Raising Returns : The Distribution of Health Financing and Outcomes in Yemen
Given relatively few resources and lagging health outcomes in Yemen, the quest for equitable, cost-effective health care delivery continues as long-term, sustainable development remains a priority. This paper assesses overall value for money of the...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2011/02/13771840/raising-returns-distribution-health-financing-outcomes-yemen http://hdl.handle.net/10986/13595 |
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okr-10986-13595 |
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oai_dc |
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Digital Repository |
| institution_category |
Foreign Institution |
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Digital Repositories |
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World Bank Open Knowledge Repository |
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World Bank |
| language |
English en_US |
| topic |
ABILITY TO PAY ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ANTENATAL CARE BEDS BURDEN OF DISEASE CARDIOVASCULAR DISEASE CHILD BIRTH CHILD DELIVERY CHILD DEVELOPMENT CHILD HEALTH CHILD MORTALITY CHILD MORTALITY RATES CHILD NUTRITION CHRONIC CONDITIONS CITIZENS CLINICS COMMUNICABLE DISEASE CONTROL COMMUNICABLE DISEASES COMMUNITY DEVELOPMENT COMMUNITY HEALTH COMMUNITY HEALTH CARE COMPLICATIONS DEATHS DEBT DELIVERY CARE DENTAL CARE DIABETES DISABILITY DISPARITIES IN HEALTH DRUGS EARLY CHILDHOOD ECONOMIC GROWTH ECONOMIC OPPORTUNITIES ELDERLY EQUITY IN ACCESS FAMILY CARE FERTILITY FERTILITY RATE FINANCE MANAGEMENT FINANCIAL MANAGEMENT FINANCIAL RISK FINANCING POLICIES GENDER PARITY GROSS DOMESTIC PRODUCT GROSS NATIONAL INCOME GYNECOLOGY HEALTH ADMINISTRATION HEALTH BURDEN HEALTH CARE HEALTH CARE CENTERS HEALTH CARE COSTS HEALTH CARE DELIVERY HEALTH CARE EXPENDITURES HEALTH CARE FACILITIES HEALTH CARE INFRASTRUCTURE HEALTH CARE PERSONNEL HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SPENDING HEALTH CARE SYSTEM HEALTH CARE UTILIZATION HEALTH CARE WORKERS HEALTH CENTERS HEALTH CLINICS HEALTH CONDITIONS HEALTH EDUCATION HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INDICATORS HEALTH INSURANCE HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICIES HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH TRAINING HIGH-RISK PREGNANCIES HIV HIV/AIDS HOSPITAL HOSPITAL CARE HOSPITAL SERVICES HOSPITALS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUMAN RESOURCES HUMAN RESOURCES MANAGEMENT HUNGER ILL HEALTH ILLNESS ILLNESSES IMMUNIZATION INCOME INCOME INEQUALITY INEQUITIES INFANT INFANT MORTALITY INFANT MORTALITY RATE INFANT MORTALITY RATES INFANTS INFECTION PREVENTION INFECTIOUS DISEASES INFORMATION SYSTEM INFORMATION SYSTEMS INJURIES INPATIENT CARE INSURANCE SCHEMES INTEGRATION INTERMEDIARIES KIDS LABOR FORCE LEVELS OF EDUCATION LIFE EXPECTANCY LIVE BIRTHS LIVING CONDITIONS LOCAL AUTHORITIES LOW BIRTH WEIGHT MALARIA MALNUTRITION AMONG CHILDREN MATERNAL DEATHS MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATE MATERNAL MORTALITY RATES MATERNAL MORTALITY RATIO MATERNAL MORTALITY RATIOS MEDICAL SERVICES MEDICAL SUPPLIES MEDICINES MENTAL HEALTH MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MORTALITY NATIONAL HEALTH