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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]; Collection Title: * World Bank Institute (WBI)
Country:Turkmenistan; Tajikistan; Kazakhstan; Azerbaijan; Uzbekistan; Kyrgyz Republic; Romania; Date Stored:2002/09/19
Document Date:1998/12/31Document Type:Publication
SubTopics:Regional Rural Development; Health Systems Development & Reform; Health Monitoring & Evaluation; Health Economics & Finance; Agricultural Knowledge and Information SystemsISBN:ISBN 0-8213-4337-8
Language:EnglishMajor Sector:(Historic)Health, Nutrition & Population
Region:Europe and Central AsiaReport Number:18787
Sub Sectors:(Historic)Primary health, including reproductive health, child health and healthVolume 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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