Preliminary policy note on assessment of the health services delivery system in light of proposed universal insurance scheme'
| dc.contributor.author | World Bank | |
| dc.contributor.author | ވޯލްޑު ބޭންކު | |
| dc.date.accessioned | 2020-01-16T06:05:51Z | |
| dc.date.available | 2020-01-16T06:05:51Z | |
| dc.date.issued | 2011-09 | |
| dc.identifier.citation | World Bank. (2011). Preliminary policy note on assessment of the health services delivery system in light of proposed universal insurance scheme'. | |
| dc.identifier.uri | http://saruna.mnu.edu.mv/jspui/handle/123456789/6104 | |
| dc.language.iso | en | en_US |
| dc.publisher | World Bank | en_US |
| dc.publisher | ވޯލްޑު ބޭންކު | en_US |
| dc.relation.ispartofseries | Maldives health policy notes;3 | |
| dc.title | Preliminary policy note on assessment of the health services delivery system in light of proposed universal insurance scheme' | en_US |
| dc.type | Article | en_US |
| dcterms.abstract | In 20 I 0, the Government of Maldives (GoM) initiated a policy of corporatization of the public health delivery system. This Note considers the potential for this reform strategy to contribute to the aims of universal health coverage based upon an initial review by the World Bank. A conclusion is that these corporations do not appear ready to contribute effectively to the aims ofa universal health insurance scbeme, and represent the weakest link in the overall reform effort. Policymakers and planners may need to direct much more attention to the service delivery components ofthe scheme than has been the case to date. In practice, the corporations continue to behave similarly to public budgetary organizations, as budgetary grants, largely unlinked to perfonnance, continue to form the bulk of their resources. The corporations collect the same routine data mandated by the Ministry of Health and Family (MOHF) for all health facilities prior to corporatization, but do not appear to analyze the information; basic data on quality and patient satisfaction are apparently absent. However, we conclude that the Health Service Corporations (HSCs) have the potential to reorganize service delivery to provide high quality care efficiently, however they will need considerable technical support to build capacity to manage the facilities and improve perfonnance. There does not appear to be any legislation, policy or legal instrument that underlies the Memoranda of Agreement (MoA) between the GoM and HSCs, suggesting that this initiative can be undone as fast as it was constructed. The agreements themselves lack any specifications related to service delivery expected from the corporations. A perfonnance monitoring system within the government that would monitor the HSCs on a regular basis is lacking. There is clearly a need to establish coordinated lines of accountability with the corporations to monitor and improve their perfonnance. There is also an urgent need to define and strengthen primary care so as to improve its gate keeper role and to reduce the hospital centric nature of the Maldivian health service system. The corporations lack human resource management capacity to set strategies or perfonn core managerial functions and the current infrastructure may be both overbuilt and underutilized. This suggests that the new universal scheme may incorporate a high level of inefficiency in their initial costing and pricing. The policy brief proposes some recommendations and areas for furtber analysis in order to better ensure that the corporatization contributes to the GOM's objectives for the health sector. |
Files
Original bundle
1 - 1 of 1
- Name:
- Preliminary policy note on assessment of the health services delivery system in light of proposed universal insurance scheme.pdf
- Size:
- 2.1 MB
- Format:
- Adobe Portable Document Format
- Description:
License bundle
1 - 1 of 1
No Thumbnail Available
- Name:
- license.txt
- Size:
- 1.71 KB
- Format:
- Item-specific license agreed upon to submission
- Description: