Public financing of healh in developing countries: a cross-national systematic analysis

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Institute for Health Metrics and Evaluation - University of Washington

This presentation discusses IHME's research in public financing of health in developing countries, including study design, findings, study limitations, and recommendations for governments and future research. For more information please visit www.healthmetricsandevaluation.org

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Public financing of health in developing countries: a cross-national systematic analysis Chunling Lu, Matthew Schneider, Paul Gubbins, Katherine Leach-Kemon, Dean Jamison, Christopher Murray

Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Development assistance for health has increased dramatically. The vast majority of health expenditure is still financed by developing country governments and households. Ravishankar et al 2009 The Lancet

[object Object],[object Object],[object Object],What Are the Determinants of Public Financing of Health in Developing Countries?

[object Object],[object Object],[object Object],[object Object],Demand for Health Services Will Increase

[object Object],[object Object],Broad Approach

[object Object],[object Object],[object Object],[object Object],Some Definitions

[object Object],[object Object],[object Object],[object Object],Tracking GHE-A and GHE-S is Not Easy

[object Object],[object Object],[object Object],Missing Data in Time-Series Cross-Sectional Datasets

Statistical Model We express key quantities of interest as percentage of GDP to avoid exchange rate and GDP deflation issues.

WHO Imputed Datasets Show in Real Dollars GHE-S is Increasing

IMF Imputed Datasets Show in Real Dollars GHE-S is Increasing

Decomposing Changes in GHE-S into Changes in GDP, Changes in Size of Government (GGE/GDP) and Changes in Government Commitment to Health (GHE-S/GDP)

IMF Change in Government Health Expenditure as a share of General Government Expenditure

WHO Change in Government Health Expenditure as a share of General Government Expenditure

Development Assistance for Health change in Global Burden of Disease developing regions in 1999-2002 compared with 2003-2006

Table 2: Time-series cross-sectional regression results for GHE-S/GDP for countries in GDB developing regions based on the Arellano-Bover/Blundell-Bond model

Coefficients of Development Assistance for Health to Governments as a proportion of Gross Domestic Product WHO IMF WHO IMF WHO IMF ,[object Object],[object Object]

Coefficients of Development Assistance for Health to Non-Governments as a proportion of Gross Domestic Product ,[object Object],[object Object]

[object Object],[object Object],[object Object],Heterogeneous Effects

[object Object],[object Object],[object Object],[object Object],[object Object],Sub-Additionality May Have Magnified Effect on Health Priorities

[object Object],[object Object],[object Object],[object Object],Data Limitations

[object Object],[object Object],Other Limitations

Recommendations ,[object Object],[object Object],[object Object]

Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object]

Recommendations ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],The Big Picture

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Public financing of healh in developing countries: a cross-national systematic analysis

1. Public financing of health in developing countries: a cross-national systematic analysis Chunling Lu, Matthew Schneider, Paul Gubbins, Katherine Leach-Kemon, Dean Jamison, Christopher Murray

3. Development assistance for health has increased dramatically. The vast majority of health expenditure is still financed by developing country governments and households. Ravishankar et al 2009 The Lancet

10.

11. Statistical Model We express key quantities of interest as percentage of GDP to avoid exchange rate and GDP deflation issues.

12.

13. WHO Imputed Datasets Show in Real Dollars GHE-S is Increasing

14. IMF Imputed Datasets Show in Real Dollars GHE-S is Increasing

15. Decomposing Changes in GHE-S into Changes in GDP, Changes in Size of Government (GGE/GDP) and Changes in Government Commitment to Health (GHE-S/GDP)

16. IMF Change in Government Health Expenditure as a share of General Government Expenditure

17. WHO Change in Government Health Expenditure as a share of General Government Expenditure

18. Development Assistance for Health change in Global Burden of Disease developing regions in 1999-2002 compared with 2003-2006

19. Table 2: Time-series cross-sectional regression results for GHE-S/GDP for countries in GDB developing regions based on the Arellano-Bover/Blundell-Bond model

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

31.

32.

33.

34.

35.

Public financing of healh in developing countries: a cross-national systematic analysis

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