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Solomon Islands - Health financing system assessment : Spend better (English)

This report identifies critical opportunities and constraints faced by Solomon Islands health system as it makes progress towards Universal Health Coverage. 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. Solomon Islands has made some impressive gains in health outcomes over the last two decades. Continued improvements will require more effective governance to manage finite resources at all health service levels. Now more than ever, with decreasing real per capita health expenditure, greater focus is needed on spending health dollars better. More efficiency. More quality of service delivery. More targeted interventions for vulnerable groups to improve equity.


  • Author

    Ruest,Maude, Ivatts,Susan Lynette, Flanagan,Bob, Koochew,Adrian Viner

  • Document Date


  • Document Type

    Working Paper

  • Report Number


  • Volume No


  • Total Volume(s)


  • Country

    Pacific Islands,

  • Region

    East Asia and Pacific,

  • Disclosure Date


  • Disclosure Status


  • Doc Name

    Spend better

  • Keywords

    external financing; central government budget; Federated States of Micronesia; public expenditure on health; fiscal space for health; Annual Plan and Budget; equity in health; accessing health care; quality of service delivery; financial management information system; Goods and Service Tax; life expectancy at birth; real gross domestic product; equity of service delivery; live birth; disease burden; high population growth; Governance and Accountability; burden of disease; solomon islands dollar; per capita health; measles immunization; global financial crisis; health outcome; health care organization; inequality in health; main urban center; public health programs; discrimination in access; HIV and AIDS; investment for health; domestic food prices; access to facility; total fertility rate; population growth rate; body mass index; maternal mortality ratio; source of revenue; per capita term; economies of scale; peer review process; incidence of poverty; Health Care Delivery; rising sea levels; basic health care; health information system; Financial Management System; small states; quality and efficiency; high disease burden; Health Service Delivery; equitable health care; rural area; health expenditure; vulnerable group; exchange rate; Exchange Rates; national budget; government expenditure; marginal improvement; civil unrest; living standard; fiscal deficit; program performance; premature mortality; Cardiovascular Disease; poor sanitation; comparator country; Public Employment; population estimate; budget support; delivery model; health facility; Health Workers; poor household; health finance; staff benefit; government system; noncommunicable diseases; economic volatility; Infectious Disease; urban one; natural catastrophe; informal sector; limited revenues; education component; flash flood; negative growth; budget classification; sector reviews; tax revenue; committee meeting; International Trade; standard deviation; trading partner; accountability arrangement; medical goods; annual budget; health infrastructure; smoking rates; tobacco smoking; utilization rate; age distribution; endocrine diseases; institutional improvement; early detection; vulnerable population; adequate housing; financial protection; high poverty; malaria control; population indicator; chronic malnutrition; population level; Child Health; educational outcome; improving governance; health resource; external grant; Public Infrastructure; population health; cost component; fuel price; imported inputs; macroeconomic environment; government revenue; adversely impact; high spending; Population Projection; epidemiological transition; submarine cable; Maternal Health; routine monitoring; premature death; international aid; chronic disease; Institutional Sustainability; physical resources; personnel cost; health challenge; effective approach; domestic funding; dosage schedule; vaccine-preventable disease; staff position; administrative support; subsidiary right; significant challenge; Macroeconomic Growth; central agencies; government resource; donor financing; swap arrangement; macroeconomic context; policy option; health security; effective governance; land area; macroeconomic forecast; australian dollar; global health; longer life; pregnant woman; reversible contraceptives; increasing rate; Alcohol Consumption; health issue; nutritional health; double burden; respiratory infection; urban household; household income; external funding; tropical cyclone; cost-effective intervention; volcanic eruption; income inequality; money use; targeted intervention; Public Facilities; referral system; hospital bed; skill mix; core indicator; outpatient visits; expenditure increase; development partner; high share; recurrent budgets; neonatal mortality



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Ruest,Maude Ivatts,Susan Lynette Flanagan,Bob Koochew,Adrian Viner

Solomon Islands - Health financing system assessment : Spend better (English). Washington, D.C. : World Bank Group.