Pathways to Reduce Household Out-of-Pocket Expenditure

Bangladesh allocates a much smaller share of the government budget to health than countries of similar income level. Reallocation is politically challenging but could offer the biggest potential source of fiscal space for health, larger than the sp...

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Main Authors:	Bonilla-Chacin, Maria Eugenia, Hossain, Md. Rafi, Mahmud, Md. Shahadt Hossain, Amin, Md. Nural, Sarker, Mohammad Abul Bashar, Sadat, Muhammad Anwar, Paul, Subrata, Ahmed, Shakil, Begum, Tahmina, Smith, Owen, Kumar, Anurag
Format:	Working Paper
Language:	English
Published:	World Bank, Washington, DC 2021
Subjects:	HEALTH SPENDING FINANCIAL PROTECTION DOMESTIC RESOURCE MOBILIZATION OUT-OF-POCKET EXPENSE HEALTH COST PUBLIC EXPENDITURE POOLED FUNDS PUBLIC FINANCIAL MANAGEMENT
Online Access:	http://documents.worldbank.org/curated/en/327271622015842654/Pathways-to-Reduce-Household-Out-of-Pocket-Expenditure http://hdl.handle.net/10986/35658

id	okr-10986-35658
recordtype	oai_dc
spelling	okr-10986-356582021-06-04T05:11:26Z Pathways to Reduce Household Out-of-Pocket Expenditure Bonilla-Chacin, Maria Eugenia Hossain, Md. Rafi Mahmud, Md. Shahadt Hossain Amin, Md. Nural Sarker, Mohammad Abul Bashar Sadat, Muhammad Anwar Paul, Subrata Ahmed, Shakil Begum, Tahmina Smith, Owen Kumar, Anurag HEALTH SPENDING FINANCIAL PROTECTION DOMESTIC RESOURCE MOBILIZATION OUT-OF-POCKET EXPENSE HEALTH COST PUBLIC EXPENDITURE POOLED FUNDS PUBLIC FINANCIAL MANAGEMENT Bangladesh allocates a much smaller share of the government budget to health than countries of similar income level. Reallocation is politically challenging but could offer the biggest potential source of fiscal space for health, larger than the space that economic growth can bring. How those additional resources are used, is also important to improve financial protection. Improving the readiness of the public health care network to provide quality care, particularly at primary health care level, could reduce the use of alternative providers, thereby reducing the need for OOP payments. Ensuring the functionality of community clinics, union level facilities, and upazila health complexes, including a revision of their opening hours would also contribute towards this goal. Ensuring access to pharmaceutical products, particularly for essential NCD-related drugs, at affordable prices could also contribute to a reduction in households OOP payments. In addition to these supply-side interventions, the government could consider demand-side programs where resources follow the patient. For instance, given the large needs and the little resources available, an important pathway to reduce OOP payments while decreasing inequalities would be better targeting public subsidies to the poor and vulnerable. Finally, improving public financial management, policies, and governance will also contribute to the effective use of existing and any additional resources for health. 2021-06-03T19:25:15Z 2021-06-03T19:25:15Z 2020-08 Working Paper http://documents.worldbank.org/curated/en/327271622015842654/Pathways-to-Reduce-Household-Out-of-Pocket-Expenditure http://hdl.handle.net/10986/35658 English 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 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
topic	HEALTH SPENDING FINANCIAL PROTECTION DOMESTIC RESOURCE MOBILIZATION OUT-OF-POCKET EXPENSE HEALTH COST PUBLIC EXPENDITURE POOLED FUNDS PUBLIC FINANCIAL MANAGEMENT
spellingShingle	HEALTH SPENDING FINANCIAL PROTECTION DOMESTIC RESOURCE MOBILIZATION OUT-OF-POCKET EXPENSE HEALTH COST PUBLIC EXPENDITURE POOLED FUNDS PUBLIC FINANCIAL MANAGEMENT Bonilla-Chacin, Maria Eugenia Hossain, Md. Rafi Mahmud, Md. Shahadt Hossain Amin, Md. Nural Sarker, Mohammad Abul Bashar Sadat, Muhammad Anwar Paul, Subrata Ahmed, Shakil Begum, Tahmina Smith, Owen Kumar, Anurag Pathways to Reduce Household Out-of-Pocket Expenditure
geographic_facet	South Asia Bangladesh
relation	Health, Nutrition and Population Discussion Paper;
description	Bangladesh allocates a much smaller share of the government budget to health than countries of similar income level. Reallocation is politically challenging but could offer the biggest potential source of fiscal space for health, larger than the space that economic growth can bring. How those additional resources are used, is also important to improve financial protection. Improving the readiness of the public health care network to provide quality care, particularly at primary health care level, could reduce the use of alternative providers, thereby reducing the need for OOP payments. Ensuring the functionality of community clinics, union level facilities, and upazila health complexes, including a revision of their opening hours would also contribute towards this goal. Ensuring access to pharmaceutical products, particularly for essential NCD-related drugs, at affordable prices could also contribute to a reduction in households OOP payments. In addition to these supply-side interventions, the government could consider demand-side programs where resources follow the patient. For instance, given the large needs and the little resources available, an important pathway to reduce OOP payments while decreasing inequalities would be better targeting public subsidies to the poor and vulnerable. Finally, improving public financial management, policies, and governance will also contribute to the effective use of existing and any additional resources for health.
format	Working Paper
author	Bonilla-Chacin, Maria Eugenia Hossain, Md. Rafi Mahmud, Md. Shahadt Hossain Amin, Md. Nural Sarker, Mohammad Abul Bashar Sadat, Muhammad Anwar Paul, Subrata Ahmed, Shakil Begum, Tahmina Smith, Owen Kumar, Anurag
author_facet	Bonilla-Chacin, Maria Eugenia Hossain, Md. Rafi Mahmud, Md. Shahadt Hossain Amin, Md. Nural Sarker, Mohammad Abul Bashar Sadat, Muhammad Anwar Paul, Subrata Ahmed, Shakil Begum, Tahmina Smith, Owen Kumar, Anurag
author_sort	Bonilla-Chacin, Maria Eugenia
title	Pathways to Reduce Household Out-of-Pocket Expenditure
title_short	Pathways to Reduce Household Out-of-Pocket Expenditure
title_full	Pathways to Reduce Household Out-of-Pocket Expenditure
title_fullStr	Pathways to Reduce Household Out-of-Pocket Expenditure
title_full_unstemmed	Pathways to Reduce Household Out-of-Pocket Expenditure
title_sort	pathways to reduce household out-of-pocket expenditure
publisher	World Bank, Washington, DC
publishDate	2021
url	http://documents.worldbank.org/curated/en/327271622015842654/Pathways-to-Reduce-Household-Out-of-Pocket-Expenditure http://hdl.handle.net/10986/35658
_version_	1764483516048867328

Pathways to Reduce Household Out-of-Pocket Expenditure

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