Maternal Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey
Although Lao PDR has made notable progress in improving maternal and child health (MCH), attainment of the Millennium Development Goal 5 (MDG5) still remains a challenge. This is largely due to the barriers imposed by financial restrictions. In ord...
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| Format: | Other Health Study |
| Language: | English en_US |
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Washington, DC
2014
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| Online Access: | http://hdl.handle.net/10986/16742 |
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okr-10986-167422017-12-14T04:01:58Z Maternal Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey World Bank ACCESS TO HEALTH CARE ACCESS TO HEALTH CARE SERVICES ACCESSIBILITY AGED ANTENATAL CARE BABY BIRTH ATTENDANT BIRTH ATTENDANTS BIRTH RATES CAESAREAN SECTION CAESAREAN SECTIONS CAPITATION CARE FOR CHILDREN CHILD HEALTH CHILD HEALTH SERVICES CHILDBIRTH COMMUNITIES COMMUNITY HEALTH COMPLICATED PREGNANCIES COMPLICATIONS CROSSING CULTURAL PRACTICES DESCRIPTION DEVELOPING COUNTRIES DISSEMINATION DISTRICTS DRUGS ECONOMIC STATUS ECONOMIES OF SCALE ELASTICITY ELASTICITY OF DEMAND EMERGENCIES EMPOWERMENT OF WOMEN EQUAL ACCESS ETHNIC GROUP EXPENDITURES FAMILY MEMBERS FAMILY PLANNING FAMILY PLANNING SERVICES FAMILY SIZE FEE FOR SERVICE FEMALE FERTILITY FERTILITY RATES FINANCIAL INCENTIVE FINANCIAL MANAGEMENT FIXED CHARGES FIXED COSTS FIXED FEE FORMAL EDUCATION GENDER HEALTH CARE HEALTH CARE FACILITIES HEALTH CARE SERVICES HEALTH CENTERS HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH POLICY HEALTH PROVIDERS HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICE HEALTH SERVICE UTILIZATION HEALTH SERVICES HOSPITAL HOSPITAL BIRTHS HOSPITAL DELIVERIES HOSPITALIZATION HOSPITALS HOUSEHOLD LEVEL HOUSEHOLD SIZE HOUSEHOLDS ILLNESS INCOME INDIVIDUAL HEALTH INDUCED DEMAND INFANT INFECTION PREVENTION INFORMATION CAMPAIGNS INSURANCE SCHEMES INTERNATIONAL COMPARISONS INTERVENTION INTERVENTIONS IRON ISOLATION JOURNEY LEGAL STATUS LIVE BIRTHS MANAGEMENT OF PATIENTS MATERNAL HEALTH MATERNAL HEALTH SERVICES MATERNAL MORTALITY MATERNAL MORTALITY RATES MATERNITY SERVICES MEDICAL EXPENSES MEDICINES MIDWIFE MINISTRY OF HEALTH MORTALITY MOTHER NATIONAL POPULATION NATURAL RESOURCES NEWBORNS NUMBER OF PERSONS NURSE NUTRITION OBSTETRIC CARE OUTPATIENT SERVICES PATIENT PATIENTS PEOPLE WITH DISABILITIES POLICY IMPLICATIONS POPULATION DISTRIBUTION POSTNATAL CARE PREGNANCIES PREGNANCY PREGNANT WOMAN PREGNANT WOMEN PRIMARY CARE PRIMARY SCHOOL PROGRESS PROVIDER PAYMENT PROVINCIAL HOSPITAL PROVINCIAL HOSPITALS PUBLIC HEALTH QUALITY OF CARE QUALITY OF HEALTH QUALITY OF SERVICES REFERRAL SYSTEM RESPECT ROAD ROUND TRIP RURAL AREAS RURAL COMMUNITIES RURAL RESIDENCE SANITATION SANITATION FACILITIES SECONDARY EDUCATION SERVICE PROVIDER SERVICE PROVISION SERVICE QUALITY SERVICE UTILIZATION SKILLED ATTENDANT SKILLED BIRTH ATTENDANTS SOCIAL HEALTH INSURANCE SOCIAL SECURITY TRADITIONAL BIRTH ATTENDANTS TRANSPARENCY TRANSPORT TRANSPORT COSTS TRANSPORTATION TRANSPORTATION COSTS TRAVEL TIME TRIP DISTANCE TRIPS TRUE UNIVERSAL PRIMARY EDUCATION USER FEES VAGINAL DELIVERY VILLAGE DEVELOPMENT VILLAGES WEALTH