Health Financing Options for Samoa : Challenges and Opportunities
Samoa currently faces two important public policy challenges in the health sector. One is to stem, and then reverse, the rapid rise of non-communicable diseases (NCDs). The second challenge is to put the country on a health-financing path that is e...
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Format: | Working Paper |
Language: | English en_US |
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World Bank, Washington, DC
2014
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Online Access: | http://documents.worldbank.org/curated/en/2013/09/19798090/health-financing-options-samoa-challenges-opportunities http://hdl.handle.net/10986/20124 |
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okr-10986-20124 |
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oai_dc |
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Digital Repository |
institution_category |
Foreign Institution |
institution |
Digital Repositories |
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World Bank Open Knowledge Repository |
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World Bank |
language |
English en_US |
topic |
ADDICTION ADMINISTRATIVE COSTS ADOLESCENTS ALCOHOL CONSUMPTION ALLOCATION ALLOCATION OF RESOURCES ALLOCATIVE EFFICIENCY ANNUAL REPORT ANTENATAL CARE ARTICLE BUDGET DOCUMENTS BUDGET OUTLOOK BURDEN OF DISEASE CANCER PATIENT CANCER PATIENTS CAPITAL COSTS CARDIOVASCULAR DISEASES CENTRAL BANK CHILD HEALTH CHLAMYDIA CLINICAL SERVICES CLINICS COMMUNICABLE DISEASES COST OF SERVICES COST OF TREATMENT COST RECOVERY COST SHARING COST-EFFECTIVENESS COST-RECOVERY COSTS OF HEALTH CARE COUNSELING CURATIVE HEALTH CARE DEATHS DEBT DEFICIT FINANCING DENTAL CARE DETERMINANTS OF HEALTH DIABETES DIETS DISASTERS DOCTORS DONOR ASSISTANCE DONOR FINANCING ECONOMIC DOWNTURNS ECONOMIC GROWTH ECONOMIC SHOCKS ECONOMIES OF SCALE EMPLOYMENT ESSENTIAL DRUGS ESSENTIAL HEALTH CARE EXCHANGE RATES EXTERNAL SHOCKS FAMILIES FAMILY PLANNING FINANCE MINISTRY FINANCIAL BARRIERS FINANCIAL COST FINANCIAL HEALTH FINANCIAL MANAGEMENT FINANCIAL MANAGEMENT SYSTEMS FINANCIAL PROTECTION FINANCIAL RESOURCES FINANCIAL RISK FINANCIAL RISK PROTECTION FINANCIAL SECTOR FINANCIAL STATEMENTS FINANCIAL YEARS FISCAL DEFICIT FOOD SECURITY FOREIGN EXCHANGE FOREIGN LOANS GALLSTONES GENERAL TAXATION GIRLS' EDUCATION GOVERNMENT EXPENDITURE HEALTH BEHAVIOR HEALTH CARE HEALTH CARE ACCESS HEALTH CARE EXPENDITURE HEALTH CARE PROVIDERS HEALTH CARE RESOURCES HEALTH CARE SYSTEM HEALTH CARESERVICE DELIVERY HEALTH EFFECTS HEALTH EXPENDITURE HEALTH EXPENDITURE PER CAPITA HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FUNDING HEALTH INFORMATION HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH ORGANIZATION HEALTH OUTCOME HEALTH OUTCOMES HEALTH PLAN HEALTH PROFESSIONALS HEALTH PROMOTION HEALTH RESOURCES HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPECIALIST HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKFORCE HEALTH-CARE HEALTH-CARE COSTS HEALTH-FINANCING HEALTH-FINANCING SYSTEM HIGH BLOOD PRESSURE HOSPITAL ADMISSIONS HOSPITAL BUILDINGS HOSPITALS HOUSEHOLD INCOME