Universal health coverage is a social goal that enables everyone to receive the quality health care they need, irrespective of ability to pay, without suffering financial hardship in the process.
... See More + To move toward that goal, policy makers should address three main considerations: the population to be covered, the health services to be provided, and the financing mechanism to be used. Successful cases show that to achieve universal health coverage, a change of perspective is essential, from seeing health care benefits as a contingent good to considering them as an essential public service. While expanding the demand for health care is necessary, improving the quantity and quality of the supply of health services is essential. Getting diverse stakeholders to cooperate, making cost-efficient and people-centered choices, and ensuring fiscal sustainability are needed to expand health coverage for everyone who needs it.
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The development objective of Health Project for Kosovo is to contribute to (i) developing the building blocks to introduce social health insurance; and (ii) strengthening primary health care in selected municipalities.
... See More + This second level of restructuring requires the following changes: (i) revision of the PDO to (i) developing the building blocks to introduce Social Health Insurance, and (ii) strengthening Primary Health Care in selected municipalities; (ii) revision of the results framework; (iii) revision of project components and costs; (iv) partial cancellation of credit; (v) an extension of the closing date; and (vi) to mitigate the overall risk.
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Ratings for the Health Care Quality Improvement Project for Egypt were as follows: outcomes were moderately satisfactory, risk to development outcome was moderate, Bank performance was moderately satisfactory, and Borrower performance was moderately satisfactory.
... See More + Some lessons learned included: Projects whose success depends, for the most part, on the passage of key legislation should not be presented for approval unless the passage of legislation is secured by Negotiations. Finalization of key procurement processes, if these are critical to launching implementation, should be completed by effectiveness so that a contract can be signed immediately following effectiveness. Importance of assessing whether the complexity of project design is commensurate with existing implementation capacity, beyond the 1‐2 key players in the ministry. Otherwise, there is a strong possibility that if the 1‐2 key actors leave, there would be no one to continue implementation. Sustained Government ownership or commitment is critical for successful implementation and should be measured by whether there is: (i) a long‐term strategy or plan or legislative agenda into which the project fits; (ii) strong leadership for project oversight and management; (iii) critical institutional or implementation arrangements are in place (e.g. functional dedicated PMU team, whether composed of Government staff or consultants who have an explicit mandate to work on the project); (iv) willingness to cut through red tape and reduce bureaucratic hurdles (complex and lengthy internal approval or clearance or signing processes); (v) commitment to ensuring compliance with Bank fiduciary policies and procedures. The project implementing agency needs to be selected very carefully. If the proposed agency is not the natural agency for the project, with previous experience, there needs to be an institutional assessment carried out. In fragile settings with potentially rapid changing political landscape, expectations for fast and successful implementation should be restrained and project timetables should be realistic. Projects with simpler and more straight‐forward designs have a better chance of success, also building confidence in the Ministries to implement follow‐on operations. Flexibility by the Bank is critical to the success of projects and to the Bank’s ability to sustain a longer‐term dialogue. The level of disbursements does not always measure the success or failure of the project and other factors need to be brought in as evidence of progress and considered accordingly when making decisions about extensions. All parties involved in making major decisions about the project’s future should review all options jointly, weighing all benefits and risks, remaining flexible and open to alternatives and basing their decisions on facts.
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Implementation Completion and Results Report ICR4361 FEB 12, 2018
The Government of Egypt aims to achieve health equity, or social justice in health care, by reorganizing the health system through financial protection, the expansion of services to all, better quality of services, and also greater accountability and monitoring of results and governance.
... See More + Two of the reform's priorities are to increase financial protection and ensure efficiency in the provision of services, and mobilize resources ensuring financial sustainability. Egypt only spends 5.1 percent of its GDP towards health care, while out-of-pocket expenditures is high (69.7 percent of the total health expenditures). Article 18 of the Constitution sets a target of 3 percent of the GDP, demanding a shift in resource mobilization and improving the effectiveness of the health system to deliver services.
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The development objective of the Social Security Modernization Project for Vietnam (VSSMP) is to support the modernization of the social security administration in Vietnam by improving the business processes, modernizing information systems, improving service delivery, and strengthening management and accountability.
... See More + Some of the negative impacts and mitigation measures include:(i) prepare specific regulations on the roles and responsibilities of agencies at various levels which are authorized to update information on the users/beneficiaries of Social and health insurance users (SI/HI) and Social assessment (SA) service' (ii) training to commune labor and social affairs officials on using the software for updating information on the users/beneficiaries of SI/HI and SA service; (iii) effective and practical communication strategies for VSSMP; (iv) limited literacy of many ethnic minorities (EM) SI/HI and SA users requires a relevant communication strategy of the project (simple, in ethnic minority language, culture-tailored, visual); (v) illiterate people may be provided with assistance from literate neighbors or village cadres; and (vi) demonstration can be shown through smart phones, local TVs, or by community sessions; and (vii) Training/guidance on how to use Information Services Center (ISC), how to read the information on ISC and how to monitor the payment, given to SI/HI and SA users.
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The development objective of the Social Security Modernization Project for Vietnam (VSSMP) is to support the modernization of the social security administration in Vietnam by improving the business processes, modernizing information systems, improving service delivery, and strengthening management and accountability.
... See More + Some of the negative impacts and mitigation measures include:(i) prepare specific regulations on the roles and responsibilities of agencies at various levels which are authorized to update information on the users/beneficiaries of Social and health insurance users (SI/HI) and Social assessment (SA) service' (ii) training to commune labor and social affairs officials on using the software for updating information on the users/beneficiaries of SI/HI and SA service; (iii) effective and practical communication strategies for VSSMP; (iv) limited literacy of many ethnic minorities (EM) SI/HI and SA users requires a relevant communication strategy of the project (simple, in ethnic minority language, culture-tailored, visual); (v) illiterate people may be provided with assistance from literate neighbors or village cadres; and (vi) demonstration can be shown through smart phones, local TVs, or by community sessions; and (vii) Training/guidance on how to use Information Services Center (ISC), how to read the information on ISC and how to monitor the payment, given to SI/HI and SA users.
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The health sector in Argentina is highly fragmented with several public and private providers and sources of financing. In addition to horizontal fragmentation, Argentina’s public health sector structure faces the challenge of establishing efficient institutional arrangements to provide quality services to the poor and uninsured, with limited data records of health services provided.
... See More + The purpose of this project is to improve access to health care services among ten million uninsured people expanding plan benefits to children, adolescents and women aged 20-64 who lack health insurance. It also includes the provision of basic maternal and children’s care, sexual health and reproductive health care services, as well as preventive and highly complex services, including surgery for congenital heart defects.
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