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...

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Main Authors:	Haazen, Dominic S., Rajoela, Voahirana Hanitriniala
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2017
Subjects:	HEALTHCARE DELIVERY HEALTHCARE REFORM ACCESS TO SERVICES HEALTH SERVICES HEALTH FINANCE
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

id	okr-10986-26424
recordtype	oai_dc
spelling	okr-10986-264242021-05-25T09:53:37Z Sub-National Analysis of Systematic Differences in Health Status and the Access to and Funding of Health Services : An Example from Comoros Haazen, Dominic S. Rajoela, Voahirana Hanitriniala HEALTHCARE DELIVERY HEALTHCARE REFORM ACCESS TO SERVICES HEALTH SERVICES HEALTH FINANCE 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. 2017-04-21T17:20:57Z 2017-04-21T17:20:57Z 2016-11 Working Paper 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 English en_US Health, Nutrition and Population Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper Africa Comoros
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	HEALTHCARE DELIVERY HEALTHCARE REFORM ACCESS TO SERVICES HEALTH SERVICES HEALTH FINANCE
spellingShingle	HEALTHCARE DELIVERY HEALTHCARE REFORM ACCESS TO SERVICES HEALTH SERVICES HEALTH FINANCE Haazen, Dominic S. Rajoela, Voahirana Hanitriniala Sub-National Analysis of Systematic Differences in Health Status and the Access to and Funding of Health Services : An Example from Comoros
geographic_facet	Africa Comoros
relation	Health, Nutrition and Population Discussion Paper;
description	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.
format	Working Paper
author	Haazen, Dominic S. Rajoela, Voahirana Hanitriniala
author_facet	Haazen, Dominic S. Rajoela, Voahirana Hanitriniala
author_sort	Haazen, Dominic S.
title	Sub-National Analysis of Systematic Differences in Health Status and the Access to and Funding of Health Services : An Example from Comoros
title_short	Sub-National Analysis of Systematic Differences in Health Status and the Access to and Funding of Health Services : An Example from Comoros
title_full	Sub-National Analysis of Systematic Differences in Health Status and the Access to and Funding of Health Services : An Example from Comoros
title_fullStr	Sub-National Analysis of Systematic Differences in Health Status and the Access to and Funding of Health Services : An Example from Comoros
title_full_unstemmed	Sub-National Analysis of Systematic Differences in Health Status and the Access to and Funding of Health Services : An Example from Comoros
title_sort	sub-national analysis of systematic differences in health status and the access to and funding of health services : an example from comoros
publisher	World Bank, Washington, DC
publishDate	2017
url	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
_version_	1764461896903163904

Sub-National Analysis of Systematic Differences in Health Status and the Access to and Funding of Health Services : An Example from Comoros

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