Health financing in developing and transitional countries: Briefing paper for Oxfam GB
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Witter, S. (2001) Health financing in developing and transitional countries: Briefing paper for Oxfam GB, no. 56, York.
This paper aims to provide concise analysis of the main systems which are currently used for paying for health care services in developing and transitional countries. The goal is to give a clear framework for Oxfam and other NGO staff of the main features of health financing systems, and what issues to consider in different contexts. Lessons will be drawn from examples. Given the variety of settings, however, it will not be possible to make definitive recommendations of 'best systems' - only to highlight learning to date. Health financing will be discussed here mainly in terms of raising revenue, with only brief treatment given to how that revenue is spent (which leads into a number of important but separate topics, such as purchasing, organisation of services, priority setting, and payment systems. All of these have important implications for health service goals, and are linked to, but different from, fund-raising issues).