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Making Health Financing Work for Poor People in Tanzania

Making Health Financing Work for Poor People in Tanzania

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Tanzania is currently developing a Health Financing Strategy to provide a medium to long-term road map for a sustainable and integrated health financing system. This book is designed to inform this discussion by providing an analytical basis for the discussion of options, a series of policy options which could be considered in moving forward, and the economic and financial implications of these options. In doing so, it is hoped that this book will help stimulate the discussion of options and help Tanzania develop a health financing strategy which meets its long-term needs.Health financing in Tanzania is currently highly fragmented, with many different sources of funds and programs directed at specific population groups. Despite this, many people still do not access health services because of financial barriers, and this burden falls disproportionately on the poor. This book looks at the current situation with respect to health financing as well as the experience in other countries to address health financing for the poor and the population generally, using a common analytical framework. The book then explores a number of options in the areas of revenue generation, pooling of funds, purchasing and service provision, and also looks at the regulatory and political environment, making specific recommendations which can be considered in each of these areas. The focus of these recommendations is particularly on improving financial health protection for the poor. The economic, financial and service delivery implications are then examined, using several different scenarios for extending pre-paid health insurance coverage to the population.Making Health Financing Work for the Poor in Tanzania will be of interest to readers working in the areas of health care and public health, social protection, and social analysis and policy, in Tanzania and in other countries aiming for improvements in their health financing systems.
Tanzania is currently developing a Health Financing Strategy to provide a medium to long-term road map for a sustainable and integrated health financing system. This book is designed to inform this discussion by providing an analytical basis for the discussion of options, a series of policy options which could be considered in moving forward, and the economic and financial implications of these options. In doing so, it is hoped that this book will help stimulate the discussion of options and help Tanzania develop a health financing strategy which meets its long-term needs.Health financing in Tanzania is currently highly fragmented, with many different sources of funds and programs directed at specific population groups. Despite this, many people still do not access health services because of financial barriers, and this burden falls disproportionately on the poor. This book looks at the current situation with respect to health financing as well as the experience in other countries to address health financing for the poor and the population generally, using a common analytical framework. The book then explores a number of options in the areas of revenue generation, pooling of funds, purchasing and service provision, and also looks at the regulatory and political environment, making specific recommendations which can be considered in each of these areas. The focus of these recommendations is particularly on improving financial health protection for the poor. The economic, financial and service delivery implications are then examined, using several different scenarios for extending pre-paid health insurance coverage to the population.Making Health Financing Work for the Poor in Tanzania will be of interest to readers working in the areas of health care and public health, social protection, and social analysis and policy, in Tanzania and in other countries aiming for improvements in their health financing systems.

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Publish date: Mar 29, 2012
Added to Scribd: Feb 14, 2012
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08/06/2014

 
A WORLD BANK STUDY 
Dominic Haazen
Making HealthFinancing Workfor Poor Peoplein Tanzania
 
WORLD BANK STUDY
Making Health FinancingWork for Poor People inTanzania
Dominic Haazen
 
© 2012 International Bank for Reconstruction and Development / International Development Association orThe World Bank1818 H Street NWWashington DC 20433Telephone: 202-473-1000Internet: www.worldbank.org1 2 3 4 15 14 13 12World Bank Studies are published to communicate the results of the Bank’s work to the developmentcommunity with the least possible delay. The manuscript of this paper therefore has not been preparedin accordance with the procedures appropriate to formally-edited tets.This volume is a product of the sta of The World Bank with eternal contributions. The ndings,interpretations, and conclusions epressed in this volume do not necessarily reect the views of TheWorld Bank, its Board of Eecutive Directors, or the governments they represent.The World Bank does not guarantee the accuracy of the data included in this work. The boundaries,colors, denominations, and other information shown on any map in this work do not imply any judg-ment on the part of The World Bank concerning the legal status of any territory or the endorsement oracceptance of such boundaries.
Rights and Permissions
The material in this work is subject to copyright. Because The World Bank encourages dissemina-tion of its knowledge, this work may be reproduced, in whole or in part, for noncommercial purposes aslong as full aribution to the work is given.For permission to reproduce any part of this work for commercial purposes, please send a requestwith complete information to the Copyright Clearance Center Inc., 222 Rosewood Drive, Danvers, MA01923, USA; telephone: 978-750-8400; fa: 978-750-4470; Internet: www.copyright.com.All other queries on rights and licenses, including subsidiary rights, should be addressed to theOce of the Publisher, The World Bank, 1818 H Street NW, Washington, DC 20433, USA; fa: 202-522-2422; e-mail: pubrights@worldbank.org.ISBN (print): 978-0-8213-9473-1ISBN (electronic): 978-0-8213-9474-8DOI: 10.1596/978-0-8213-9473-1
Library of Congress Cataloging-in-Publication Data
Haazen, Dominic, 1954-Making health nancing work for poor people in Tanzania / Dominic Haazen.p. ; cm.Includes bibliographical references.ISBN 978-0-8213-9473-1 -- ISBN 978-0-8213-9474-8I. World Bank. Africa Regional Oce. Human Development Dept. II. Title.[DNLM: 1. Health Ependitures--Tanzania. 2. Health Policy--Tanzania. 3. Healthcare Disparities--economics--Tanzania. 4. Insurance, Health--economics--Tanzania. 5. Organizational Case Studies--Tanzania. 6. Poverty--Tanzania. W 74 HT3]362.109678--dc23 2012000724
Cover photo:
Tanzanian women and their children walking in the school yard of a rural village. Photo byIsabelle M. Haazen.

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