An Idiot's Guide to Prioritization in the Health Sector

Every year, Ministries of Health the world over develop annual budgets for the health sector. Every year, donors, academicians, advocacy groups, medical trade unions and professional organizations, and health service managers and providers complain...

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Main Author: Yazbeck, Abdo S.
Format: Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2013
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2002/03/6630353/idiots-guide-prioritization-health-sector
http://hdl.handle.net/10986/13747
id okr-10986-13747
recordtype oai_dc
spelling okr-10986-137472021-04-23T14:03:09Z An Idiot's Guide to Prioritization in the Health Sector Yazbeck, Abdo S. HEALTH SYSTEMS DEVELOPMENT & REFORM HEALTH ASPECTS NUTRITION POLICY DONORS BUDGET DISCUSSIONS HEALTH EXPENDITURES METHODOLOGIES DECISION MAKING EVALUATION TECHNIQUES ADVERSE SELECTION AGE GROUPS BURDEN OF DISEASE COMMUNICABLE DISEASES COMMUNITIES COST-EFFECTIVENESS DISEASE CONTROL EMPLOYMENT ESSENTIAL SERVICES PACKAGE EXERCISES EXTERNALITIES EXTERNALITY FACE VALUE FAMILY PLANNING FINANCIAL CRISES GENDER GENDER ISSUES GOVERNMENT INTERVENTION HEALTH CONDITIONS HEALTH ECONOMICS HEALTH EXPENDITURES HEALTH INSURANCE HEALTH INSURANCE MARKETS HEALTH OUTCOMES HEALTH PROFESSIONALS HEALTH PROJECT HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE MANAGERS HEALTH SERVICES HEALTH SYSTEM HOSPITALS HOUSEHOLDS INCIDENCE ANALYSIS INFORMATION SYSTEMS INTERVENTION LEPROSY MORAL HAZARD NUTRITION PATIENT PATIENTS POPULATION GROUPS PRIVATE SECTOR PUBLIC EXPENDITURES PUBLIC FINANCE PUBLIC HEALTH PUBLIC HEALTH SPENDING PUBLIC PROVISION PUBLIC SPENDING RESOURCE ALLOCATION RURAL AREAS SCHOOL HEALTH SLUMS SOCIAL SERVICES TECHNICAL ASSISTANCE TRADE UNIONS HEALTH SYSTEMS DEVELOPMENT & REFORM HEALTH ASPECTS NUTRITION POLICY DONORS BUDGET DISCUSSIONS HEALTH EXPENDITURES METHODOLOGIES DECISION MAKING EVALUATION TECHNIQUES Every year, Ministries of Health the world over develop annual budgets for the health sector. Every year, donors, academicians, advocacy groups, medical trade unions and professional organizations, and health service managers and providers complain that the budgets have the wrong priorities. While all these groups are united in their unhappiness with the priorities reflected in these budgets, they disagree on what the priorities should be and on how the prioritization process should be conducted. A review of the published literature reveals a lack of consensus in the policy and academic communities on how best to prioritize health sector budgets. What is more surprising is that the literature review reveals little documentation on how countries actually do prioritize health expenditures. This paper attempts to address both gaps in information about prioritization. The first part of the paper describes hat goes into a prioritization exercise. This typically includes advocates, prioritization criteria, and methodologies for making choices. The first part also describes the analytical tools available to understand who gains and who loses from decisions taken in developing a budget for the health sector. The second part of the paper documents and actual prioritization exercise undertaken in Bangladesh between the years 1996 and 1999. As the title of this paper indicates, this is not a theoretical or academic paper. It is simply meant to empower potential practitioners by introducing them to the players involved in the process, the techniques utilized by these players, the political realities that drive the process, and some evaluation techniques. 2013-06-04T20:28:25Z 2013-06-04T20:28:25Z 2002-03 http://documents.worldbank.org/curated/en/2002/03/6630353/idiots-guide-prioritization-health-sector 1-932126-16-3 http://hdl.handle.net/10986/13747 English en_US HNP discussion paper series; 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 South Asia Bangladesh
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic HEALTH SYSTEMS DEVELOPMENT & REFORM
HEALTH ASPECTS
NUTRITION POLICY
DONORS
BUDGET DISCUSSIONS
HEALTH EXPENDITURES
METHODOLOGIES
DECISION MAKING
EVALUATION TECHNIQUES
ADVERSE SELECTION
AGE GROUPS
BURDEN OF DISEASE
COMMUNICABLE DISEASES
COMMUNITIES
COST-EFFECTIVENESS
DISEASE CONTROL
EMPLOYMENT
ESSENTIAL SERVICES PACKAGE
EXERCISES
EXTERNALITIES
EXTERNALITY
FACE VALUE
FAMILY PLANNING
FINANCIAL CRISES
GENDER
GENDER ISSUES
GOVERNMENT INTERVENTION
HEALTH CONDITIONS
HEALTH ECONOMICS
HEALTH EXPENDITURES
HEALTH INSURANCE
HEALTH INSURANCE MARKETS