EXPENDITURES NATIONAL POLICIES NATURAL RESOURCES NATURE OF HEALTH NURSING NUTRITION OUTPATIENT SERVICES PHARMACIES PHYSICIAN POLICY IMPLICATIONS POPULATION GROWTH POPULATION GROWTH RATE POPULATION GROWTH RATES POPULATION TRENDS PRENATAL CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIMARY HEALTH SERVICES PRIMARY SCHOOL PROBABILITY PROGRESS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH CARE QUALITATIVE INFORMATION QUALITY CONTROL QUALITY OF CARE QUALITY OF HEALTH REFERRAL SYSTEMS REFUGEES REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH PROGRAMS REPRODUCTIVE HEALTH SERVICES RESIDENTIAL CARE RESOURCE ALLOCATION RESPECT RISK FACTORS RURAL AREAS RURAL COMMUNITIES SAFETY NET SANITATION SECTORAL POLICIES SERVICE PROVIDERS SKILLED ATTENDANTS SKILLED HEALTH PERSONNEL SKILLED PERSONNEL SKILLS DEVELOPMENT SOCIAL EXCLUSION SOCIAL HEALTH INSURANCE SOCIAL SERVICES SOCIAL WELFARE SOCIOECONOMIC DEVELOPMENT SOCIOECONOMIC STATUS SPATIAL DISTRIBUTION STRATEGIC PRIORITIES SUSTAINABLE DEVELOPMENT TECHNICAL CAPACITY TUBERCULOSIS UNDER-FIVE MORTALITY UNEMPLOYMENT URBAN AREAS URBAN DWELLERS USE OF HEALTH SERVICES USER FEES WORKERS WORLD HEALTH ORGANIZATION |
| spellingShingle |
ABILITY TO PAY ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ANTENATAL CARE BEDS BURDEN OF DISEASE CARDIOVASCULAR DISEASE CHILD BIRTH CHILD DELIVERY CHILD DEVELOPMENT CHILD HEALTH CHILD MORTALITY CHILD MORTALITY RATES CHILD NUTRITION CHRONIC CONDITIONS CITIZENS CLINICS COMMUNICABLE DISEASE CONTROL COMMUNICABLE DISEASES COMMUNITY DEVELOPMENT COMMUNITY HEALTH COMMUNITY HEALTH CARE COMPLICATIONS DEATHS DEBT DELIVERY CARE DENTAL CARE DIABETES DISABILITY DISPARITIES IN HEALTH DRUGS EARLY CHILDHOOD ECONOMIC GROWTH ECONOMIC OPPORTUNITIES ELDERLY EQUITY IN ACCESS FAMILY CARE FERTILITY FERTILITY RATE FINANCE MANAGEMENT FINANCIAL MANAGEMENT FINANCIAL RISK FINANCING POLICIES GENDER PARITY GROSS DOMESTIC PRODUCT GROSS NATIONAL INCOME GYNECOLOGY HEALTH ADMINISTRATION HEALTH BURDEN HEALTH CARE HEALTH CARE CENTERS HEALTH CARE COSTS HEALTH CARE DELIVERY HEALTH CARE EXPENDITURES HEALTH CARE FACILITIES HEALTH CARE INFRASTRUCTURE HEALTH CARE PERSONNEL HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SPENDING HEALTH CARE SYSTEM HEALTH CARE UTILIZATION HEALTH CARE WORKERS HEALTH CENTERS HEALTH CLINICS HEALTH CONDITIONS HEALTH EDUCATION HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INDICATORS HEALTH INSURANCE HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICIES HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH TRAINING HIGH-RISK PREGNANCIES HIV HIV/AIDS HOSPITAL HOSPITAL CARE HOSPITAL SERVICES HOSPITALS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUMAN RESOURCES HUMAN RESOURCES MANAGEMENT HUNGER ILL HEALTH ILLNESS ILLNESSES IMMUNIZATION INCOME INCOME INEQUALITY INEQUITIES INFANT INFANT MORTALITY INFANT MORTALITY RATE INFANT MORTALITY RATES INFANTS INFECTION PREVENTION INFECTIOUS DISEASES INFORMATION SYSTEM INFORMATION SYSTEMS INJURIES INPATIENT CARE INSURANCE SCHEMES INTEGRATION INTERMEDIARIES KIDS LABOR FORCE LEVELS OF EDUCATION LIFE EXPECTANCY LIVE BIRTHS LIVING CONDITIONS LOCAL AUTHORITIES LOW BIRTH WEIGHT MALARIA MALNUTRITION AMONG CHILDREN MATERNAL DEATHS MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATE MATERNAL MORTALITY RATES MATERNAL MORTALITY RATIO