Fiscal Space for Health in Latin America and the Caribbean - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Fiscal Space for Health in Latin America and the Caribbean write by Pan American Pan American Health Organization. This book was released on 2020-06-30. Fiscal Space for Health in Latin America and the Caribbean available in PDF, EPUB and Kindle. Countries that have made the most progress toward universal coverage have public expenditures in health equivalent to at least 6% of their gross domestic product (GDP), which is the percentage established in PAHO's universal health strategy as the benchmark for the countries. However, while higher expenditure is a prerequisite, it is not enough to combat inequities and advance toward universal health. In addition to greater resources, the quality of the expenditure must be improved, reducing health system inefficiencies. Moreover, public expenditure in health should be sustainably increased in a fiscally responsible manner. The concept of fiscal space for health refers to the ability of governments to provide additional budgetary resources for the health system without affecting the financial position of the public sector or supplanting other socially necessary expenditures. Any analysis of fiscal space, therefore, will attempt to identify the prospects for increasing health expenditure in the short and medium term to address a series of clearly established health needs. These efforts are under way at a critical time in the Region of the Americas, particularly in the countries of Latin America and the Caribbean, which are engaged in a singular health system reform process. For the first time in history, these countries have formalized their intention of increasing public expenditure in health, putting themselves firmly on the path to real and effective access to health care through the universal health strategy. Without achieving basic well-being at this level, it will be impossible to improve social cohesion and social development in the countries of the Region. This publication brings together and summarizes PAHO's studies on fiscal space for universal health in the Americas and draws on the contributions of the regional forum held in Washington, D.C. on 7-8 December 2015. With this publication, whose target audience is the technical personnel responsible for policy development, decision-makers, and authorities, PAHO hopes to contribute to the analysis and discussion of health financing policies on the path toward universal health.
Better Spending for Better Lives
Better Spending for Better Lives - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Better Spending for Better Lives write by Alejandro Izquierdo. This book was released on 2018-09-16. Better Spending for Better Lives available in PDF, EPUB and Kindle. How can this puzzle of larger demands and fiscal strengthening be solved? This edition of the development in the Americas (DIA) report focuses precisely on this question. The book suggests that the answer is about fiscal efficiency and smart spending rather than the standard solution of across-the-board spending cuts to achieve fiscal sustainability— sometimes at great cost for society. It is about doing more with less. · Analysis of government spending in Latin America and the Caribbean reveals widespread waste and inefficiencies that could be as large as 4.4 percent of the region’s GDP, showing there is ample room to improve basic services without necessarily spending more resources. · The publication argues against across-the-board cuts. It looks at whether countries spend too much or too little on different priorities, whether they invest enough to ensure a better future, and whether those expenditures make inequality better or worse. · Along with the diagnosis, the report offers several policy recommendations on how to improve the efficiency of government spending.
Fiscal Panorama of Latin America and the Caribbean 2019
Fiscal Panorama of Latin America and the Caribbean 2019 - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Fiscal Panorama of Latin America and the Caribbean 2019 write by United Nations. This book was released on 2019-05-06. Fiscal Panorama of Latin America and the Caribbean 2019 available in PDF, EPUB and Kindle. Fiscal Panorama of Latin America and the Caribbean, 2019 examines the role of tax policy as a tool for driving progress towards achievement of the Sustainable Development Goals. One way to strengthen collection is to address the challenges of taxing the rapidly growing digital economy. Tax policy can also be used to shift production and consumption patterns to encourage decarbonization of the economy and support improvements in public health. Lastly, the document analyses the constraints on domestic resource mobilization caused by fiscal incentives and how, effectively geared towards investment, these incentives could instead foster sustainable and inclusive development.
Health Expenditures in Latin America
Health Expenditures in Latin America - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Health Expenditures in Latin America write by Ramesh Govindaraj. This book was released on 1995-01-01. Health Expenditures in Latin America available in PDF, EPUB and Kindle. World Bank Technical Paper No. 274. The preparation of the World Bank's World Development Report 1993: Investing in Health (WDR) included an effort to assemble internationally comparable statistics on a broad range of health and health system indicators. Data had to be compiled from existing sources while analytical efforts were made to improve the quality and comparability of the data. This paper presents an expanded and updated version of the WDR estimates of 1990 health expenditures for the countries of Latin America and the Caribbean. Whereas the population cut-off for inclusion in the WDR was 3 million, these tables include almost all countries in the region. This update of the expenditures results in a substantial upward revision in the estimated percentage of GNP spent on health in the region in 1990 from 4 to 6%.
Toward Universal Health Coverage and Equity in Latin America and the Caribbean
Toward Universal Health Coverage and Equity in Latin America and the Caribbean - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Toward Universal Health Coverage and Equity in Latin America and the Caribbean write by Tania Dmytraczenko. This book was released on 2015-06-30. Toward Universal Health Coverage and Equity in Latin America and the Caribbean available in PDF, EPUB and Kindle. Over the past three decades, many countries of Latin America and the Caribbean have recognized health as a human right. Since the early 2000s, 46 million more people in the countries studied are covered by health programs with explicit guarantees of affordable care. Reforms have been accompanied by a rise in public spending for health, financed largely from general revenues that prioritized or explicitly target the population without capacity to pay. Political commitment has generally translated into larger budgets as well as passage of legislation that ring-fenced funding for health. Most countries have prioritized cost-effective primary care and adopted purchasing methods that incentivize efficiency and accountability for results, and that give stewards of the health sector greater leverage to steer providers to deliver on public health priorities. Evidence from the analysis of 54 household surveys corroborates that investments in extending coverage are yielding results. Though the poor still have worse health outcomes than the rich, disparities have narrowed considerably - particularly in the early stage of the life course. Countries have reached high levels of coverage and equity in utilization of maternal and child health services; coverage of noncommunicable disease interventions is not as high and service utilization is still skewed toward the better off. Catastrophic health expenditures have declined in most countries; the picture regarding equity, however, is mixed. While the rate of impoverishment owing to health-care expenditures is low and generally declining, 2-4 million people in the countries studied still fall below the poverty line after health spending. Efforts to systematically monitor quality of care in the region are still in their infancy. Nonetheless, a review of the literature reveals important shortcomings in quality of care, as well as substantial differences across subsystems. Improving quality of care and ensuring sustainability of investments in health remain an unfinished agenda.
