National Health Accounts

1
National Health Accounts

• comprehensive
• includes all the main components of the health
  care system
• multidimensional
• expenditures and services
• time, geography, age
• consistent classification
• common set of definitions
• flexible sub-categories
• represent important policy-relevant dimension
• coherent/accurate
• must fit into two separate dimensions

2
NHA Matrices
1. Sources of Funds for Health Care to Financing
Agents (S x FA) 2. Allocation across Health
Care Functions by Payers/Purchasers (FA x F) 3.
Allocation to Health Care Providers by
Payers/Purchasers (FA x P) 4. Allocation across
Health Care Functions by Providers (P x F)
3
NHA Matrices
5. Distribution of Expenditure across Population
Age and Sex Groups (FA x A/G) 6. Distribution of
Expenditure across Geographic Regions (FA X R) 7.
Distribution of Expenditure by Socio-Economic
Status (FA x SES) 8. Financial Allocations to
Different Types of Inputs (FA x I) 9.
Distribution of Expenditure by Health
Problem/Disease (FA x D)
4
Total Health Expenditure of GDP
5
Per Capita Total Health Expenditure (THE)
6
contribution of THE by source
7
contribution of THE by source
8
Donor Health Expenditures per capita
9
Public Health Expenditures Total Govt
Expenditure
10
Per Capita Funds Donor Expenditure 15 Govt
Expenditure
11
Public Sector Exp at Tertiary Level
12
Financial Flows through Public Sector
13
Financial Flows through Intermediaries
14
Social Health Insurance in SSA

• Questions
• A major plank in health care financing reforms ?
  or
• becoming a policy in itself ?
• will it have a positive impact on services for
  the poor or exacerbate existing inequity ?
• will they attract resources towards them ?

15
Proposals for SHI

• Existing
• Kenya, Tanzania
• Proposal Stage
• South Africa, Nigeria, Zimbabwe, Ghana, Malawi
• Uganda
• Goal of universal eligibility BUT
• planned membership is phased with civil servants
  formal sector

16
(No Transcript)