MATERNAL MORTALITY RATIOS MEDICAL SERVICES MEDICAL SUPPLIES MEDICINES MENTAL HEALTH MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MORTALITY NATIONAL HEALTH EXPENDITURES NATIONAL POLICIES NATURAL RESOURCES NATURE OF HEALTH NURSING NUTRITION OUTPATIENT SERVICES PHARMACIES PHYSICIAN POLICY IMPLICATIONS POPULATION GROWTH POPULATION GROWTH RATE POPULATION GROWTH RATES POPULATION TRENDS PRENATAL CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIMARY HEALTH SERVICES PRIMARY SCHOOL PROBABILITY PROGRESS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH CARE QUALITATIVE INFORMATION QUALITY CONTROL QUALITY OF CARE QUALITY OF HEALTH REFERRAL SYSTEMS REFUGEES REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH PROGRAMS REPRODUCTIVE HEALTH SERVICES RESIDENTIAL CARE RESOURCE ALLOCATION RESPECT RISK FACTORS RURAL AREAS RURAL COMMUNITIES SAFETY NET SANITATION SECTORAL POLICIES SERVICE PROVIDERS SKILLED ATTENDANTS SKILLED HEALTH PERSONNEL SKILLED PERSONNEL SKILLS DEVELOPMENT SOCIAL EXCLUSION SOCIAL HEALTH INSURANCE SOCIAL SERVICES SOCIAL WELFARE SOCIOECONOMIC DEVELOPMENT SOCIOECONOMIC STATUS SPATIAL DISTRIBUTION STRATEGIC PRIORITIES SUSTAINABLE DEVELOPMENT TECHNICAL CAPACITY TUBERCULOSIS UNDER-FIVE MORTALITY UNEMPLOYMENT URBAN AREAS URBAN DWELLERS USE OF HEALTH SERVICES USER FEES WORKERS WORLD HEALTH ORGANIZATION Elgazzar, Heba A. Raising Returns : The Distribution of Health Financing and Outcomes in Yemen |
| geographic_facet |
Middle East and North Africa Yemen, Republic of |
| relation |
Health, Nutrition and Population (HNP)
discussion paper; |
| description |
Given relatively few resources and
lagging health outcomes in Yemen, the quest for equitable,
cost-effective health care delivery continues as long-term,
sustainable development remains a priority. This paper
assesses overall value for money of the health system mainly
as indicated by an analysis of public expenditure trends
from 1997 until 2008 and by the degree to which health care
benefits are conferred equitably to the population. Total
health expenditure in 2007 accounted for 5.2 percent of
Gross Domestic Product (GDP), or only PPP$ 41 per capita,
with nearly 70 percent sourced by direct household payments
(67 percent). Despite recent improvements in health status,
Yemen continues to lag behind countries of similar or lower
income and health expenditure levels. Levels of health
outcomes in Vietnam, Indonesia and the Kyrgyz Republic are 2
to 6 times better than levels found in Yemen regarding the
proportion of infants with low birth weight, the prevalence
of malnutrition amongst children, the rate of births
delivered by skilled attendants, and the rate of coverage of
antenatal services. Although health facilities are
relatively evenly distributed across the population, the
operational status and quality of these facilities is highly
variable. The availability of pharmaceuticals at health
facilities ranges from 31 percent of facilities having
medications on site in the governorate of Al-Maharah to 94
percent in Amran. To more effectively alleviate inequities
and inefficiencies in health service delivery in Yemen,
national policies are recommended to more strategically
prioritize resource allocation and develop innovative
service delivery models to more efficiently connect rural communities. |
