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Armenia: health system review.
1European Observatory on Health Systems and Policies.
Health Systems in Transition
|December 17, 2013
Summary
Armenia
Area of Science:
- Public Health
- Health Systems Research
- Health Policy Analysis
Background:
- Armenia inherited a Soviet-era health system, facing challenges post-independence.
- Economic growth improved population health, but the health system structure remains suboptimal.
- Significant reliance on out-of-pocket payments impacts access and financial equity.
Purpose of the Study:
- To analyze the Armenian health system's evolution since 2006.
- To assess developments in organization, financing, provision, and performance.
- To identify key challenges for future health system reform.
Main Methods:
- Review of organizational and governance structures.
- Analysis of health financing trends, including out-of-pocket expenditures.
- Assessment of healthcare provision, focusing on primary vs. inpatient care.
- Evaluation of health reforms and overall system performance.
Main Results:
- The health system remains heavily focused on inpatient care in the capital.
- Out-of-pocket payments exceed 50% of total health expenditure.
- Financial barriers limit access to essential services, especially for the poor.
- Catastrophic health expenditure affects many households.
Conclusions:
- Improving health system performance and financial equity are critical.
- Sustained funding is needed for successful programs like maternal and child health.
- Addressing financial austerity and low public financing is essential for reform.
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