Health Financing in the Republic of Gabon

Saleh, Karima ; Couttolenc, Bernard F. ; Barroy, Helene

Washington, DC:World Bank

关键词: ABORTION;    ACCESS TO DRUGS;    ACCESS TO HEALTH SERVICES;    ACCOUNTABILITY MECHANISMS;    ADMINISTRATIVE COSTS;   

DOI  :  10.1596/978-1-4648-0289-8
RP-ID  :  91156

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

This is a review of the health financingsituation in the Republic of Gabon. The book reviews thesituation in the country under the lens of the principles ofhealth financing: revenue mobilization for health, riskpooling, and purchasing services. The book also estimatesthe fiscal space in health that is, looking at options thatcan increase resources for health within a macroeconomic andfiscal context. Universal health coverage has been definedas a situation where all people who need health services(prevention, promotion, treatment, rehabilitation, andpalliative) receive them, without undue financial hardship.Universal health coverage consists of three inter-relatedcomponents: (i) the full spectrum of quality health servicesaccording to need; (ii) financial protection from directpayment for health services when consumed; and (iii)coverage for the entire population. Because of Gabon'scommitment to universal health coverage, certain segmentsare calling for additional resources for this sector. As aresult, the country is grappling with the following: (i) howare resources being spent, (ii) is there room for a moreefficient allocation of current resources, or (iii) is therean urgent need to mobilize additional resources to meet thegoal. This book attempts to diagnose the situation and offeradditional information to enlighten and fuel the debate. Thebook has six chapters: chapter one gives background andobjectives. Chapter two provides an overview of thecountry s health status and service use patterns. Chapterthree provides an overview of health financing systems andoutputs. Chapter four provides an overview of the nationalhealth insurance and social security (caisse nationaled'assurance maladie et de garantie sociale) (CNAMGS).Chapter five provides fiscal space analysis for health.Finally, chapter six provides the reform issues and policyoptions in health financing.