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O’Donnell O., van Doorslaer, E., Rannan-Eliya, R.P., Somanathan, A., Adhikari, S.R., Harbianto, D., Garg, C.C., et al. (2007) The incidence of public spending on healthcare: Comparative evidence from Asia. The World Bank Economic Review, 21, 93-123. doi:10.1093/wber/lhl009

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• TITLE: Choices of health care financing schemes for resource poor country: An analysis of Nepal’s experiences

  AUTHORS: Shiva Raj Adhikari

  KEYWORDS: Health Care Financing; Benefit Incidence; Cost; Poor; Nepal

  JOURNAL NAME: Health, Vol.5 No.8, August 6, 2013

  ABSTRACT: An appropriate health care financing scheme can improve the efficient, equitable, and effective use of health care resources; however, each popular health care financing scheme has some advantages and disadvantages. The designing of health care financing strategy to fit with the country specific features is not straightforward. In resource poor country, allocation of resources for health care services are always critical and frequently unstable due to nuances annual budget process, small fiscal space, uncertainties in contributions of external development partners. Considerable quantities of country specific researches require for the choice of an appropriate health care financing scheme. The paper illustrates possible better options for the government to pursue the goal of ensuring that the poor receive more benefits. The paper compares the benefit incidences and cost of services with different options purposed for primary health care services by utilizing recently collected data from different hospitals in Nepal. The paper offers an alternative policy such as a universal free care below the district level services; but in the district level which is top level of primary care, “extended targeted free health care” may be an efficient, fair, and relatively simple approach.