Global Monitoring Report on Financial Protection in Health 2021

Financial protection is an intrinsic part of universal health coverage (UHC) and, together with service coverage, is one of the health systems’ goals. Financial protection is achieved when: there are no financial barrier to access; and direct payments required to obtain health services (outof-pocket...

Full description

Bibliographic Details
Main Authors:	World Health Organization, World Bank
Format:	Report
Language:	English
Published:	World Health Organization and World Bank 2021
Subjects:	FINANCIAL HARDSHIP CORONAVIRUS COVID-19 PANDEMIC IMPACT HEALTH SPENDING PUBLIC HEALTH EXPENDITURE HEALTH SERVICE DELIVERY HEALTH SERVICE COVERAGE UNIVERSAL HEALTH COVERAGE PUBLIC FINANCE
Online Access:	http://documents.worldbank.org/curated/undefined/965731639408946104/Global-Monitoring-Report-on-Financial-Protection-in-Health-2021 http://hdl.handle.net/10986/36723

id	okr-10986-36723
recordtype	oai_dc
spelling	okr-10986-367232021-12-15T14:37:54Z Global Monitoring Report on Financial Protection in Health 2021 World Health Organization World Bank FINANCIAL HARDSHIP CORONAVIRUS COVID-19 PANDEMIC IMPACT HEALTH SPENDING PUBLIC HEALTH EXPENDITURE HEALTH SERVICE DELIVERY HEALTH SERVICE COVERAGE UNIVERSAL HEALTH COVERAGE PUBLIC FINANCE Financial protection is an intrinsic part of universal health coverage (UHC) and, together with service coverage, is one of the health systems’ goals. Financial protection is achieved when: there are no financial barrier to access; and direct payments required to obtain health services (outof-pocket health spending) are not a source of financial hardship. A full account of financial hardship requires monitoring of impoverishing health expenditures, including any amount spent on health out-of-pocket by the poor, in addition to large out-of-pocket health spending. Out-of-pocket (OOP) health spending is an inefficient and inequitable way of financing health and should be reduced as much as possible in favour of pre-payment mechanisms. When it contributes to health financing, it should not be borne disproportionately by the poor and not at all by the poorest. Since 2015, the World Health Organization (WHO) and the World Bank have been reporting progress on reducing financial hardship at the global level using two main indicators: i) the incidence of catastrophic health spending, defined as the population with large OOP spending in relation to household consumption or income (Sustainable Development Goal (SDG) indicator 3.8.2 with ‘large’ defined using two thresholds 10% and 25%); and ii) recognizing that even lower thresholds of OOP health spending in consumption or income can lead to financial hardship, the proportion of the population impoverished by OOP health spending. This report goes one step further, to include a focus on the poor spending any amount on health OOP. Those payments matter: they represent a major challenge to “End poverty in all its forms everywhere” (SDG 1) arising from OOP health spending by the poorest. Tracking all OOP health spending is critical to monitoring financial hardship across the whole population, in line with the pledge to leave no one behind that is at the heart of the SDGs. 2021-12-13T20:40:04Z 2021-12-13T20:40:04Z 2021-12-13 Report http://documents.worldbank.org/curated/undefined/965731639408946104/Global-Monitoring-Report-on-Financial-Protection-in-Health-2021 978-92-4-004095-3 http://hdl.handle.net/10986/36723 English CC BY-NC-SA 3.0 IGO http://creativecommons.org/licenses/by-nc-sa/3.0/igo World Health Organization and World Bank World Health Organization and World Bank Economic & Sector Work Economic & Sector Work :: Other Health Study
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English
topic	FINANCIAL HARDSHIP CORONAVIRUS COVID-19 PANDEMIC IMPACT HEALTH SPENDING PUBLIC HEALTH EXPENDITURE HEALTH SERVICE DELIVERY HEALTH SERVICE COVERAGE UNIVERSAL HEALTH COVERAGE PUBLIC FINANCE
spellingShingle	FINANCIAL HARDSHIP CORONAVIRUS COVID-19 PANDEMIC IMPACT HEALTH SPENDING PUBLIC HEALTH EXPENDITURE HEALTH SERVICE DELIVERY HEALTH SERVICE COVERAGE UNIVERSAL HEALTH COVERAGE PUBLIC FINANCE World Health Organization World Bank Global Monitoring Report on Financial Protection in Health 2021
description	Financial protection is an intrinsic part of universal health coverage (UHC) and, together with service coverage, is one of the health systems’ goals. Financial protection is achieved when: there are no financial barrier to access; and direct payments required to obtain health services (outof-pocket health spending) are not a source of financial hardship. A full account of financial hardship requires monitoring of impoverishing health expenditures, including any amount spent on health out-of-pocket by the poor, in addition to large out-of-pocket health spending. Out-of-pocket (OOP) health spending is an inefficient and inequitable way of financing health and should be reduced as much as possible in favour of pre-payment mechanisms. When it contributes to health financing, it should not be borne disproportionately by the poor and not at all by the poorest. Since 2015, the World Health Organization (WHO) and the World Bank have been reporting progress on reducing financial hardship at the global level using two main indicators: i) the incidence of catastrophic health spending, defined as the population with large OOP spending in relation to household consumption or income (Sustainable Development Goal (SDG) indicator 3.8.2 with ‘large’ defined using two thresholds 10% and 25%); and ii) recognizing that even lower thresholds of OOP health spending in consumption or income can lead to financial hardship, the proportion of the population impoverished by OOP health spending. This report goes one step further, to include a focus on the poor spending any amount on health OOP. Those payments matter: they represent a major challenge to “End poverty in all its forms everywhere” (SDG 1) arising from OOP health spending by the poorest. Tracking all OOP health spending is critical to monitoring financial hardship across the whole population, in line with the pledge to leave no one behind that is at the heart of the SDGs.
format	Report
author	World Health Organization World Bank
author_facet	World Health Organization World Bank
author_sort	World Health Organization
title	Global Monitoring Report on Financial Protection in Health 2021
title_short	Global Monitoring Report on Financial Protection in Health 2021
title_full	Global Monitoring Report on Financial Protection in Health 2021
title_fullStr	Global Monitoring Report on Financial Protection in Health 2021
title_full_unstemmed	Global Monitoring Report on Financial Protection in Health 2021
title_sort	global monitoring report on financial protection in health 2021
publisher	World Health Organization and World Bank
publishDate	2021
url	http://documents.worldbank.org/curated/undefined/965731639408946104/Global-Monitoring-Report-on-Financial-Protection-in-Health-2021 http://hdl.handle.net/10986/36723
_version_	1764485773756727296

Global Monitoring Report on Financial Protection in Health 2021

Similar Items