health care financing strategy: towards universal health coverage md. ashadul islam director general...
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Health Care Financing Strategy:Health Care Financing Strategy:Towards Universal Health CoverageTowards Universal Health Coverage
Md. Ashadul IslamDirector General
Health Economics UnitMinistry of Health and Family Welfare
Strategic ObjectivesStrategic Objectives
1. Generate more resources for health2. Improve equity and increase health care
access especially for the poor and vulnerable3. Enhance efficiency in resource allocation and
utilization
Strategic InterventionsStrategic Interventions
1. Design and implement Social Health Protection Scheme
2. Strengthen financing and provision of public health services
3. Strengthen national capacity
LEGISLATIONLEGISLATION
• National Health Protection Act– Drafted– Disseminated – Available in www.heu.gov.bd for comments– Translated into Bangla
• Accreditation Law– Drafted – Translated into Bangla
Developed an Implementation PlanDeveloped an Implementation Plan
• An Implementation Plan developed for 2 years• This plan is costed and disseminated to
development partners
DISEASE IDENTIFICATION ACCORDING DISEASE IDENTIFICATION ACCORDING TO THE LEVEL OF SERVICE DELIVERYTO THE LEVEL OF SERVICE DELIVERY• According to ICD-10 codes• 14500 diseases reviewed • Based on their incidence, prevalence and
expert opinion diseases were categorized level wise. (primary, secondary, tertiary)
BENEFIT PACKAGE IDENTIFICATIONBENEFIT PACKAGE IDENTIFICATION
• SSK - Completed• RMG – completed and WTP study is in plan
PRICING THE MANAGEMENT OF DISEASEPRICING THE MANAGEMENT OF DISEASE
• Some Management guidelines are completed• Identification of Management guideline is in
the process.• Price analysis is going on
ACCREDITATION ACCREDITATION
• HEU led the accreditation system in – – Hospital service – Medical education
HEALTH CARE QUALITY IMPROVEMENTHEALTH CARE QUALITY IMPROVEMENT
• HEU led health care service quality in - – Quality improvement strategy– Quality improvement cell– Quality improvement secretariat
DEVELOPMENT OF HEALTH CARE STANDARDDEVELOPMENT OF HEALTH CARE STANDARD
• HEU is developing health care standard – – Primary level service standard – Secondary level service standard– Tertiary level service standard
Service Quality standard according to Service Quality standard according to level of service led by 3 ex-DG, DGHSlevel of service led by 3 ex-DG, DGHS
UNIVERSAL HEALTH COVERAGE (UHC) UNIVERSAL HEALTH COVERAGE (UHC) MONITORING TOOLS MONITORING TOOLS
• Indicators identified– Health service– Financial Protection
• Baseline data collected
COMMUNICATION STRATEGY OF UHC DEVELOPED
• Meeting with Journalist• Documentary film is in process• Wide dissemination among health managers
conducted– Among health care professionals– Professional bodies
RESOURCE ALLOCATION FORMULA RESOURCE ALLOCATION FORMULA (RAF)(RAF)
• RAF developed• Widely disseminated• Software developed• Will pilot in LLP district
UHC MARKETINGUHC MARKETING
• Dissemination of UHC at the – Ministerial level– Directorate level– Medical colleges– Professional bodies– Civil society– Different stakeholders
With Journalist
HEALTH PROTECTION FUND FOR POOR – HEALTH PROTECTION FUND FOR POOR – SSKSSK
• Census Completed• Benefit Package identified• Management guidelines are finalized• BPL identified-primarily• Union Committee validation is ongoing• Implementation consultant group employed
HEALTH PROTECTION FUND FOR POOR – SSKHEALTH PROTECTION FUND FOR POOR – SSK
• Control Group is identified– Census is ongoing
• Base line research is ongoing – Methodology finalized– Household survey – Exit interview– Facility survey– FGD
• Consultant for IT and Financial is in the process
IT STRUCTURE FOR HEALTH INSURANCEIT STRUCTURE FOR HEALTH INSURANCE
• Concept shared with IT expert from – Oslo University– DHIS2 team– PATH
• Development of UHC indicator dashboard is ongoing
READY MADE GARMENTS – HEALTH READY MADE GARMENTS – HEALTH INSURANCE PROJECTINSURANCE PROJECT
• Benefit package developed• Baseline work completed• Willingness To Pay study is to be done
CIVIL SERVANT HEALTH INSURANCE CIVIL SERVANT HEALTH INSURANCE SCHEMESCHEME
• Concept paper is in development process• Benefit package is in development process
NATIONAL HEALTH ACCOUNTSNATIONAL HEALTH ACCOUNTS
• 4th round completed – BNHA 1997-2012• Technical working committee and Stakeholder
coordination committee endorsed the updated BNHA framework and estimates
• Meeting of national steering committee is in process
• Dissemination at national and divisional level will be done from this month
RESEARCH - OngoingRESEARCH - Ongoing
• Baseline evaluation of SSK• Health In All Policies• Health Care Seeking Behavior of Urban Slum
People
COLLABORATIONCOLLABORATION
• Institute of Health Economics, Dhaka University
• WHO• icddr,b• GIZ• KfW• Rockefeller foundation
Future PlanFuture Plan
Short term• Enactment of national health protection Act• Develop Roadmap for achieving UHC in
Bangladesh• Start the SSK pilot project• Start the RMG pilot project• Resource allocation formula piloting• Finalize the civil service insurance packages
Future PlanFuture Plan
Mid Term• Restructure and reorganization of HEU• Start the health insurance package for civil
servant• Ensure quality health care services