Skip to Main Navigation

Financing health services in developing countries : an agenda for reform (English)

This report discusses several different approaches that support reforming health care services in developing countries. For some time now, health care services have been supported by government funds. As demands for improving health care services continue to increase additional demands will be placed on governments to respond. This, however, will not be easy. Slow economic growth and record budget deficits in the 1980's have forced reductions in public spending. Alternative approaches to finance health care services are needed. Such possible changes could involve: decentralization of federal government involvement; the promotion of nongovernment involvement; the imposition of user fees; and, establishing health insurance. Finally, the role of the Bank in pursuing new financing strategies is discussed.


  • Document Date


  • Document Type


  • Report Number


  • Volume No


  • Total Volume(s)


  • Country


  • Region

    The World Region,

  • Disclosure Date


  • Disclosure Status


  • Doc Name

    Financing health services in developing countries : an agenda for reform

  • Keywords

    curative care;government health service;cost of health care;revenue from user charges;average per capita income;free will;financing of health care;population per hospital bed;allocation of health resource;standards of professional conduct;government sector;point of service;rural area;benefit to society;central government expenditure;government resource;Government Facility;financing health care;health care cost;world health organization;government health facility;fund for health;loss of revenue;social insurance plans;access to insurance;social insurance system;decentralization of government;decentralization in government;types of service;village health worker;innovative health financing;primary health care;general tax revenues;health insurance program;female life expectancy;quality of facilities;social security financing;per capita basis;budget for health;large financial loss;public health activity;health finance;traditional healer;private benefit;health program;public good;risk coverage;health systems;Public Spending;government service;public resource;government hospital;curative service;preventive care;Public Goods;private spending;government clinics;Medical care;preventive service;political decision;private insurance;operational research;free service;government system;political commitment;tax rebate;traditional service;insurance payment;public expenditure;public program;health status;health activities;private good;referral service;health needs;health post;medical service;nonprofit groups;health practitioner;modern sector;religious missions;independent physician;public hospital;traditional practitioners;policy package;outpatient visits;general budget;modest increase;poor household;financial planning;private care;health expenditure;administrative support;personnel management;contagious disease;nursing school;health community;wage earner;compulsory insurance;Learning and Innovation Credit;nonprofit provider;effective drugs;insurance provider;local unit;salary cost;quality care;affordable price;logistical problems;political pressure;professional association;government activity;health increase;poor health;rural financing;cost escalation;health institution;health issue;sector work;Perinatal Care;dry season;outpatient clinic;parasitic worm;catastrophic costs;legal framework;social objective;dispersed population;consumer price;skilled personnel;present study;urban slum;laboratory technician;supervisory staff;adequate provision;industrialized country;payroll tax;medical assistant;direct payment;medical policy;Industrialized countries;outpatient facilities;remote area;private clinic;aging population;government supplier;hospital sector;competitive incentive;Agricultural Extension;citizen work;health problem;government budget;general revenues;conservative assumption;insurance scheme;budget deficit;population group;Research Support;hospital service;political arena;insurance companies;finance reform;free-rider problem;country survey;geographical inequality;policy study;insurance expenditure;charging fee;mining area;high wage;government revenue;real cost;trained midwife;Prenatal Care;Health Workers;survey data;foreign child;medical personnel;free health;health good;trial period;zimbabwe dollar;voluntary groups;wage sector;rural clinic;low-income household;monitoring program;foreign exchange;private industry;maternal care;government employer;public finance;project selection;financial provider;information cost;Infant Mortality;live birth;government effort;small population;care program;rural health;outpatient service;public revenue;community level;resource problem;industrialized nation;urban poor;alternative mean;mental hospital;Rural Risk;improving information;financial control;popular support;lending agency;market incentive;Infectious Disease;Economic Policy;



Official version of document (may contain signatures, etc)

  • Official PDF
  • TXT*
  • Total Downloads** :
  • Download Stats
  • *The text version is uncorrected OCR text and is included solely to benefit users with slow connectivity.


Financing health services in developing countries : an agenda for reform (English). A World Bank policy study Washington, D.C. : World Bank Group.