HUMAN DEVELOPMENT HUMAN RESOURCES HYGIENE HYPERTENSION ILLNESS IMMUNIZATION INCOME INCOME COUNTRIES INCOME DISTRIBUTION INCOME GROUPS INCOME GROWTH INFANT MORTALITY INFANT MORTALITY RATE INFANTS INFECTIOUS DISEASES INFLATION INFLUENZA INFRASTRUCTURE PROJECTS INJURIES INPATIENT CARE INSURANCE LIFE EXPECTANCY LIFE EXPECTANCY AT BIRTH LIVING STANDARDS LOCAL CURRENCY LOW INCOME LOW-INCOME COUNTRIES MACROECONOMIC VARIABLES MARIJUANA MARKET FAILURES MEDICAL CARE MEDICAL SUPPLIES MEDICAL TREATMENT MEDICINES MEDIUM-TERM EXPENDITURE MEDIUM-TERM EXPENDITURE FRAMEWORK MENTAL HEALTH MIDWIFERY MINISTRY OF FINANCE MONETARY POLICIES MORTALITY NATIONAL BUDGETS NATIONAL HEALTH NATIONAL HEALTH SERVICE NATIONAL HEALTH SERVICES NATURAL DISASTERS NURSES NURSING NUTRITION OBESITY OUTPUT LEVELS PALLIATIVE CARE PATIENT PATIENT TREATMENT PATIENTS PERFORMANCE FRAMEWORK PHARMACY PHYSICAL ACTIVITY PHYSICIANS POCKET PAYMENT POLIO POSTNATAL CARE PRICE ELASTICITIES PRIVATE HEALTH INSURANCE PRIVATE INSURANCE PRIVATE PHARMACIES PRIVATE SECTOR PROGRAMS PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH INTERVENTIONS PUBLIC HEALTH SERVICES PUBLIC HEALTH SYSTEM PUBLIC PROVISION PUBLIC SECTOR QUALITY OF HEALTH QUALITY OF SERVICES REFORM AGENDA REHABILITATION RISK FACTORS SANITATION SCREENING SECTOR POLICIES SEXUALLY TRANSMITTED INFECTIONS SMOKING SOCIAL DEVELOPMENT SOCIAL HEALTH INSURANCE STIS STRUCTURAL REFORMS SUICIDE SURGERY TOTAL EXPENDITURE TRADITIONAL HEALTH CARE TREATMENT TUBERCULOSIS UNCERTAINTY UNDER-FIVE MORTALITY VACCINATION VACCINATIONS WOUNDS |
spellingShingle |
ADDICTION ADMINISTRATIVE COSTS ADOLESCENTS ALCOHOL CONSUMPTION ALLOCATION ALLOCATION OF RESOURCES ALLOCATIVE EFFICIENCY ANNUAL REPORT ANTENATAL CARE ARTICLE BUDGET DOCUMENTS BUDGET OUTLOOK BURDEN OF DISEASE CANCER PATIENT CANCER PATIENTS CAPITAL COSTS CARDIOVASCULAR DISEASES CENTRAL BANK CHILD HEALTH CHLAMYDIA CLINICAL SERVICES CLINICS COMMUNICABLE DISEASES COST OF SERVICES COST OF TREATMENT COST RECOVERY COST SHARING COST-EFFECTIVENESS COST-RECOVERY COSTS OF HEALTH CARE COUNSELING CURATIVE HEALTH CARE DEATHS DEBT DEFICIT FINANCING DENTAL CARE DETERMINANTS OF HEALTH DIABETES DIETS DISASTERS DOCTORS DONOR ASSISTANCE DONOR FINANCING ECONOMIC DOWNTURNS ECONOMIC GROWTH ECONOMIC SHOCKS ECONOMIES OF SCALE EMPLOYMENT ESSENTIAL DRUGS ESSENTIAL HEALTH CARE EXCHANGE RATES EXTERNAL SHOCKS FAMILIES FAMILY PLANNING FINANCE MINISTRY FINANCIAL BARRIERS FINANCIAL COST FINANCIAL HEALTH FINANCIAL MANAGEMENT FINANCIAL MANAGEMENT SYSTEMS FINANCIAL PROTECTION FINANCIAL RESOURCES FINANCIAL RISK FINANCIAL RISK PROTECTION FINANCIAL SECTOR FINANCIAL STATEMENTS FINANCIAL YEARS FISCAL DEFICIT FOOD SECURITY FOREIGN EXCHANGE FOREIGN LOANS GALLSTONES GENERAL TAXATION GIRLS' EDUCATION GOVERNMENT EXPENDITURE HEALTH BEHAVIOR HEALTH CARE HEALTH CARE ACCESS HEALTH CARE EXPENDITURE HEALTH CARE PROVIDERS HEALTH CARE RESOURCES HEALTH CARE SYSTEM HEALTH CARESERVICE DELIVERY HEALTH EFFECTS HEALTH EXPENDITURE HEALTH EXPENDITURE PER CAPITA HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FUNDING HEALTH INFORMATION HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH ORGANIZATION HEALTH OUTCOME HEALTH