HEALTH OUTCOMES
HEALTH PROFESSIONALS
HEALTH PROJECT
HEALTH PROVIDERS
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICE MANAGERS
HEALTH SERVICES
HEALTH SYSTEM
HOSPITALS
HOUSEHOLDS
INCIDENCE ANALYSIS
INFORMATION SYSTEMS
INTERVENTION
LEPROSY
MORAL HAZARD
NUTRITION
PATIENT
PATIENTS
POPULATION GROUPS
PRIVATE SECTOR
PUBLIC EXPENDITURES
PUBLIC FINANCE
PUBLIC HEALTH
PUBLIC HEALTH SPENDING
PUBLIC PROVISION
PUBLIC SPENDING
RESOURCE ALLOCATION
RURAL AREAS
SCHOOL HEALTH
SLUMS
SOCIAL SERVICES
TECHNICAL ASSISTANCE
TRADE UNIONS HEALTH SYSTEMS DEVELOPMENT & REFORM
HEALTH ASPECTS
NUTRITION POLICY
DONORS
BUDGET DISCUSSIONS
HEALTH EXPENDITURES
METHODOLOGIES
DECISION MAKING
EVALUATION TECHNIQUES
spellingShingle HEALTH SYSTEMS DEVELOPMENT & REFORM
HEALTH ASPECTS
NUTRITION POLICY
DONORS
BUDGET DISCUSSIONS
HEALTH EXPENDITURES
METHODOLOGIES
DECISION MAKING
EVALUATION TECHNIQUES
ADVERSE SELECTION
AGE GROUPS
BURDEN OF DISEASE
COMMUNICABLE DISEASES
COMMUNITIES
COST-EFFECTIVENESS
DISEASE CONTROL
EMPLOYMENT
ESSENTIAL SERVICES PACKAGE
EXERCISES
EXTERNALITIES
EXTERNALITY
FACE VALUE
FAMILY PLANNING
FINANCIAL CRISES
GENDER
GENDER ISSUES
GOVERNMENT INTERVENTION
HEALTH CONDITIONS
HEALTH ECONOMICS
HEALTH EXPENDITURES
HEALTH INSURANCE
HEALTH INSURANCE MARKETS
HEALTH OUTCOMES
HEALTH PROFESSIONALS
HEALTH PROJECT
HEALTH PROVIDERS
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICE MANAGERS
HEALTH SERVICES
HEALTH SYSTEM
HOSPITALS
HOUSEHOLDS
INCIDENCE ANALYSIS
INFORMATION SYSTEMS
INTERVENTION
LEPROSY
MORAL HAZARD
NUTRITION
PATIENT
PATIENTS
POPULATION GROUPS
PRIVATE SECTOR
PUBLIC EXPENDITURES
PUBLIC FINANCE
PUBLIC HEALTH
PUBLIC HEALTH SPENDING
PUBLIC PROVISION
PUBLIC SPENDING
RESOURCE ALLOCATION
RURAL AREAS
SCHOOL HEALTH
SLUMS
SOCIAL SERVICES
TECHNICAL ASSISTANCE
TRADE UNIONS HEALTH SYSTEMS DEVELOPMENT & REFORM
HEALTH ASPECTS
NUTRITION POLICY
DONORS
BUDGET DISCUSSIONS
HEALTH EXPENDITURES
METHODOLOGIES
DECISION MAKING
EVALUATION TECHNIQUES
Yazbeck, Abdo S.
An Idiot's Guide to Prioritization in the Health Sector
geographic_facet South Asia
Bangladesh
relation HNP discussion paper series;
description Every year, Ministries of Health the world over develop annual budgets for the health sector. Every year, donors, academicians, advocacy groups, medical trade unions and professional organizations, and health service managers and providers complain that the budgets have the wrong priorities. While all these groups are united in their unhappiness with the priorities reflected in these budgets, they disagree on what the priorities should be and on how the prioritization process should be conducted. A review of the published literature reveals a lack of consensus in the policy and academic communities on how best to prioritize health sector budgets. What is more surprising is that the literature review reveals little documentation on how countries actually do prioritize health expenditures. This paper attempts to address both gaps in information about prioritization. The first part of the paper describes hat goes into a prioritization exercise. This typically includes advocates, prioritization criteria, and methodologies for making choices. The first part also describes the analytical tools available to understand who gains and who loses from decisions taken in developing a budget for the health sector. The second part of the paper documents and actual prioritization exercise undertaken in Bangladesh between the years 1996 and 1999. As the title of this paper indicates, this is not a theoretical or academic paper. It is simply meant to empower potential practitioners by introducing them to the players involved in the process, the techniques utilized by these players, the political realities that drive the process, and some evaluation techniques.
format Publications & Research :: Working Paper
author Yazbeck, Abdo S.
author_facet Yazbeck, Abdo S.
author_sort Yazbeck, Abdo S.
title An Idiot's Guide to Prioritization in the Health Sector
title_short An Idiot's Guide to Prioritization in the Health Sector
title_full An Idiot's Guide to Prioritization in the Health Sector
title_fullStr An Idiot's Guide to Prioritization in the Health Sector
title_full_unstemmed An Idiot's Guide to Prioritization in the Health Sector
title_sort idiot's guide to prioritization in the health sector
publisher World Bank, Washington, DC
publishDate 2013
url http://documents.worldbank.org/curated/en/2002/03/6630353/idiots-guide-prioritization-health-sector
http://hdl.handle.net/10986/13747
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