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Vanuatu - Health financing systems assessment : spend better (English)

This report identifies critical opportunities and constraints faced by the Vanuatu health system as it makes progress toward universal health coverage (UHC). 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.


  • Author

    Wallace,Peter Richard, Cairns,Alan Thomas, Ruest Archambault,Maude, Ivatts,Susan Lynette

  • 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

    Vanuatu - Health financing systems assessment : spend better

  • Keywords

    Health Service; public expenditure on health; health facility; vulnerable group; gains in life expectancy; high population growth rate; maternal and child health; Federated States of Micronesia; access to health service; equity in health; external financing; Goods and Service Tax; annual population growth rate; Acquired Immune Deficiency Syndrome; efficiency of resource allocation; equity of service delivery; range of health outcome; Annual Plan and Budget; fiscal space for health; public health programs; primary health care; health expenditure; chronic respiratory disease; private health insurance; death from malaria; health sector performance; Sexually Transmitted Infection; burden of disease; skilled birth attendance; health needs; health committee; domestic expenditure; basic health care; infant mortality rate; discrimination in access; incidence of hiv; incidence of malaria; new zealand dollar; separate bank account; HIV and AIDS; Financial Management System; Substance Use Disorders; main urban center; cost of care; increase in population; health service managers; provision of service; child health outcomes; female life expectancy; lack of service; estimate of revenue; corporate income tax; source of revenue; high birth rate; reallocation of resource; offshore financial service; revenue from taxes; Performance and Accountability; growth in population; impact on health; social health insurance; Human Immunodeficiency Virus; Health Service Delivery; health child; disease burden; endocrine diseases; Cardiovascular Disease; Infectious Disease; real gdp; live birth; double burden; medical supply; premature death; Exchange Rates; health status; rural population; health finance



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Wallace,Peter Richard Cairns,Alan Thomas Ruest Archambault,Maude Ivatts,Susan Lynette

Vanuatu - Health financing systems assessment : spend better (English). Washington, D.C. : World Bank Group.