OUTCOMES HEALTH PLAN HEALTH PROFESSIONALS HEALTH PROMOTION HEALTH RESOURCES HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPECIALIST HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKFORCE HEALTH-CARE HEALTH-CARE COSTS HEALTH-FINANCING HEALTH-FINANCING SYSTEM HIGH BLOOD PRESSURE HOSPITAL ADMISSIONS HOSPITAL BUILDINGS HOSPITALS HOUSEHOLD INCOME HUMAN DEVELOPMENT HUMAN RESOURCES HYGIENE HYPERTENSION ILLNESS IMMUNIZATION INCOME INCOME COUNTRIES INCOME DISTRIBUTION INCOME GROUPS INCOME GROWTH INFANT MORTALITY INFANT MORTALITY RATE INFANTS INFECTIOUS DISEASES INFLATION INFLUENZA INFRASTRUCTURE PROJECTS INJURIES INPATIENT CARE INSURANCE LIFE EXPECTANCY LIFE EXPECTANCY AT BIRTH LIVING STANDARDS LOCAL CURRENCY LOW INCOME LOW-INCOME COUNTRIES MACROECONOMIC VARIABLES MARIJUANA MARKET FAILURES MEDICAL CARE MEDICAL SUPPLIES MEDICAL TREATMENT MEDICINES MEDIUM-TERM EXPENDITURE MEDIUM-TERM EXPENDITURE FRAMEWORK MENTAL HEALTH MIDWIFERY MINISTRY OF FINANCE MONETARY POLICIES MORTALITY NATIONAL BUDGETS NATIONAL HEALTH NATIONAL HEALTH SERVICE NATIONAL HEALTH SERVICES NATURAL DISASTERS NURSES NURSING NUTRITION OBESITY OUTPUT LEVELS PALLIATIVE CARE PATIENT PATIENT TREATMENT PATIENTS PERFORMANCE FRAMEWORK PHARMACY PHYSICAL ACTIVITY PHYSICIANS POCKET PAYMENT POLIO POSTNATAL CARE PRICE ELASTICITIES PRIVATE HEALTH INSURANCE PRIVATE INSURANCE PRIVATE PHARMACIES PRIVATE SECTOR PROGRAMS PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH INTERVENTIONS PUBLIC HEALTH SERVICES PUBLIC HEALTH SYSTEM PUBLIC PROVISION PUBLIC SECTOR QUALITY OF HEALTH QUALITY OF SERVICES REFORM AGENDA REHABILITATION RISK FACTORS SANITATION SCREENING SECTOR POLICIES SEXUALLY TRANSMITTED INFECTIONS SMOKING SOCIAL DEVELOPMENT SOCIAL HEALTH INSURANCE STIS STRUCTURAL REFORMS SUICIDE SURGERY TOTAL EXPENDITURE TRADITIONAL HEALTH CARE TREATMENT TUBERCULOSIS UNCERTAINTY UNDER-FIVE MORTALITY VACCINATION VACCINATIONS WOUNDS Anderson, Ian Health Financing Options for Samoa : Challenges and Opportunities |
geographic_facet |
East Asia and Pacific Samoa |
relation |
Health, Nutrition, and Population (HNP)
discussion paper; |
description |
Samoa currently faces two important
public policy challenges in the health sector. One is to
stem, and then reverse, the rapid rise of non-communicable
diseases (NCDs). The second challenge is to put the country
on a health-financing path that is effective, efficient, and
financially affordable and sustainable. The two challenges
are interconnected. This discussion paper examines eight
options to address these challenges. The eight options are
the following: (1) increasing government expenditure via
higher general taxation; (2) increasing government
expenditure via deficit financing; (3) increasing the share
of government expenditure to health; (4) increasing external
and donor financing; (5) increasing specific taxes; (6)
mobilizing additional nongovernment resources via insurance
(including social health insurance, and community and
private insurance); (7) increasing cost-recovery measures;
and (8) increasing efficiency. The paper concludes that the
chief opportunity arises from more efficient use of
