Country ProfilesColombia

Updates From the LAC Health Accounts Steering Committee

May 2004

The National Department of Planning (DNP), with support from the Ministry of Social Protection (MPS), have completed a series of estimates and revisions for the period 1993-2001. A book containing a complete report and series of tables will to be published mid-year.  In addition, studies are under way at DANE to produce satellite health accounts estimates using the SNA 1993 methodology, in collaboration with DNP and MPS.

August 2002

Colombia has conducted several health expenditure and financing studies with the purpose of evaluating the impact of the health system reform. Revised and updated estimates for the years 1993-1999 were developed using the Harvard/NHA and SHA approaches, with support from the IDB.  In 2000, with the support from PAHO, the country prepared the Health Sector Financial Analysis (HSFA) Report containing estimates of public expenditure/financing, including social insurance.

Submit Your Colombia Health Accounts Research

If you work in Colombia, are participating in a project, or have resources or data to share about the status of health accounts in Colombia, please contribute them. Your input is essential to other researchers, and it will be an excellent opportunity for you to showcase any work or research that you have done on health accounts in Colombia. Click here to share information.

Related Links and Articles
Documents
Health Sector Reform in Colombia The article was written by Maria-Luisa Escobar of the World Bank Country Office in Colombia for Development Outreach, an on-line publication of the World Bank Institute.  It describes the development of the present health care system in Colombia, and how it evolved from the pre-1993 model as a result of policies developed based on health accounts data.
Exclusion and Incidence of Social Expenditures

This May 2005 paper by Nuñez and Espinosa of the Faculty of Economics of the University of the Andes studies the incidence of social subsidies in Colombia through the analysis of the effects of social subsidies on poverty and the effectiveness of their targeting mechanisms. First, we study the effects of social subsidies on headcount poverty and on the poverty gap, using data from Colombia’s Quality of Life Survey for 2003. The results show that the aggregate effect of the subsidies upon poverty is significant, although each specific subsidy differs in its impact on poverty. We then study the effectiveness of the subsidies’ targeting, estimating the errors of inclusion (non-poor households that receive subsidies) and the determinants of the errors of exclusion (poor households that do not receive subsidies). The results show that there are some problems in the targeting mechanisms of social subsidies in Colombia, since a high percentage of households that receive subsidies are non-poor. Furthermore, in the delivery of social subsidies, there is discrimination against poor households with elderly members, against displaced households and against those in which the head of household has lower educational levels.

Determinants, Effects, and Costs of Domestic Violence This June 2005 paper by R. Ribero and F. Sánchez of University of the Andes analyzes the determinants, effects and costs of domestic violence (DV) against women and children in Colombia. The most relevant factors that explain the occurrence of DV in a household are suffering from DV as a child and living with someone that frequently and excessively consumes alcohol. DV against women increases their probability of unemployment by 6.4 percentage points, lowers their earnings by approximately 40% and worsens their health. DV against children negatively affects their health, school attendance and academic attainment. It is estimated that at least 4.2% of Colombian GDP is lost due to indirect costs of DV.
Colombia: PAHO Country Health Profile Summary information on health conditions and the structure of the health system
Colombia's Country-At-A-Glance World Bank Brief Key indicators tracing the trends in social and economic development over the last three decades from the World Bank's database
Síntesis General: Aspectos Conceptuales, Metodológicos y Principales Resultados del Periodo 1993-1999 416 KB, PDF This paper, made available by the National Department of Planning of Colombia (Departamento Nacional de Planeamiento, DNP) outlining studies of health expenditures conducted in 1998 and 2001, was written by consultant Gilberto Barón Leguizamon, within the framework of the National Health Accounts of Colombia project. The studies employed the Harvard/NHA methodology. 
HIV/AIDS: Its Social and Economic Impact In Colombia The socioeconomic research in this paper was carried out in order to better describe the potential impact of the HIV/AIDS epidemic and to indicate future needs in terms of both prevention and treatment.
Organizations
Banco de le República Colombia Central Bank of Colombia
Departamento Administrativo Nacional de Estadísticas (DANE) National Administrative Department of Statistics of Colombia
Departamento Nacional de Planeación National Department of Planning of Colombia's website offers access to databases of social indicators and public expenditures.
Ministerio de Protección Social (MPS) Ministry of Social Protection (formerly of Health) of Colombia
Universidad de los Andes, Facultad de Economía, Centro de Estudios sobre Desarrollo Económico (Bogotá) The Faculty of Economics of the University of the Andes hosts the prestigious Center of Studies on Economic Development.  The publications of the faculty and researchers, often available in English, can be found here.
Universidad de Antioquia (Medellín) University of Antioquia's Faculty of Economic Sciences hosts the Center for Economic Research.  Note the activities and publications of its Group for Health Economics (Grupo de Economía de la Salud, GES).

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