Type | Thesis or Dissertation - Master's Thesis |
Title | A Case Study of Jamaica's Health Financing System and Its Impact on the Performance of the General Health System |
Author(s) | |
Publication (Day/Month/Year) | 2010 |
URL | http://www.search4dev.nl/download/396315/338388.pdf |
Abstract | This Paper aims to outline Jamaica’s health financing system by describing how it carries out the various functions to achieve its objectives and determine whether achievements have had any impact on the performance of the general health system. The Study is based on a desk review of policy and budgetary documents and augmented with personal experience of the Jamaican health sector. Results show that the Jamaica’s health financing system carries out its functions primarily through the Ministry of Health. Revenue collection mainly occurs domestically via general and ear marked taxes. Pooling arrangements within the context of national funds tend to focus on drug provision. Government purchasing is mainly passive. The financing system appears to have contributed to an improvement in the health status of the population by prioritizing the main health problems and granting universal access to public health facilities, however, pooling strategies seem to have led to demand - side misuse that highlight and perpetuate supply - side constraints. Recommendations made include pooling out - of - private expenditure to stimulate a social health insurance scheme, using already existing Global Fund amenities and expanding access to local resources such as the National Health Fund. Strategies discussed to improve performance are gate keeping, integration of financing strategies to remove duplication, and further inclusion of the private sector through contracting. |
» | Jamaica - Survey of Living Conditions 2002 |
» | Jamaica - Survey of Living Conditions 2007 |
» | Jamaica - Survey of Living Conditions 2008 |
» | Jamaica - Survey of Living Conditions 2009 |