This report identifies critical opportunities and constraints faced by the Vanuatu health system as it makes progress toward universal health coverage (UHC).
... Exibir mais + 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. This health financing systems assessment (HFSA) provides context and emphasizes key issues and messages aimed at providing Ministry of Health (MoH) and partners with a platform to help with this transition. It builds upon other work that has been done in recent years on health in Vanuatu. The assessment begins with an overview of the prevailing economic and fiscal context and key health outcomes. It then overviews the country’s health system - through its human, physical, and financial dimensions. Finally, it reviews health financing in some detail to identify trends across time; against regional benchmarks; and at both national and subnational and facility levels. The assessment concludes with a summary of policy options.
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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.
... Exibir mais + 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.
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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.
... Exibir mais + 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.
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Financing the frontline updates the expenditure analysis carried out in below the glass floor (2013) and tests whether the spending patterns emerging in 2009 and 2010 in Papua New Guinea have been sustained or improved in 2011 and 2012.
... Exibir mais + The review also supports a better understanding of the issues that confront frontline service delivery - such as the ambiguity of roles and responsibilities in some rural health functions - and presents next steps. Concurrently, the national department of health performance information on facilities (from the national health information system (NHIS)) has been reviewed. The integration of the expenditure analysis, the NHIS performance information, and the findings from the promoting effective public expenditure facility surveys will provide a rich source of information to help sharpen understanding and shape solutions.
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Papua New Guinea's (PNGs) economy has slowed from the very strong growth rates of recent years, as construction of the PNG liquefied natural gas (LNG) facility nears completion and export prices weaken, weighing on domestic activity.
... Exibir mais + The depreciating Kina is cushioning PNG's economy from weaker export prices and slowing domestic demand by supporting farmers' and exporters' incomes and improving PNG's competitiveness. The government is trying to support domestic activity through stronger public spending, especially on capital works. Despite weaker commodity receipts, it has been able to maintain its revenues through stronger compliance efforts. PNG's budget deficit is projected to widen in 2013 and 2014. The government can do much to support shared growth without putting its financial health at risk through better quality spending. Importantly, for both domestic and international investors and employers, consistent, transparent, and predictable actions regarding property rights and contractual obligations are essential to nurture sustained growth.
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