectINVESTMENT EXPENDITURE
dc.subjectKEY FISCAL INDICATORS
dc.subjectMEDICAL SPECIALISTS
dc.subjectMEDICAL SUPPLIES
dc.subjectMEDICINES
dc.subjectMIGRANTS
dc.subjectMIGRATION
dc.subjectMINISTRY OF FINANCE
dc.subjectMINISTRY REPRESENTATIVES
dc.subjectMORTALITY
dc.subjectNATIONAL BUDGET
dc.subjectNATIONAL BUDGETS
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL HEALTH EXPENDITURE
dc.subjectNATURAL DISASTER
dc.subjectNEEDS ASSESSMENT
dc.subjectNUTRITION
dc.subjectOPERATING EXPENSES
dc.subjectORAL HEALTH
dc.subjectOUTPATIENT CARE
dc.subjectOUTPATIENT SERVICES
dc.subjectPATIENTS
dc.subjectPAYMENT SYSTEM
dc.subjectPERFORMANCE CRITERIA
dc.subjectPHARMACEUTICAL COMPANIES
dc.subjectPHARMACEUTICAL EXPENDITURES
dc.subjectPHARMACY
dc.subjectPOVERTY IMPACT
dc.subjectPREGNANT WOMEN
dc.subjectPRIMARY CARE
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIVATE CONSUMPTION
dc.subjectPRIVATE HOSPITALS
dc.subjectPRIVATE PHARMACIES
dc.subjectPRIVATE SECTOR
dc.subjectPROGRAMS
dc.subjectPROVIDER PAYMENT
dc.subjectPSYCHOLOGY
dc.subjectPUBLIC EXPENDITURE
dc.subjectPUBLIC EXPENDITURE REVIEW
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC SECTOR
dc.subjectPUBLIC SECTOR DEBT
dc.subjectQUANTITATIVE DATA
dc.subjectREHABILITATION
dc.subjectREPRODUCTIVE HEALTH
dc.subjectRESEARCH PROJECTS
dc.subjectRESOURCE ALLOCATION
dc.subjectSAFETY NETS
dc.subjectSECTOR BUDGET
dc.subjectSERVICE PROVISION
dc.subjectSIZE OF GOVERNMENT
dc.subjectSKIN DISEASES
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectSOCIAL INSURANCE
dc.subjectSOCIAL PROTECTION
dc.subjectSOCIAL SAFETY NETS
dc.subjectSOCIAL SECURITY
dc.subjectSOCIAL WELFARE
dc.subjectSTATE BUDGET
dc.subjectTOTAL EXPENDITURE
dc.subjectTOTAL PUBLIC SECTOR
dc.subjectTRANSFER PAYMENTS
dc.subjectTUBERCULOSIS
dc.subjectUNEMPLOYMENT
dc.subjectWAGE INCOME
dc.subjectWASTE
dc.subjectWORKERS
dc.titleRapid Assessment of the Effect of the Economic Crisis on Health Spending in Mongolia

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