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为孕产妇健康动员财政资源
Jo Borghi1, Tim Ensor, Aparnaa Somanathan
1Health Economics and Financing Programme, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Lancet (London, England)
|October 24, 2006
概括
改善孕产妇健康服务需要取消使用费,确保全民覆盖,特别是分娩护理. 增加投资和有针对性的财政援助对于最贫困人口来说至关重要,以实现全球卫生目标.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 全球健康 全球健康
背景情况:
- 由于供应限制和负担能力问题,产妇健康服务覆盖率不足,特别是在贫困人口中,由于供应限制和负担能力问题.
- 高昂的自付费用使得许多家庭无法获得基本的孕产妇医疗保健,导致未满足的需求.
- 目前的投资还不足以实现第五个千年发展目标对孕产妇健康的目标.
研究的目的:
- 倡导政策变化,以改善获得经济有效的孕产妇健康服务的机会.
- 确定提高弱势群体对孕产妇医疗保健的需求和供应的战略.
- 评估实现普遍产妇健康覆盖所需的资源需求和财务机制.
主要方法:
- 对产妇健康的使用费,保险和优惠券计划的现有证据的审查.
- 对获得孕产妇医疗保健的经济障碍的分析.
- 检查全球和国家层面对孕产妇健康的资源需求.
主要成果:
- 有证据支持取消使用费和普遍覆盖母婴,特别是分娩,护理.
- 政府必须补偿因废除费用而损失的收入,并将产妇护理纳入保险套餐.
- 针对交通和时间成本的有针对性的财政援助,以及优惠券计划,需要进一步的研究和评估.
结论:
- 为了扩大产妇健康服务,需要大幅增加资源和战略性财政干预.
- 国家一级的预算发展和增加捐助者资金对于弥合资源差距至关重要.
- 改善资源跟踪对于实现孕产妇健康千年发展目标的问责至关重要.
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