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Implementing health sector reform in Central Asia : papers from an EDI Health Policy Seminar held in Ashgabat, Turkmenistan, June 1996, Volume 1
Author:Feachem, Zuzana; Hensher, Martin; Rose, Laura [editors]; Country:Turkmenistan; Tajikistan; Kazakhstan; Azerbaijan; Uzbekistan; Kyrgyz Republic; Romania;
Date Stored:2002/09/19Document Date:1998/12/31
Document Type:PublicationSubTopics:Regional Rural Development; Health Systems Development & Reform; Health Monitoring & Evaluation; Health Economics & Finance; Agricultural Knowledge and Information Systems
ISBN:ISBN 0-8213-4337-8Language:English
Major Sector:(Historic)Health, Nutrition & PopulationRegion:Europe and Central Asia
Report Number:18787Sub Sectors:(Historic)Primary health, including reproductive health, child health and health
Collection Title: * World Bank Institute (WBI)Volume No:1

Summary: The theme of the Ashgabat seminar and this publication is implementing health sector reform in Central Asia. The seminar focused on topics central to restructuring health sector financing and health care delivery. Ways to maintain and improve the population's health status while preventing rapid escalation of health care expenditure were recurrent themes, with three key dimensions being discussed. The first dimension concerned ways to raise additional revenues for health. Related topics included the "do's" and "dont's" of implementing user fees, establishing formal health insurance, and improving public-private collaboration. The second dimension concerned ways to use existing resources more effectively. Related topics included reorienting resources toward primary care; improving hospital efficiency; and understanding the respective roles of federal authorities, subfederal authorities, and agencies in regulation and accountability in connection with mechanisms for setting prices and making payments. The third dimension concerned the political economy of reform and the wider environment in which health sector restructuring takes place. Related topics included, consensus building among stakeholders, legislative processes, and the role of the professions.

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