| format |
Publications & Research :: Working Paper |
| author |
Elgazzar, Heba A. |
| author_facet |
Elgazzar, Heba A. |
| author_sort |
Elgazzar, Heba A. |
| title |
Raising Returns : The Distribution of Health Financing and Outcomes in Yemen |
| title_short |
Raising Returns : The Distribution of Health Financing and Outcomes in Yemen |
| title_full |
Raising Returns : The Distribution of Health Financing and Outcomes in Yemen |
| title_fullStr |
Raising Returns : The Distribution of Health Financing and Outcomes in Yemen |
| title_full_unstemmed |
Raising Returns : The Distribution of Health Financing and Outcomes in Yemen |
| title_sort |
raising returns : the distribution of health financing and outcomes in yemen |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2011/02/13771840/raising-returns-distribution-health-financing-outcomes-yemen http://hdl.handle.net/10986/13595 |
| _version_ |
1764423857005920256 |
| spelling |
okr-10986-135952021-04-23T14:03:08Z Raising Returns : The Distribution of Health Financing and Outcomes in Yemen Elgazzar, Heba A. ABILITY TO PAY ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ANTENATAL CARE BEDS BURDEN OF DISEASE CARDIOVASCULAR DISEASE CHILD BIRTH CHILD DELIVERY CHILD DEVELOPMENT CHILD HEALTH CHILD MORTALITY CHILD MORTALITY RATES CHILD NUTRITION CHRONIC CONDITIONS CITIZENS CLINICS COMMUNICABLE DISEASE CONTROL COMMUNICABLE DISEASES COMMUNITY DEVELOPMENT COMMUNITY HEALTH COMMUNITY HEALTH CARE COMPLICATIONS DEATHS DEBT DELIVERY CARE DENTAL CARE DIABETES DISABILITY DISPARITIES IN HEALTH DRUGS EARLY CHILDHOOD ECONOMIC GROWTH ECONOMIC OPPORTUNITIES ELDERLY EQUITY IN ACCESS FAMILY CARE FERTILITY FERTILITY RATE FINANCE MANAGEMENT FINANCIAL MANAGEMENT FINANCIAL RISK FINANCING POLICIES GENDER PARITY GROSS DOMESTIC PRODUCT GROSS NATIONAL INCOME GYNECOLOGY HEALTH ADMINISTRATION HEALTH BURDEN HEALTH CARE HEALTH CARE CENTERS HEALTH CARE COSTS HEALTH CARE DELIVERY HEALTH CARE EXPENDITURES HEALTH CARE FACILITIES HEALTH CARE INFRASTRUCTURE HEALTH CARE PERSONNEL HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SPENDING HEALTH CARE SYSTEM HEALTH CARE UTILIZATION HEALTH CARE WORKERS HEALTH CENTERS HEALTH CLINICS HEALTH CONDITIONS HEALTH EDUCATION HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INDICATORS HEALTH INSURANCE HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICIES HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH TRAINING HIGH-RISK PREGNANCIES HIV HIV/AIDS HOSPITAL HOSPITAL CARE HOSPITAL SERVICES HOSPITALS HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUMAN RESOURCES HUMAN RESOURCES MANAGEMENT HUNGER ILL HEALTH ILLNESS ILLNESSES IMMUNIZATION INCOME INCOME INEQUALITY INEQUITIES INFANT INFANT MORTALITY INFANT MORTALITY RATE INFANT MORTALITY RATES INFANTS INFECTION PREVENTION INFECTIOUS DISEASES INFORMATION SYSTEM INFORMATION SYSTEMS INJURIES INPATIENT CARE INSURANCE SCHEMES INTEGRATION INTERMEDIARIES KIDS LABOR FORCE LEVELS OF EDUCATION LIFE EXPECTANCY LIVE BIRTHS LIVING CONDITIONS LOCAL AUTHORITIES LOW BIRTH WEIGHT MALARIA MALNUTRITION AMONG CHILDREN MATERNAL DEATHS MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATE MATERNAL MORTALITY RATES MATERNAL MORTALITY RATIO MATERNAL MORTALITY RATIOS MEDICAL SERVICES MEDICAL SUPPLIES MEDICINES MENTAL HEALTH MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MORTALITY NATIONAL HEALTH EXPENDITURES NATIONAL POLICIES NATURAL RESOURCES NATURE OF HEALTH NURSING NUTRITION OUTPATIENT SERVICES PHARMACIES PHYSICIAN POLICY IMPLICATIONS POPULATION GROWTH POPULATION GROWTH RATE POPULATION GROWTH RATES POPULATION TRENDS PRENATAL CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIMARY HEALTH SERVICES PRIMARY SCHOOL PROBABILITY PROGRESS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH CARE QUALITATIVE INFORMATION QUALITY CONTROL QUALITY OF CARE QUALITY OF HEALTH REFERRAL SYSTEMS REFUGEES REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH PROGRAMS REPRODUCTIVE HEALTH SERVICES RESIDENTIAL CARE RESOURCE ALLOCATION RESPECT RISK FACTORS RURAL AREAS RURAL COMMUNITIES SAFETY NET SANITATION SECTORAL POLICIES SERVICE PROVIDERS SKILLED ATTENDANTS SKILLED HEALTH PERSONNEL SKILLED PERSONNEL SKILLS DEVELOPMENT SOCIAL EXCLUSION SOCIAL HEALTH INSURANCE SOCIAL SERVICES SOCIAL WELFARE SOCIOECONOMIC DEVELOPMENT SOCIOECONOMIC STATUS SPATIAL DISTRIBUTION STRATEGIC PRIORITIES SUSTAINABLE DEVELOPMENT TECHNICAL CAPACITY TUBERCULOSIS UNDER-FIVE MORTALITY UNEMPLOYMENT URBAN AREAS URBAN DWELLERS USE OF HEALTH SERVICES USER FEES WORKERS WORLD HEALTH ORGANIZATION Given relatively few resources and lagging health outcomes in Yemen, the quest for equitable, cost-effective health care delivery continues as long-term, sustainable development remains a priority. This paper assesses overall value for money of the health system mainly as indicated by an analysis of public expenditure trends from 1997 until 2008 and by the degree to which health care benefits are conferred equitably to the population. Total health expenditure in 2007 accounted for 5.2 percent of Gross Domestic Product (GDP), or only PPP$ 41 per capita, with nearly 70 percent sourced by direct household payments (67 percent). Despite recent improvements in health status, Yemen continues to lag behind countries of similar or lower income and health expenditure levels. Levels of health outcomes in Vietnam, Indonesia and the Kyrgyz Republic are 2 to 6 times better than levels found in Yemen regarding the proportion of infants with low birth weight, the prevalence of malnutrition amongst children, the rate of births delivered by skilled attendants, and the rate of coverage of antenatal services. Although health facilities are relatively evenly distributed across the population, the operational status and quality of these facilities is highly variable. The availability of pharmaceuticals at health facilities ranges from 31 percent of facilities having medications on site in the governorate of Al-Maharah to 94 percent in Amran. To more effectively alleviate inequities and inefficiencies in health service delivery in Yemen, national policies are recommended to more strategically prioritize resource allocation and develop innovative service delivery models to more efficiently connect rural communities. 2013-05-28T22:15:38Z 2013-05-28T22:15:38Z 2011-02 http://documents.worldbank.org/curated/en/2011/02/13771840/raising-returns-distribution-health-financing-outcomes-yemen http://hdl.handle.net/10986/13595 English en_US Health, Nutrition and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research Middle East and North Africa Yemen, Republic of |