By World Bank
"A advisor to aggressive Vouchers in well-being provides instruments that could aid ensure the appropriateness of aggressive vouchers to fulfill diverse coverage ambitions. The ebook explains power merits and downsides of this process and discusses how one can carry public healthiness care subsidies that advertise potency, innovation, and responsibility. A consultant to aggressive Vouchers in future health is directed to overseas donors and overall healthiness care companies and policymakers in built and constructing international locations.
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Extra resources for A guide to competitive vouchers in health
Experience in setting up voucher schemes in diverse settings suggests that it is probably better to begin with small schemes and gradually win support within the ministry of health for expansion, once all of the “teething” problems have been addressed and 38 | A Guide to Competitive Vouchers in Health the program is running effectively. Once officials can see that a scheme leads to improved services for poor and vulnerable groups and that competition between the public and private sector can benefit both, it becomes easier to win support for program expansion.
JUSTIFYING THE USE OF A VOUCHER SCHEME Why are subsidies needed to address the problem? What will the subsidies be used for? Is there evidence that such expenditures are cost effective? Could the subsidies be used more effectively in addressing other health sector problems? Subsidies are justified when the market fails to achieve social goals—a common phenomenon in the health sector. Externalities such as the social costs of high birth rates and communicable disease, socioeconomic inequalities in health, and the risks of catastrophic health care costs are often cited as justifications for subsidies.
In a donor-sponsored voucher scheme designed for the prevention of HIV/AIDS in Honduras, failure to secure political support from the outset meant that although funding was secured, the project was eventually abandoned in favor of a traditional supply-side subsidy approach. Source: Instituto Centroamericano de la Salud. Voucher schemes for health are virtually unheard of in most countries. Legitimate concerns about potential abuses of the scheme (black markets, collusion between service providers and distributors, counterfeiting) can take on exaggerated proportions.
A guide to competitive vouchers in health by World Bank