Community Involvement in Health Care Financing : A Survey of the Literature on the Impact, Strengths, and Weaknesses
The paper reviews 45 published and unpublished reports on community financing completed between 1990 and 2001. The main objective of the study was to explore performance measures reported in the literature regarding community financing. The study c...
| Main Authors: | , |
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| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2013
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2001/09/3542970/community-involvement-health-care-financing-survey-literature-impact-strengths-weaknesses http://hdl.handle.net/10986/13706 |
| Summary: | The paper reviews 45 published and
unpublished reports on community financing completed between
1990 and 2001. The main objective of the study was to
explore performance measures reported in the literature
regarding community financing. The study concluded that the
reviewed literature is rich in describing scheme design and
implementation. At the same time, evidence on the
performance of community financing schemes is limited. The
study focused on reporting measures on three indicators in
particular: Resource mobilization capacity. Community
financing mechanisms mobilize significant resources for
health care. However, there is a large variation in the
resource mobilization capacity of various schemes. This
review did not find systematic estimates about how much
community financing contributes to health revenues at the
local and/or national level. Social inclusion. Community
financing is effective in reaching a large number of
low-income populations who would otherwise have no financial
protection against the cost of illness. There is large
variation in the size of various schemes. At the same time,
there are no estimates about the total population covered
through community financing. There are indications that the
poorest and socially excluded groups are not automatically
reached by community financing initiatives. Financial
protection. Community-based health financing schemes are
systematically reported to reduce the out-of-pocket spending
of their members while increasing their utilization of
health care services. |
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