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Equity in health care in Namibia: developing a needs-based resource allocation formula using principal components
Eyob Zere1, Custodia Mandlhate, Thomas Mbeeli
1World Health Organization, PO Box 30309, Lilongwe, Malawi. zeyob@yahoo.com
International Journal for Equity in Health
|March 30, 2007
Summary
Namibia
Area of Science:
- Health economics
- Resource allocation
- Public health policy
Background:
- Health resource allocation in Namibia is inequitable.
- Incrementalist budgeting perpetuates disparities.
- Deprived regions receive insufficient healthcare resources.
Purpose of the Study:
- To develop a needs-based resource allocation mechanism for Namibia.
- To address historical inequities in healthcare distribution.
Main Methods:
- Principal components analysis used to create asset indices.
- Data from the 2000 Namibia Demographic and Health Survey utilized.
- Asset indices informed regional weights for an allocation formula.
Main Results:
- Regions with greater need currently receive fewer health resources.
- Current allocations contrast with a needs-based formula's estimates.
Conclusions:
- Abandon incrementalist budgeting for health resource allocation.
- Adopt a needs-based mechanism to ensure equitable distribution.
- The Ministry of Health and Social Services should implement changes.
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