Health Financing in the Republic of Gabon.

Front Cover -- Title Page -- Copyright Page -- Contents -- Foreword -- Acknowledgments -- About the Authors -- Abbreviations -- Executive Summary -- Background -- Positive Developments in Gabon's Path to Universal Health Coverage -- Gabon in Perspective -- Next Steps in Gabon's Path to Universal Health Coverage -- What Could Work Better -- Note -- Chapter 1 Background and Objectives -- Economic Background -- Population Dynamics and Demographic Changes -- Epidemiological Changes -- Health Service Infrastructure -- Health Service Providers -- Health Policy and Strategy -- Historical Perspective on the Evolution of Health Financing Reform -- Book Objectives -- Notes -- Chapter 2 Health Outcomes, and Use of Health Services -- Introduction -- Key Findings -- Health Outcomes -- Health Service Use -- Summary -- Notes -- Chapter 3 Health Financing -- Introduction -- Key Findings -- Global Comparisons -- Health Financing Functions -- Sources of Health Financing -- Spending Patterns for Public Financing for Health -- Summary -- Notes -- Chapter 4 National Health Insurance Program -- Introduction -- Key Findings -- Historical Perspective -- Coverage -- Benefits Package -- Purchasing of Services -- Payment Mechanism and Verification -- Sources of Financing -- Spending Patterns -- Reserves or Net Savings -- What Has the NHIP Reform Achieved? -- Summary -- Notes -- Chapter 5 Assessing Costs and Options for Bridging the Coverage Gaps -- Introduction -- Key Findings -- Costing the CNAMGS Expansion of Coverage -- Defining Fiscal Space for Health -- Favorable Macroeconomic Conditions -- Reprioritizing Health within Government Spending -- Generating Additional Earmarked Resources for Health -- Official Development Assistance for Health -- Increasing Efficiency of Government Health Spending -- Summary -- Notes -- Chapter 6 Key Reform Issues and Policy Options.

Introduction -- Key Reform Issues -- How Can Gabon's Health Spending Achieve Value for the Money? -- Lessons to Be Learnt from Other Countries Around the Globe -- Recommendations for Future Studies -- Notes -- Appendix A International Comparisons on Health Spending Levels -- Appendix B Simulations -- Appendix C Health and Revenue Benefits of Tobacco Excise Policies -- Appendix D Short and Medium Term Reform Consideration -- Bibliography -- Boxes -- Figures -- Tables -- Back Cover.

Gabon is an upper middle income country, with reasonable spending on health, however, its health outcomes resemble that of a country that is low / low-middle income. Where has Gabon gone wrong, and what are the challenges that Gabon is facing in improving health outcomes? Gabon is an emerging economy, while it has achieved high economic development it still has not achieved living standards and health outcomes seen in upper middle income countries. Gabon faces low life expectancy (63 years), levels as seen in other low income countries. It is in an early stage of an epidemiological transition. Fertility rates remain high, and mortality rates are starting to decline. It has a high burden from communicable diseases. While HIV incidence and tuberculosis incidence has started to show positive results, Malaria incidence continues to remain high. There are cost-effective interventions available to prevent many of the communicable diseases the country faces. These interventions require multi-sector approaches, behavioral change programs, outreach services, community development, and a primary health care focus.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.