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Better spending, better care : a look at Haiti's health financing : summary report (English)

Amid recurrent natural disasters and severe financial hardship Haitians face formidable challenges to their health. Maternal and infant mortality rates are 5 and 3 times higher than the regional average. Access to health care is low compared to low-income countries and particularly among the poorest households. Delivery of preventive health services like immunizations is below minimum standards. Patients often bypass the public health system for lack of trust, and rely on consultations from traditional healers or simply purchase medication directly from unregulated providers for their medical needs. Haiti faces the challenge of meeting the United Nations' Sustainable Development Goals on health and improving outcomes for the poor despite declines in external financing for health and relatively low government contributions compared to other low-income countries to finance the health sector. In light of this, Haiti's healthcare system must operate more efficiently, and access to services must become more equitable and reach vulnerable populations.

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Details

  • Author

    Cavagnero,Eleonora Del Valle, Cros,Marion Jane, Dunworth,Ashleigh Jane, Sjoblom,Mirja Channa

  • Document Date

    2017/06/01

  • Document Type

    Working Paper

  • Report Number

    116682

  • Volume No

    1

  • Total Volume(s)

    2

  • Country

    Haiti,

  • Region

    Latin America & Caribbean,

  • Disclosure Date

    2017/06/23

  • Disclosure Status

    Disclosed

  • Doc Name

    summary report

  • Keywords

    health facility;average life expectancy at birth;maternal and child health services;Learning and Innovation Credit;sustainable development goals;primary health care;private for-profit;geographical access to services;health center with beds;access to health care;average length of stay;development assistance for health;alternative source of revenue;primary health care facilities;health expenditure;external financing;government health expenditure;catastrophic health expenditure;general government expenditure;quality of care;primary care;cost of maintenance;human resource reform;expenditure per capita;treatment for child;measures of efficiency;investments in infrastructure;health care needs;public health facility;health facility level;folic acid supplementation;curative health services;equity in access;high poverty rate;public health insurance;construction of hospitals;source of financing;burden of disease;human resource management;bed occupancy rate;public health expenditure;domestic resource mobilization;Public Financial Management;allocation of resource;supply chain management;human resource decisions;primary care facilities;rate of inflation;infant mortality rate;affordable health services;return on investment;data collection system;public health system;essential health services;preventive health services;health care relative;lack of service;medical equipment;donor coordination;external funding;vulnerable population;development partner;domestic financing;traditional healer;referral hospitals;wealth quintile;preventive care;pregnant woman;primary level;operational budget;tax revenue;photo credit;global health;poor household;donor funding;external aid;administrative staff;government budget;health finance;equitable access;hospital infrastructure;private insurance;national budget;Health Workers;diarrheal disease;Public Spending;hospital sector;live birth;real gdp;financial sustainability;patient flow;essential medicines;Capital Investments;investment priority;public hospital;financial capital;maternal death;emergency financing;quality care;public funding;channel development;transaction cost;public dispensary;earmarked tax;donor resource;Investment priorities;health inputs;health prevention;working condition;double burden;government contribution;medical product;universal health;government spending;pertussis vaccine;financial contribution;Child Mortality;access barrier;emergency aid;household income;budget planning;birth attendant;quality of supervision;purchase mechanism;health infrastructure;scarce resource;mortality ratio;private clinic;positive impact;emergency service;operational expenditure;referral system;hospital performance;health problem;nonprofit institutions;financial barrier;hospital management;capital limited;patient consultations;international partners;personnel cost;disability care;efficiency score;hospital spending;hospital expenditure;disease burden;medical need;health outcome;medical consultation;pregnancy risk;physical examination;healthcare system;private institution;health workforce;long-term strategy;Public Treasury;investment program;curative care;sin tax;rural area;tax collection;market price;domestic sources;natural disaster;donor financing;vaccine supply;private provider;subsidized products;running cost;domestic funding;staff recruitment;financial hardship;salary payment;coverage rate;cholera epidemic;public finance;staff costs;hospital service;transportation voucher;basic infrastructure;basic equipment;licensing policy;informal sector;distribution network;health managers;tax rate;international benchmarks;transport company;Public Facilities;job growth;financial protection;retail price;patient visits;external resource;domestic revenue;medical supply;political issue;affordable service;fund allocations;equity fund;existing resources;mobile clinic;

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Citation

Cavagnero,Eleonora Del Valle Cros,Marion Jane Dunworth,Ashleigh Jane Sjoblom,Mirja Channa

Better spending, better care : a look at Haiti's health financing : summary report (English). Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/393291498246075986/summary-report