resources already in the health system that are not
presently used to maximum effect. Improving technical and
allocative efficiency of the existing system has the
potential to make a large difference and is technically feasible. |
format |
Publications & Research :: Working Paper |
author |
Anderson, Ian |
author_facet |
Anderson, Ian |
author_sort |
Anderson, Ian |
title |
Health Financing Options for Samoa : Challenges and Opportunities |
title_short |
Health Financing Options for Samoa : Challenges and Opportunities |
title_full |
Health Financing Options for Samoa : Challenges and Opportunities |
title_fullStr |
Health Financing Options for Samoa : Challenges and Opportunities |
title_full_unstemmed |
Health Financing Options for Samoa : Challenges and Opportunities |
title_sort |
health financing options for samoa : challenges and opportunities |
publisher |
World Bank, Washington, DC |
publishDate |
2014 |
url |
http://documents.worldbank.org/curated/en/2013/09/19798090/health-financing-options-samoa-challenges-opportunities http://hdl.handle.net/10986/20124 |
_version_ |
1764444401229103104 |
spelling |
okr-10986-201242021-04-23T14:03:53Z Health Financing Options for Samoa : Challenges and Opportunities Anderson, Ian ADDICTION ADMINISTRATIVE COSTS ADOLESCENTS ALCOHOL CONSUMPTION ALLOCATION ALLOCATION OF RESOURCES ALLOCATIVE EFFICIENCY ANNUAL REPORT ANTENATAL CARE ARTICLE BUDGET DOCUMENTS BUDGET OUTLOOK BURDEN OF DISEASE CANCER PATIENT CANCER PATIENTS CAPITAL COSTS CARDIOVASCULAR DISEASES CENTRAL BANK CHILD HEALTH CHLAMYDIA CLINICAL SERVICES CLINICS COMMUNICABLE DISEASES COST OF SERVICES COST OF TREATMENT COST RECOVERY COST SHARING COST-EFFECTIVENESS COST-RECOVERY COSTS OF HEALTH CARE COUNSELING CURATIVE HEALTH CARE DEATHS DEBT DEFICIT FINANCING DENTAL CARE DETERMINANTS OF HEALTH DIABETES DIETS DISASTERS DOCTORS DONOR ASSISTANCE DONOR FINANCING ECONOMIC DOWNTURNS ECONOMIC GROWTH ECONOMIC SHOCKS ECONOMIES OF SCALE EMPLOYMENT ESSENTIAL DRUGS ESSENTIAL HEALTH CARE EXCHANGE RATES EXTERNAL SHOCKS FAMILIES FAMILY PLANNING FINANCE MINISTRY FINANCIAL BARRIERS FINANCIAL COST FINANCIAL HEALTH FINANCIAL MANAGEMENT FINANCIAL MANAGEMENT SYSTEMS FINANCIAL PROTECTION FINANCIAL RESOURCES FINANCIAL RISK FINANCIAL RISK PROTECTION FINANCIAL SECTOR FINANCIAL STATEMENTS FINANCIAL YEARS FISCAL DEFICIT FOOD SECURITY FOREIGN EXCHANGE FOREIGN LOANS GALLSTONES GENERAL TAXATION GIRLS' EDUCATION GOVERNMENT EXPENDITURE HEALTH BEHAVIOR HEALTH CARE HEALTH CARE ACCESS HEALTH CARE EXPENDITURE HEALTH CARE PROVIDERS HEALTH CARE RESOURCES HEALTH CARE SYSTEM HEALTH CARESERVICE DELIVERY HEALTH EFFECTS HEALTH EXPENDITURE HEALTH EXPENDITURE PER CAPITA HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FUNDING HEALTH INFORMATION HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH ORGANIZATION HEALTH OUTCOME HEALTH OUTCOMES HEALTH PLAN HEALTH PROFESSIONALS HEALTH PROMOTION HEALTH RESOURCES HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPECIALIST HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKFORCE HEALTH-CARE HEALTH-CARE COSTS HEALTH-FINANCING HEALTH-FINANCING SYSTEM HIGH BLOOD PRESSURE HOSPITAL ADMISSIONS HOSPITAL BUILDINGS HOSPITALS HOUSEHOLD