WORKERS Although Lao PDR has made notable progress in improving maternal and child health (MCH), attainment of the Millennium Development Goal 5 (MDG5) still remains a challenge. This is largely due to the barriers imposed by financial restrictions. In order to address these financial barriers, the Government of Lao PDR has introduced a national free MCH policy. However, certain non-financial barriers are also impediments to the achievement of this goal, such as physical access to remote communities, especially during rainy season, cultural practices and beliefs, and poor educational outcomes. In seeking to inform the implementation and scale-up of this national free MCH policy at this crucial initial stage, this paper reports on findings from a household, village and health center survey The policy implications of the findings from the survey are: 1) although financial protection implied by the national free MCH policy is strong, reducing financial barriers alone would not be sufficient to increase the utilization of services, 2) this policy has the potential to be regressive due to the higher utilization of MH services by wealthier households, 3) health providers at all levels of health facilities would experience substantial marginal decreases in revenue, given the reimbursement schedules under the national free MCH policy, and 4) the supply-side readiness and management capacity of health centers needs to be improved. This paper is organized to present the background context, analyses, the equity of MH service utilization, the supply-side perspective, and key findings and recommendations. 2014-01-30T19:37:28Z 2014-01-30T19:37:28Z 2013-10 http://hdl.handle.net/10986/16742 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work :: Other Health Study Economic & Sector Work East Asia and Pacific Lao People's Democratic Republic |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
World Bank |
| building |
World Bank Open Knowledge Repository |
| collection |
Online Access |
| language |
English en_US |
| topic |
ACCESS TO HEALTH CARE ACCESS TO HEALTH CARE SERVICES ACCESSIBILITY AGED ANTENATAL CARE BABY BIRTH ATTENDANT BIRTH ATTENDANTS BIRTH RATES CAESAREAN SECTION CAESAREAN SECTIONS CAPITATION CARE FOR CHILDREN CHILD HEALTH CHILD HEALTH SERVICES CHILDBIRTH COMMUNITIES COMMUNITY HEALTH COMPLICATED PREGNANCIES COMPLICATIONS CROSSING CULTURAL PRACTICES DESCRIPTION DEVELOPING COUNTRIES DISSEMINATION DISTRICTS DRUGS ECONOMIC STATUS ECONOMIES OF SCALE ELASTICITY ELASTICITY OF DEMAND EMERGENCIES EMPOWERMENT OF WOMEN EQUAL ACCESS ETHNIC GROUP EXPENDITURES FAMILY MEMBERS FAMILY PLANNING FAMILY PLANNING SERVICES FAMILY SIZE FEE FOR SERVICE FEMALE FERTILITY FERTILITY RATES FINANCIAL INCENTIVE FINANCIAL MANAGEMENT FIXED CHARGES FIXED COSTS FIXED FEE FORMAL EDUCATION GENDER HEALTH CARE HEALTH CARE FACILITIES HEALTH CARE SERVICES HEALTH CENTERS HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH POLICY HEALTH PROVIDERS HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICE HEALTH SERVICE UTILIZATION HEALTH SERVICES HOSPITAL HOSPITAL BIRTHS HOSPITAL DELIVERIES HOSPITALIZATION HOSPITALS HOUSEHOLD LEVEL HOUSEHOLD SIZE HOUSEHOLDS ILLNESS INCOME INDIVIDUAL HEALTH INDUCED DEMAND INFANT INFECTION PREVENTION INFORMATION CAMPAIGNS