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Out-of-pocket spending and health service utilization in Lao P.D.R. : evidence from the Lao expenditure and consumption surveys (Laosiano)

In the past decade, Lao People's Democratic Public (PDR) has made substantial progress in reducing poverty and child mortality. However, not only do health outcomes remain among the poorest in South-East Asia and far below international averages, progress in expanding coverage of priority health interventions known to reduce mortality, has been patchy. One of the key determinants of whether people can access care when they need it, and whether they suffer economic consequences from ill health, is how the health system is financed. In Lao PDR, as in other low-income countries, a key challenge is to provide adequate financial risk protection to those in need and thus ensure equitable access to essential health services. While developing its strategy to achieve universal coverage, important decisions will need to made regarding how to raise funds, how to pool them and how to use them to purchase health services. The purpose of this note is to provide an overview of health service utilization and out-of-pocket expenditures in Lao PDR. It is primarily based on analysis of household data from two rounds of the Lao Expenditure and Consumption Survey (LECS), conducted in 2002-03 and 2007-08 respectively. The data are representative of the entire country and thus useful for understanding of health financing from the perspective of households. Before discussing results from the LECS surveys, it is useful to provide some context by looking at the broad health financing picture in Lao PDR over the past decade.


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    República Democrática Popular do Laos,

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    Leste Asiático e Pacífico,

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  • Nome do documento

    Out-of-pocket spending and health service utilization in Lao P.D.R. : evidence from the Lao expenditure and consumption surveys

  • Palavras-chave

    access to health services, age groups, aged, capita health spending, catastrophic expenditure, catastrophic health expenditure, catastrophic health spending, child health, child health services, childbirth, cost of care, districts, doctors, drugs, equitable access to health care, expenditures, families, financial catastrophe, financial protection, financial risk, financial risk protection, free care, health care, health care per capita, health care services, health care spending, health care system, health centers, health centre, health centres, health consequences, health expenditure, health expenditures, health facilities, health financing, health institutions, health insurance, health interventions, Health Organization, health outcomes, Health Policy, health providers, health sector, health service, health service utilization, health services, health spending, health system, Health Systems, hospital services, hospitalisation, hospitalization, hospitals, households, human resources, illness, income, inpatient care, international comparisons, living standards, low-income countries, medical expenses, medication, medicines, mortality, National health, National health spending, nurses, outpatient care, outpatient services, patients, pocket payments, pocket payments for health care, primary health care, private sector, protection mechanisms, public health, public health system, risk protection mechanisms, Social Health Insurance, urban areas, Use of health services, visits



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