INCOME HUMAN DEVELOPMENT HUMAN RESOURCES HYGIENE HYPERTENSION ILLNESS IMMUNIZATION INCOME INCOME COUNTRIES INCOME DISTRIBUTION INCOME GROUPS INCOME GROWTH INFANT MORTALITY INFANT MORTALITY RATE INFANTS INFECTIOUS DISEASES INFLATION INFLUENZA INFRASTRUCTURE PROJECTS INJURIES INPATIENT CARE INSURANCE LIFE EXPECTANCY LIFE EXPECTANCY AT BIRTH LIVING STANDARDS LOCAL CURRENCY LOW INCOME LOW-INCOME COUNTRIES MACROECONOMIC VARIABLES MARIJUANA MARKET FAILURES MEDICAL CARE MEDICAL SUPPLIES MEDICAL TREATMENT MEDICINES MEDIUM-TERM EXPENDITURE MEDIUM-TERM EXPENDITURE FRAMEWORK MENTAL HEALTH MIDWIFERY MINISTRY OF FINANCE MONETARY POLICIES MORTALITY NATIONAL BUDGETS NATIONAL HEALTH NATIONAL HEALTH SERVICE NATIONAL HEALTH SERVICES NATURAL DISASTERS NURSES NURSING NUTRITION OBESITY OUTPUT LEVELS PALLIATIVE CARE PATIENT PATIENT TREATMENT PATIENTS PERFORMANCE FRAMEWORK PHARMACY PHYSICAL ACTIVITY PHYSICIANS POCKET PAYMENT POLIO POSTNATAL CARE PRICE ELASTICITIES PRIVATE HEALTH INSURANCE PRIVATE INSURANCE PRIVATE PHARMACIES PRIVATE SECTOR PROGRAMS PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH INTERVENTIONS PUBLIC HEALTH SERVICES PUBLIC HEALTH SYSTEM PUBLIC PROVISION PUBLIC SECTOR QUALITY OF HEALTH QUALITY OF SERVICES REFORM AGENDA REHABILITATION RISK FACTORS SANITATION SCREENING SECTOR POLICIES SEXUALLY TRANSMITTED INFECTIONS SMOKING SOCIAL DEVELOPMENT SOCIAL HEALTH INSURANCE STIS STRUCTURAL REFORMS SUICIDE SURGERY TOTAL EXPENDITURE TRADITIONAL HEALTH CARE TREATMENT TUBERCULOSIS UNCERTAINTY UNDER-FIVE MORTALITY VACCINATION VACCINATIONS WOUNDS Samoa currently faces two important public policy challenges in the health sector. One is to stem, and then reverse, the rapid rise of non-communicable diseases (NCDs). The second challenge is to put the country on a health-financing path that is effective, efficient, and financially affordable and sustainable. The two challenges are interconnected. This discussion paper examines eight options to address these challenges. The eight options are the following: (1) increasing government expenditure via higher general taxation; (2) increasing government expenditure via deficit financing; (3) increasing the share of government expenditure to health; (4) increasing external and donor financing; (5) increasing specific taxes; (6) mobilizing additional nongovernment resources via insurance (including social health insurance, and community and private insurance); (7) increasing cost-recovery measures; and (8) increasing efficiency. The paper concludes that the chief opportunity arises from more efficient use of resources already in the health system that are not presently used to maximum effect. Improving technical and allocative efficiency of the existing system has the potential to make a large difference and is technically feasible. 2014-09-15T18:37:20Z 2014-09-15T18:37:20Z 2013-09 http://documents.worldbank.org/curated/en/2013/09/19798090/health-financing-options-samoa-challenges-opportunities http://hdl.handle.net/10986/20124 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, Washington, DC Publications & Research :: Working Paper Publications & Research East Asia and Pacific Samoa |