Sub-National Analysis of Systematic Differences in Health Status and the Access to and Funding of Health Services : An Example from Comoros
This report analyzes the available data to determine if there are systemic differences in the access to and funding of health services in different sub-regions of Comoros, and to link these to variations in the socioeconomic status of residents in...
| Main Authors: | , |
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| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2017
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/387721489483590478/Sub-national-analysis-of-systematic-differences-in-health-status-and-the-access-to-and-funding-of-health-services-an-example-from-Comoros http://hdl.handle.net/10986/26424 |
| Summary: | This report analyzes the available data
to determine if there are systemic differences in the access
to and funding of health services in different sub-regions
of Comoros, and to link these to variations in the
socioeconomic status of residents in these sub-regions. It
focuses on a number of key questions that are analyzed at
the sub-national level, including: the effect of
out-of-pocket payments on household financial well-being;
whether out-of-pocket payments for health are progressive or
regressive; whether ill health is more concentrated among
the poor; whether the poor use health services less than the
rich; and the major sources of financing for the health
system in Comoros. It introduces a specific analysis of
pockets of poverty - the five sub-regions with the highest
level of poverty headcount (more than 50 percent) -
comparing their characteristics to those of the remaining
sub-regions. These pockets of poverty appear to have
generally lower utilization of health services, poorer
health outcomes in some areas (although not on aggregate
measures which bears further analysis), and lower levels of
health spending, especially from the public sector. Aside
from the conclusions and potential policy implications for
Comoros, it may be useful to apply this type of analysis in
other countries. |
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