INSURANCE SCHEMES INTERNATIONAL COMPARISONS INTERVENTION INTERVENTIONS IRON ISOLATION JOURNEY LEGAL STATUS LIVE BIRTHS MANAGEMENT OF PATIENTS MATERNAL HEALTH MATERNAL HEALTH SERVICES MATERNAL MORTALITY MATERNAL MORTALITY RATES MATERNITY SERVICES MEDICAL EXPENSES MEDICINES MIDWIFE MINISTRY OF HEALTH MORTALITY MOTHER NATIONAL POPULATION NATURAL RESOURCES NEWBORNS NUMBER OF PERSONS NURSE NUTRITION OBSTETRIC CARE OUTPATIENT SERVICES PATIENT PATIENTS PEOPLE WITH DISABILITIES POLICY IMPLICATIONS POPULATION DISTRIBUTION POSTNATAL CARE PREGNANCIES PREGNANCY PREGNANT WOMAN PREGNANT WOMEN PRIMARY CARE PRIMARY SCHOOL PROGRESS PROVIDER PAYMENT PROVINCIAL HOSPITAL PROVINCIAL HOSPITALS PUBLIC HEALTH QUALITY OF CARE QUALITY OF HEALTH QUALITY OF SERVICES REFERRAL SYSTEM RESPECT ROAD ROUND TRIP RURAL AREAS RURAL COMMUNITIES RURAL RESIDENCE SANITATION SANITATION FACILITIES SECONDARY EDUCATION SERVICE PROVIDER SERVICE PROVISION SERVICE QUALITY SERVICE UTILIZATION SKILLED ATTENDANT SKILLED BIRTH ATTENDANTS SOCIAL HEALTH INSURANCE SOCIAL SECURITY TRADITIONAL BIRTH ATTENDANTS TRANSPARENCY TRANSPORT TRANSPORT COSTS TRANSPORTATION TRANSPORTATION COSTS TRAVEL TIME TRIP DISTANCE TRIPS TRUE UNIVERSAL PRIMARY EDUCATION USER FEES VAGINAL DELIVERY VILLAGE DEVELOPMENT VILLAGES WEALTH WORKERS |
| spellingShingle |
ACCESS TO HEALTH CARE ACCESS TO HEALTH CARE SERVICES ACCESSIBILITY AGED ANTENATAL CARE BABY BIRTH ATTENDANT BIRTH ATTENDANTS BIRTH RATES CAESAREAN SECTION CAESAREAN SECTIONS CAPITATION CARE FOR CHILDREN CHILD HEALTH CHILD HEALTH SERVICES CHILDBIRTH COMMUNITIES COMMUNITY HEALTH COMPLICATED PREGNANCIES COMPLICATIONS CROSSING CULTURAL PRACTICES DESCRIPTION DEVELOPING COUNTRIES DISSEMINATION DISTRICTS DRUGS ECONOMIC STATUS ECONOMIES OF SCALE ELASTICITY ELASTICITY OF DEMAND EMERGENCIES EMPOWERMENT OF WOMEN EQUAL ACCESS ETHNIC GROUP EXPENDITURES FAMILY MEMBERS FAMILY PLANNING FAMILY PLANNING SERVICES FAMILY SIZE FEE FOR SERVICE FEMALE FERTILITY FERTILITY RATES FINANCIAL INCENTIVE FINANCIAL MANAGEMENT FIXED CHARGES FIXED COSTS FIXED FEE FORMAL EDUCATION GENDER HEALTH CARE HEALTH CARE FACILITIES HEALTH CARE SERVICES HEALTH CENTERS HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH POLICY HEALTH PROVIDERS HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICE HEALTH SERVICE UTILIZATION HEALTH SERVICES HOSPITAL HOSPITAL BIRTHS HOSPITAL DELIVERIES HOSPITALIZATION HOSPITALS HOUSEHOLD LEVEL HOUSEHOLD SIZE HOUSEHOLDS ILLNESS INCOME INDIVIDUAL HEALTH INDUCED DEMAND INFANT INFECTION PREVENTION INFORMATION CAMPAIGNS INSURANCE SCHEMES INTERNATIONAL COMPARISONS INTERVENTION INTERVENTIONS IRON ISOLATION JOURNEY LEGAL STATUS LIVE BIRTHS MANAGEMENT OF PATIENTS MATERNAL HEALTH MATERNAL HEALTH SERVICES MATERNAL MORTALITY MATERNAL MORTALITY RATES MATERNITY SERVICES MEDICAL EXPENSES MEDICINES MIDWIFE MINISTRY OF HEALTH MORTALITY MOTHER NATIONAL POPULATION NATURAL RESOURCES NEWBORNS NUMBER OF PERSONS NURSE NUTRITION OBSTETRIC CARE OUTPATIENT SERVICES PATIENT PATIENTS PEOPLE WITH DISABILITIES POLICY IMPLICATIONS POPULATION DISTRIBUTION POSTNATAL CARE PREGNANCIES PREGNANCY PREGNANT WOMAN PREGNANT WOMEN PRIMARY CARE PRIMARY SCHOOL PROGRESS PROVIDER PAYMENT PROVINCIAL HOSPITAL PROVINCIAL HOSPITALS PUBLIC HEALTH QUALITY OF CARE QUALITY OF HEALTH QUALITY OF SERVICES