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Brian Nolan - Cost recovery in public health services in Sub-Saharan Africa

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    Cost recovery in public health services in Sub-Saharan Africa
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title Cost Recovery in Public Health Services in Sub-Saharan Africa EDI - photo 1

title:Cost Recovery in Public Health Services in Sub-Saharan Africa EDI Technical Materials
author:Nolan, Brian.; Turbat, Vincent.
publisher:World Bank
isbn10 | asin:0821332406
print isbn13:9780821332405
ebook isbn13:9780585269573
language:English
subjectPublic health--Africa, Sub-Saharan--Finance, User charges--Africa, Sub-Saharan.
publication date:1995
lcc:RA410.55N65 1995eb
ddc:338.4/336
subject:Public health--Africa, Sub-Saharan--Finance, User charges--Africa, Sub-Saharan.
Page i
EDI Technical Materials
Cost Recovery in Public Health Services in Sub-Saharan Africa
Brian Nolan
Vincent Turbat
Cost recovery in public health services in Sub-Saharan Africa - image 2
Page ii
1995 The International Bank for Reconstruction
and Development / THE WORLD BANK
1818 H Street, N.W.
Washington, D.C. 20433, U.S.A.
All rights reserved
Manufactured in the United States of America
First printing May 1995
The Economic Development Institute (EDI) was established by the World Bank in 1955 to train officials concerned with development planning, policymaking, investment analysis, and project implementation in member developing countries. At present the substance of the EDI's work emphasizes macroeconomic and sectoral economic policy analysis. Through a variety of courses, seminars, and workshops, most of which are given overseas in cooperation with local institutions, the EDI seeks to sharpen analytical skills used in policy analysis and to broaden understanding of the experience of individual countries with economic development. Although the EDI's publications are designed to support its training activities, many are of interest to a much broader audience. EDI materials, including any findings, interpretations, and conclusions, are entirely those of the authors and should not be attributed in any manner to the World Bank, to its affiliated organizations, or to members of its Board of Executive Directors or the countries they represent.
Because of the informality of this series and to make the publication available with the least possible delay, the manuscript has not been edited as fully as would be the case with a more formal document, and the World Bank accepts no responsibility for errors. Some sources cited in this paper may be informal documents that are not readily available.
The material in this publication is copyrighted. Requests for permission to reproduce portions of it should be sent to the Office of the Publisher at the address shown in the copyright notice above. The World Bank encourages dissemination of its work and will normally give permission promptly and, when the reproduction is for noncommercial purposes, without asking a fee. Permission to photocopy portions for classroom use is granted through the Copyright Clearance Center, Inc., Suite 910, 222 Rosewood Drive, Danvers, Massachusetts 01923, U.S.A.
The complete backlist of publications from the World Bank is shown in the annual Index of Publications, which contains an alphabetical title list (with full ordering information) and indexes of subjects, authors, and countries and regions. The latest edition is available free of charge from the Distribution Unit, Office of the Publisher. The World Bank, 1818 H Street, N.W., Washington, D.C. 20433, U.S.A., or from Publications, Banque mondiale, 66, avenue d'Ina, 75116 Paris, France.
Brian Nolan is an economist at the Economic and Social Research Institute, Dublin, Ireland. Vincent Turbat is a health economist in the Economic Development Institute's Human Resources Development Division.
Library of Congress Cataloging-in-Publication Data
Nolan, Brian, 1953
Cost recovery in public health services in Sub-Saharan Africa /
Brian Nolan, Vincent Turbat.
p. cm.(EDI technical materials)
Includes bibliographical references.
ISBN 0-8213-3240-6
1. Public healthAfrica, Sub-SaharanFinance. 2. User charges
Africa, Sub-Saharan. I. Turbat, Vincent. II. Title.
III. Series.
RA410.55.A357N65 1995
338.4'33621' 0967dc20 95-14406
CIP
Page iii
Contents
Foreword
v
Acknowledgments
vi
1
Introduction
1
2
Cost Recovery in Health Services in Africa: The Issues
3
Picture 3
Competing Cost Recovery Models
3
Picture 4
Resources for Health
4
Picture 5
Efficiency
7
Picture 6
Equity
10
3
Cost Recovery in Health in Africa: The Experience So Far
15
Picture 7
The Anglophone and Lusophone Countries
15
Picture 8
The Francophone Countries
31
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