Abt Associates Inc. In collaboration with: Broad Branch Associates | Development Alternatives Inc. (DAI) | Futures Institute | Johns Hopkins Bloomberg School of Public Health (JHSPH) | Results for Development Institute (R4D) | RTI International | Training Resources Group, Inc. (TRG) Dr. Carlos Avila Senior Health Economist Health Finance and Governance Project Impact of Healthcare Costs on Universal Health Coverage: global perspective NAMAF 8TH ANNUAL CONFERENCE 22 SEPTEMBER 2014 WINDHOEK, NAMIBIA
38
Embed
Impact of Healthcare C osts on Universal Health Coverage: global perspective
Impact of Healthcare C osts on Universal Health Coverage: global perspective. Dr. Carlos Avila Senior Health Economist Health Finance and Governance Project. NAMAF 8TH ANNUAL CONFERENCE 22 SEPTEMBER 2014 WINDHOEK , NAMIBIA. Outline. Universal Health Coverage - PowerPoint PPT Presentation
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Abt Associates Inc. In collaboration with:Broad Branch Associates | Development Alternatives Inc. (DAI) | Futures Institute | Johns Hopkins Bloomberg School of Public Health (JHSPH) | Results for Development Institute (R4D) | RTI International | Training Resources Group, Inc. (TRG)
Dr. Carlos Avila Senior Health Economist
Health Finance and Governance Project
Impact of Healthcare Costs on Universal Health Coverage: global perspective
NAMAF 8TH ANNUAL CONFERENCE22 SEPTEMBER 2014
WINDHOEK, NAMIBIA
Outline
Universal Health CoveragePopulation and UtilizationHealth Care Costs and FinancingPotential Solutions
What is the relationship between costs and UHC?
There is an unquestionable imperative to: Optimize the effectiveness of the investment in health systems Achieve Universal Health Coverage Provide Financial Risk Protection
Government health expenditure as a source Spending by governments on health as sourced domestically was $613.5
billion in 2011. This means that, on average, countries spent 20 times more of their own
resources on health than they received in assistance
UHC: “all people have access to services and do not suffer financial hardship paying for them”UHC: “all people have access to services and do not suffer
financial hardship paying for them”
HEALTH CARE UTILIZATION
Population and Utilization
DemographicsBurden of diseaseBehavioursAccess
Population Projections
Population Projections
The world's population pyramid is changing shape
The world's population map is changing shape, 2050
The 10 Leading Causes of DALY, Global, 2000 and 2012
*IMR = infant mortality rate per 1000 births**MMR = annual number of female deaths per 100,000 live births†International Monetary Fund. 2014. World Economic Outlook. Washington, DC: IMF. ‡World Health Organization. 2013. Global Health Observatory: Data Repository.
Growth in domestic health spending in 43 countries, under economic growth and Abuja commitment, by source, 2000-2020
Current spending (2010) Projections based on economic growth (2020)
Projections based on economic growth and Abuja commitment (2020)
Per capita DHE US$ 76 Per capita DHE US$ 106 Per capita DHE US$ 146
DHE US$ 60 billion DHE US$ 127 billion DHE US$ 162 billion
Capital formation and expenditures not specified by kind
Other
POTENTIAL SOLUTIONS
Health Care Costs
Why Health Care Costs Are High and Growing Rapidly?
How high health care Cost are threatening the economy?
What Can Be Done About Health Care Costs?
Potential solutions
Investing on behavior, literacy and prevention Client centered solutions Integration and efficiency Outsourcing Health Technology Assessment Risk pooling
Efficiency in US Hospitals
Increasing Resources and Improving Efficiency
Health Financing Platform
Effective Allocation
TechnicalEfficiency
Paying for Results
Better Money
More MoneyPublic Private
IncomeTaxes
Diaspora BondsConsumption
Taxes
Catalytic Investments
LotteriesSocial Bonds
CSR
MatchingPrograms Crowd
Funding
F4DPPPs
DebtSwaps
Road Map to UHC
Africa Rising
Abt Associates Inc. In collaboration with:Broad Branch Associates | Development Alternatives Inc. (DAI) | Futures Institute | Johns Hopkins Bloomberg School of Public Health (JHSPH) | Results for Development Institute (R4D) | RTI International | Training Resources Group, Inc. (TRG)