REFERRAL SYSTEM RESPECT ROAD ROUND TRIP RURAL AREAS RURAL COMMUNITIES RURAL RESIDENCE SANITATION SANITATION FACILITIES SECONDARY EDUCATION SERVICE PROVIDER SERVICE PROVISION SERVICE QUALITY SERVICE UTILIZATION SKILLED ATTENDANT SKILLED BIRTH ATTENDANTS SOCIAL HEALTH INSURANCE SOCIAL SECURITY TRADITIONAL BIRTH ATTENDANTS TRANSPARENCY TRANSPORT TRANSPORT COSTS TRANSPORTATION TRANSPORTATION COSTS TRAVEL TIME TRIP DISTANCE TRIPS TRUE UNIVERSAL PRIMARY EDUCATION USER FEES VAGINAL DELIVERY VILLAGE DEVELOPMENT VILLAGES WEALTH WORKERS World Bank Maternal Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey |
| geographic_facet |
East Asia and Pacific Lao People's Democratic Republic |
| description |
Although Lao PDR has made notable
progress in improving maternal and child health (MCH),
attainment of the Millennium Development Goal 5 (MDG5) still
remains a challenge. This is largely due to the barriers
imposed by financial restrictions. In order to address these
financial barriers, the Government of Lao PDR has introduced
a national free MCH policy. However, certain non-financial
barriers are also impediments to the achievement of this
goal, such as physical access to remote communities,
especially during rainy season, cultural practices and
beliefs, and poor educational outcomes. In seeking to inform
the implementation and scale-up of this national free MCH
policy at this crucial initial stage, this paper reports on
findings from a household, village and health center survey
The policy implications of the findings from the survey are:
1) although financial protection implied by the national
free MCH policy is strong, reducing financial barriers alone
would not be sufficient to increase the utilization of
services, 2) this policy has the potential to be regressive
due to the higher utilization of MH services by wealthier
households, 3) health providers at all levels of health
facilities would experience substantial marginal decreases
in revenue, given the reimbursement schedules under the
national free MCH policy, and 4) the supply-side readiness
and management capacity of health centers needs to be
improved. This paper is organized to present the background
context, analyses, the equity of MH service utilization, the
supply-side perspective, and key findings and recommendations. |
| format |
Economic & Sector Work :: Other Health Study |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Maternal Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey |
| title_short |
Maternal Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey |
| title_full |
Maternal Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey |
| title_fullStr |
Maternal Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey |
| title_full_unstemmed |
Maternal Health Out-of-Pocket Expenditure and Service Readiness in Lao PDR : Evidence for the National Free Maternal and Child Health Policy from a Household and Health Center Survey |
| title_sort |
maternal health out-of-pocket expenditure and service readiness in lao pdr : evidence for the national free maternal and child health policy from a household and health center survey |
| publisher |
Washington, DC |
| publishDate |
2014 |
| url |
http://hdl.handle.net/10986/16742 |
| _version_ |
1610777241690570752 |