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|  ... To Assess Equity
One of the central
questions policy makers, researchers and citizens ask is: Are
government funds benefiting the poor? Health accounts, in
combination with information about the use of health services, can
help answer this question using a methodology known as “benefit
incidence analysis.” There are three steps in benefit incidence
analysis:
-
Step 1. Use health accounts to estimate the unit cost or unit
subsidy (in current expenditures) of providing a service [use
expenditure studies or public budgets and service statistics];
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Step 2. Impute the unit subsidy to households or individuals
who are identified as users of the service [use household survey
data on utilization, with income measures]; and
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Step 3. Aggregate individuals (or households) into subgroups
of the population to compare distribution of the subsidy among
groups (income, gender, etc.).
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Documents |
EQUITAP Project
Presentation
about EQUITAP
|
EQUITAP (“Equity in Asia-Pacific
Health Systems”) is a collaborative effort of more than
fifteen research teams in Asia and
Europe
engaged in examining equity in national health systems in the
Asia-Pacific region. The work of the collaboration involves
the development of methodological tools and the assessment of
the performance of national health systems in
Bangladesh
,
China
, Hong Kong SAR,
India
,
Indonesia
,
Japan
,
Korea
,
Kyrgyz
Republic
,
Malaysia
,
Mongolia
,
Nepal
,
Sri Lanka
,
Taiwan
,
Thailand
and
Viet Nam
. The project is an initiative of the Asia-Pacific
National Health Accounts Network (Institute
of Policy Studies, Sri Lanka) in
collaboration with Erasmus University (The Netherlands) and
London School of Economics (United Kingdom).
EQUITAP
Working Papers:
 Who
pays for health care in Asia?
Who
benefits from public spending on health care in Asia?
Paying
out-of-pocket for health care in Asia: Catastrophic and poverty
impact |
| Health
and Equity: A look at Health Financing in the Dominican Republic
181
KB, PDF |
The study by
Magdalena Rathe, conducted with financing by USAID, focuses on
an analysis of equity in health financing in the Dominican
Republic, and particularly on family financing and the
government's possibilities to intervene to correct inequalities,
to improve income distribution and to reduce poverty. In this
regard, the study is based on two statistical sources that
were produced in the country for the first time in 1996: the
National Health Accounts, and the Demographics and Health
Survey (ENDESA), which included a family health expenditure
module for that year. |
| Poverty
Reduction Strategy Sourcebook - Health, Nutrition &
Population Website
PowerPoint
Presentation About the PRS Sourcebook 135 KB, PDF
|
The Sourcebook is a guide to assist
countries in the development and strengthening of poverty
reduction strategies. The Sourcebook reflects the thinking and
practices associated with the Comprehensive
Development Framework, as well as lessons emerging from
the forthcoming World
Development Report on Poverty, and good international
practices related to poverty reduction. The
current draft of the Sourcebook has been prepared mainly by Bank
and Fund staff and reflects their experience working in various
sectors and regions, although it has benefited from feedback from
government officials in several African countries and from staff
of related UN organizations. |
|
Health
System Inequalities and Inequities in Latin America and the
Caribbean: Findings and Policy Implications
PDF
|
This 2000 working
document by Rubén M. Suárez-Berenguela of PAHO
summarizes the results of a study on measuring health system inequalities
in six countries of the Latin American and Caribbean region:
Brazil, Ecuador, Guatemala, Jamaica,
Mexico, and Peru. Concepts of vertical and horizontal
equity, and inequity and inequality
indices are used to measure inequities in access to health
care services, and in the financing of national
health systems. Benefit incidence analysis is used to assess
the distribution of the benefits of government
expenditures on health by socioeconomic groups. The paper
includes a summary of the results of
the measurement of health status inequalities, the degree of
inequities in access to health care services (preventive,
curative, and chronic care), and inequities in the financing
and distribution of benefits of government
expenditures on health by socioeconomic groups. Policy
implications of the findings are also discussed. |
| Public
Spending on Health Care in Africa: Co the Poor Benefit?
243
KB, PDF
|
This paper by F. Castro-Leal et al,
published in the Bulletin of the World Health Organization,
2000 v.78 (1), examines public spending on curative health
care in several African countries and finds that this spending
favors mostly the better-off than the poor.
|
| World
Development Report 2000/2001: Attacking Poverty Website |
This WDR edition follows two others
in 1980 and 1990. It argues that major reductions in all
dimensions of poverty are indeed possible - that the
interaction of markets, state institutions, and civil
societies can harness the forces of economic integration and
technological change to serve the interests of poor people and
increase their share of society's prosperity. |
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