Institutional design and organizational practice for universal coverage in lesser-developed countries: Challenges facing the Lao PDR

Social Science and Medicine

Volumn 96, Issue , 2013, Pages 250-257

  Ahmed, Shakil ^a   Annear, Peter Leslie ^a   Phonvisay, Bouaphat ^b   Phommavong, Chansaly ^b   Cruz, Valeria de Oliveira ^c   Hammerich, Asmus ^c   Jacobs, Bart ^d  

^a UNIVERSITY OF MELBOURNE   (Australia)

^b Ministry of Health   (Laos)

^c WORLD HEALTH ORGANIZATION   (Switzerland)

^d Luxembourg Development   (Laos)

Author keywords

Community health insurance; Institutional development; Lao PDR; Social health insurance; Social health protection; Universal health coverage

Indexed keywords

DEVELOPING WORLD; HEALTH CARE; HEALTH INSURANCE; HEALTH POLICY; INSTITUTIONAL DEVELOPMENT; WORLD HEALTH ORGANIZATION;

ARTICLE; DEVELOPED COUNTRY; FEMALE; FINANCIAL MANAGEMENT; FUNDING; GOVERNMENT; HEALTH CARE ORGANIZATION; HEALTH CARE POLICY; HEALTH ECONOMICS; HEALTH INSURANCE; HUMAN; LAOS; LESSER DEVELOPED COUNTRY; MALE; ORGANIZATION AND MANAGEMENT; ORGANIZATIONAL STRUCTURE; SOCIAL INSURANCE; SOCIOECONOMICS; WORLD HEALTH ORGANIZATION; CAPACITY BUILDING; DEVELOPING COUNTRY; HEALTH CARE PLANNING; INSURANCE; PUBLIC HEALTH; QUALITATIVE RESEARCH; SUPPLY AND DISTRIBUTION;

LAOS;

CAPACITY BUILDING; DEVELOPING COUNTRIES; HEALTH RESOURCES; HUMANS; LAOS; NATIONAL HEALTH PROGRAMS; QUALITATIVE RESEARCH; UNIVERSAL COVERAGE;

EID: 84883742598     PISSN: 02779536     EISSN: 18735347     Source Type: Journal    
DOI: 10.1016/j.socscimed.2013.01.019     Document Type: Article

References (48)

1. Antunes A.F., Saksena P. Health financing systems review 2008 - Options for universal coverage 2009, Ministry of Health, Republic of Rwanda and the World Health Organization.
2. Antunes A.F., Wanert S., Bigdeli M., Ros C.E. Summary report of the health financing system assessment in Cambodia 2009.
3. Bloom G., Fang L., Jönsson K., Men C.R., Phoummalaysith B., Xeuatvongsa A., et al. Health policy processes in Asian transitional economies. Studies in health services organisation and policy 2008, ITG Press, Antwerp. B. Meessen (Ed.).
4. Bouaphat P. Community based health insurance and microfinance programs in health: Lessons from Lao PDR 2012, Report prepared under an Australian Leadership Awards Fellowship program, Nossal Institute for Global Health, University of Melbourne, Australia.
5. Brenzel L., Naimoli J. Health results-based financing in practice: Ten institutional challenges 2009, Technical Brief, The World Bank.
6. Carrin G. Towards advanced risk-sharing in health care financing: witha focus on the potential of social health insurance in developing countries. Verhandelingen - Koninklijke Academie voor Geneeskunde van België 2004, 66:215-234.
7. Carrin G., James C. Key performance of indicators for the implementation of social health insurance. Applied Health Economics Health Policy 2005, 4(1):15-22.
8. Carrin G., James C., Adelhardt M., Doetinchem O., Eriki P., Hassan M., et al. Health financing reform in Kenya-assessing the social health insurance proposal. SAMJ 2007, 97:130-135.
9. Carrin G., Mathauer I., Xu K., Evans D. Universal coverage of health services: tailoring its implementation. Bulletin of the World Health Organization 2008, 86:857-863.
10. Chan M. The path to universal coverage, statement to the press at the launch of the World Health Report Health Systems Financing: The path to universal coverage 2010, Accessed 19.02.12. http://www.who.int/dg/speeches/2010/launvh_WHR_2010/en/index.html.
11. Chuma J., Okungu V. Viewing the Kenyan health system through an equity lens: implications for universal coverage. International Journal for Equity in Health (Open Access) 2011, 10:22.
12. Criel B. District-based health insurance in sub-Saharan Africa. Studies in Health Services Organization and Policy 1998, 9.
13. Davies P., Carrin G. Risk-pooling-necessary but not sufficient?. Bulletin of the World Health Organization 2001, 79:587.
14. Dror D., Jacquier C. Micro-insurance: extending health insurance to the excluded. International Social Security Review 1999, 52:71-97.
15. Evans D., Etienne C. Health systems financing and the path to universal coverage. Bulletin of the World Health Organization 2010, 88:402.
16. Frenk J., Gómez-Dantés O., Knaul F.M. The democratization of health in Mexico: financial innovations for universal coverage. Bulletin of the World Health Organization 2009, 87:542-548.
17. Gwatkin D.R., Ergo A. Universal health coverage: friend or foe of health equity?. The Lancet 2010, online publication 16 November 2010.
18. Herrera, M., & Roman, F. Road map to a national social health insurance program (Recommendations). Presentation at the Ministry of Health, Lao PDR, 28 January 2011, Vientiane.
19. Ibrahimipour H., Maleki M., Brown R., Gohari M., Karimi I., Dehnavieh R. Aqualitative study of the difficulties in reaching sustainable universal health insurance coverage in Iran. Health Policy and Planning 2011, 26:485-495.
20. Kutzin J. Health financing policy: A guide for decision-makers 2008, World Health Organization Regional Office for Europe, Copenhagen.
21. Kutzin J. Universal health coverage: Does anything go? No 2012, Bulletin of the World Health Organization, Pre-publication online version: peer-reviewed, accepted and edited. Article ID: BLT.12.113654.
22. Kwon S. Health care financing in Asia: key issues and challenges. Asia-Pacific Journal of Public Health 2011, 23:651-661.
23. Mathauer I., Carrin G. The role of institution design and organizational practice for health financing performance and universal coverage 2010, Discussion Paper Number 5-2010, World Health Organization, Geneva.
24. Mathauer I., Carrin G. The role of institution design and organizational practice for health financing performance and universal coverage. Health Policy 2011, 99:183-192.
25. Mathauer I., Cavagnero E., Vivas G., Carrin G. Health financing challenges and institutional options to move towards universal coverage in Nicaragua 2010, Discussion Paper, Number 2, World Health Organization, Geneva.
26. Mathauer I., Doetinchem O., Kirigia J., Carrin G. Feasibility assessment and financial projection results for a social health insurance scheme in Lesotho: Exploring possible options 2007, Report of the technical support mission, World Health Organization, Geneva.
27. McIntyre D., Garshong B., Mtei G., Meheus F., Thiede M., Akazili J., et al. Beyond fragmentation and towards universal coverage: insights from Ghana, South Africa and the United Republic of Tanzania. Bulletin of the World Health Organization 2008, 86:871-876.
28. Ministry of Health Draft health financing strategy, Lao PDR 2011-2015, Version 20 May 2010 2010, Department of Planning and Finance, Ministry of Health, Vientiane.
29. Ministry of Health Community-based health insurance 2010 data report 2011, Ministry of Health, Lao PDR, Vientiane, Programme supported by WHO and AFD-funded SHS Project.
30. Office of the Prime Minister Decree on national health insurance 2011, The Government of the Lao PDR, Vientiane.
31. Oliveira-Cruz V., Hanson K., Mills A. Approaches to overcoming constraints to effective health service delivery: a review of the evidence. Journal of International Development 2003, 15:41-65.
32. Poleti T., Balabanova D., Ghazaryan O., Kocharyan H., Hakobyan M., Arakelyan K., et al. The desirability and feasibility of scaling up community health insurance in low-income settings - lessons from Armenia. Social Science & Medicine 2007, 64:509-520.
33. Ranson M. Reduction of catastrophic health care expenditure by a community-based health insurance scheme in Gujarat, India: current experiences and challenges. Bulletin of the World Health Organization 2002, 80:613-621.
34. Ron A., Jacobs B. Suggestions for a road map towards merging social health protection schemes at Lao PDR 2009, World Health Organization, Vientiane.
35. Schieber G., Maeda A. Acurmudgeon's guide to health care financing. From: Innovations in health care financing in developing countries 1997, Proceedings of a conference of a World Bank Conference. March 10-11, 1997, World Bank, Washington, DC.
36. Soderlund N., Khosa S. The potential role of risk-equalization mechanisms in health insurance: the case of South Africa. Health Policy and Planning 1997, 12:341-353.
37. Tangcharoensathien V., Patcharanarumol W., Ir P., Aljunid S.M., Mukti A.G., Akkhavong K., et al. Health-financing reforms in Southeast Asia: challenges in achieving universal coverage. The Lancet 2011, 377:863-873.
38. Thomé J.-M., Pholsena S. Lao People's Democratic Republic: Health financing reform and challenges in expanding the current social protection schemes. UNESCAP, Promoting sustainable strategies to improve access to health care in the Asia and Pacific Region 2009, UNESCAP, Bangkok.
39. Tien T., Phuong H., Mathauer I., Phuong N. Ahealth financing review of Vietnam with focus on social health insurance 2011, World Health Organization, Geneva.
40. Wagstaff A., Watanabe N., van Doorslaer E. HNP discussion paper. Impoverishment, insurance, and health care payments 2001, World Bank, Washington, DC.
41. World Bank Out-of-pocket spending and health service utilisation in Lao PDR. Evidence from the Lao PDR expenditure and consumption surveys 2010, World Bank, Vientiane.
42. World Bank Community-based health insurance in Lao PDR. Understanding enrolment and impacts 2010, World Bank, Vientiane.
43. World Bank Enrolment of firms in social security in Lao PDR: Perspectives from the private sector 2010, World Bank, Vientiane.
44. World Health Organization The World Health Report 2000: Health systems: Improving performance 2000, World Health Organization, Geneva.
45. World Health Organization Achieving universal health coverage: Developing the health financing system 2005, Technical Briefs for Policy Makers, Number 1, World Health Organization, Geneva.
46. World Health Organization Health financing strategy for the Asia Pacific Region (2010-2015) 2009, WHO South-East Asia Region and Western Pacific Region.
47. World Health Organization The World Health Report 2010: Health systems financing: The path to universal coverage 2010, World Health Organization, Geneva.
48. World Health Organization Global health observatory national health accounts data 2011 2012, Accessed 05.07.12. http://www.who.int/nha/expenditure_database/en/.