Wahyudi,

This is a very interesting subject because financing in other countries related to healthcare is administered in many ways. The United States currently ranks 37th related to overall healthcare and systems. I believe France has the number one health care system globally. I did a global page on my website at http://www.healthinsights.org you may find resources related to such systems. You might need to extrapolate best practices from some of the other countries to learn about what to do in developing countries which have problems with air, water, septic systems etc.

Michele

Thanks a lot for the information.

Dear Kumorotoko,

You may find the attached useful to your poser:

Accept my best regards!

Adeleke IT

020636H

There are NOT any best financial model for universal health coverage - it is always a trade-off, if everyone is covered at the same level, high revenue costs/taxes and wastage will be inevitable; but without it, most people will get poorer as they grow old i.e. healthcare costs are expensive without government intervention. So a compromise seems to be: Government make sure of a basi chealthcare (which is universally provided) through public expenditure, so that all people will get basic healthcare especially as emergencies arrive. However, individuals should also be made responsible for paying some of the basic healthcare costs, while allowed to take on a top up insurance plan for better (mostly in the forms of exercising certain options or speedier medical treatments). Strengthening of a balanced public-private system is also a way to offer more choices to those who are willing to pay more.

Health care finance is a major challenge to achieve universal health coverage. However, with the right policy in place, the challenge can be tackled and its effect mitigated. Ethiopia has introduced a policy of governing health facilities through the use of boards. The major task of the board is to ensure better fund retention and utilization. Instead of depending on government and its partners, the catchment population accessing services pays part of the bill required of a health care service received. Well to do members of the community are encouraged to support the health facility that they make use through donation including the Diasporas. Hospitals are also encouraged to generate income by opening private wing where the rich pay competitive price for the service they receive in health care. The poor are allowed to get free medication of the same quality delivered at the private wing. As more people improve in their income they join those that partially and as well fully pay money for health care they get. On the one side there is poverty mitigation and elimination strategies in place, on the other hand people are learning to share their medical expenses. Those illnesses that have broader impact are delivered for free and the struggle is to make communities free from such diseases such as HIV/AIDS, malaria, TB, trachoma and other infectious illnesses, maternal and held health related.

With regards to chronic / non communicable illnesses the challenge is serious. Associations are being formed to raise awareness of members suffering from diabetes, heart related illnesses, hypertension and the like. Promotion works on dieting, physical exercises, minimizing stress are being done. The cost of such illnesses remains unbearable and the challenge is serious in achieving universal health coverage.

Mr Kumorotomo good morning,

I believe you could find the attached file helpful.  Good luck in your struggle.