A guide to competitive vouchers in health by World Bank PDF
By World Bank
"A consultant to aggressive Vouchers in future health provides instruments which could support make certain the appropriateness of aggressive vouchers to satisfy various coverage ambitions. The booklet explains capability benefits and downsides of this method and discusses how one can convey public wellbeing and fitness care subsidies that advertise potency, innovation, and responsibility. A consultant to aggressive Vouchers in wellbeing and fitness is directed to overseas donors and overall healthiness care prone and policymakers in constructed and constructing nations.
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Additional info for A guide to competitive vouchers in health
Justification for choice of problem and use of public subsidies: Externalities associated with social costs of orphaned children if disease is not detected and/or treated on time, socioeconomic inequalities in continued 32 | A Guide to Competitive Vouchers in Health Box 3-1. Continued mortality rates, catastrophic health costs of treatment (and sometimes even screening), market failure from inability of women to assess quality of cytology. Screening with Pap smear and prompt treatment of precancerous lesions are known to be cost effective.
Will a significant group of the target population be excluded? Will a significant group of the nontarget population be included? Continue with benefit policies. A program that seeks to increase equity and reduce poverty, for example, should target recipients who are poor. Geographic targeting is one of the simplest ways to reach the poor, but doing so risks including some people who are not poor, but who reside in poor areas, and excluding some poor people who do not reside in poor areas. It also excludes some Program aim Target beneficiaries Country Reference Prevent HIV/AIDS by preventing and treating sexually transmitted infections Sex workers, their partners, and their clients; men who have sex with men; adolescent glue sniffers Nicaragua Sandiford, Gorter, and Salvetto (2002b) Increase use of sexual and reproductive health services among adolescents All poor adolescents 12–20 years of age in selected regions Nicaragua Sandiford, Gorter, and Salvetto (2002b) Increase screening and treatment of women with preinvasive cervical abnormalities All poor women 30–59 years of age from villages or provinces in areas selected for their high levels of poverty El Salvador Nicaragua Calero (2003a) Sandiford, Gorter, and Salvetto (2002b) Increase use of village midwives by the poor Poor women who are pregnant or have a child less than one year old Indonesia Knowles (2000) Increase access to emergency contraception among adolescents Young women in need of emergency contraception Zambia Skibiak, ChambeshiMoyo, and Ahmed (2001) Increase use of reproductive and child health services in slum areas All female residents and children of selected urban slums India Mookherji (2003) Reduce child mortality from malaria All pregnant women who receive prenatal health services Tanzania Uganda Marchant and others (2002) Root (2003) Central African Republic Koumans and others (2003) Reduce incidence of sexually transmitted infections Partners of patients with sexually transmitted diseases 50 | A Guide to Competitive Vouchers in Health Table 5-1.
Alternatively, if the proportion of patients receiving different service packages remains constant, then a fixed constant fee (that is, a weighted average of the fees for each cost category) can be used. Problems are likely to arise, however, when the costs to the provider of attending to voucher-bearing patients vary greatly and unpredictably and are impossible to verify independently. Vouchers Increase Client Satisfaction In a competitive voucher scheme, the bearer of the voucher can usually choose a provider.
A guide to competitive vouchers in health by World Bank