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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Main Author: Anderson, Ian
Format: Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2014
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2013/09/19798090/health-financing-options-samoa-challenges-opportunities
http://hdl.handle.net/10986/20124
id okr-10986-20124
recordtype oai_dc
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 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