Web-economic-crisis-health-systems-and-health-web
Web-economic-crisis-health-systems-and-health-web Web-economic-crisis-health-systems-and-health-web
Tajikistan Ghafur Khodjamurodov Economic trends • Tajikistan's real per capita GDP growth slowed in 2009, although it remained above the European region mean growth rate. Government spending as a share of GDP, as well as health spending as a share of total government spending are both low compared with other European countries. • Public per capita health expenditure continued to exhibit strong growth through the 2008 to 2011 period. OOP expenditure per capita declined in 2011 by 4.9% (Tajikistan: Figs 1 and 2). Policy responses Changes to public funding for the health system • The health budget increased between 2008 and 2013. Changes to health coverage Population (entitlement) • The Ministry of Health conducted a national campaign to ensure all disabled people, particularly children, benefit from free statutory coverage (2012). • Introduction of the health caravan scheme to improve access to treatment in rural areas (2009). The benefits package • No responses reported. User charges • Introduction of exemptions from new user charges based on social status and health status (2008). • Introduction of user charges for diagnostic and consultative services provided by large health care facilities in urbanized areas (capital city, provinces and big cities) (2008). • The Ministry of Health approved a list of free prescription medicines based on the essential medicines list for certain categories of citizen as approved by the government (e.g. invalids, war veterans) (2012).
500 Economic crisis, health systems and health in Europe: country experience % Tajikistan: Fig. 1 Economic and fiscal indicators 2000–2007 and 2008–2011 60 55 50 45 40 35 30 25 20 15 10 5 0 −5 −10 −15 _ _ _ _ ● ● _ _ _ _ ● _ _ _ _ _ ● ● _ _ Real GDP per capita growth _ _ ● _ Deficit/surplus (% GDP) _ _ _ _ _ _ _ _ _ _ ● ● _ _ _ ● _ ● _ ● _ _ _ _ _ Government spending (% GDP) _ _ _ _ _ _ _ _ _ _ ● ● ● ● ● _ _ _ _ _ Government health spending (% total government spending) Notes: Deficit/surplus: World Bank; Other indicators: WHO Health for All. 10−year bond rates Year 2000−2007 2008 2009 2010 2011 Unemployment rate Tajikistan: Fig. 2 Trends in per capita spending on health, 2000–2011 75 Public spending per capita OOP spending per capita Non−OOP private spending per capita Per capita spending $, PPP 50 25 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 60 Growth % 40 20 0 −20 40 Growth % 20 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Public spending per capita growth OOP spending per capita growth Note: Spending calculated from WHO Health for All. Non−OOP private spending per capita growth
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500 Economic <strong>crisis</strong>, <strong>health</strong> <strong>systems</strong> <strong>and</strong> <strong>health</strong> in Europe: country experience<br />
%<br />
Tajikistan: Fig. 1 Economic <strong>and</strong> fiscal indicators 2000–2007 <strong>and</strong> 2008–2011<br />
60<br />
55<br />
50<br />
45<br />
40<br />
35<br />
30<br />
25<br />
20<br />
15<br />
10<br />
5<br />
0<br />
−5<br />
−10<br />
−15<br />
_ _<br />
_ _<br />
● ●<br />
_ _<br />
_<br />
_<br />
●<br />
_<br />
_ _<br />
_ _<br />
●<br />
●<br />
_ _<br />
Real GDP<br />
per capita growth<br />
_<br />
_<br />
●<br />
_<br />
Deficit/surplus<br />
(% GDP)<br />
_ _ _ _ _<br />
_ _ _ _ _<br />
●<br />
●<br />
_ _<br />
_<br />
●<br />
_ ●<br />
_<br />
●<br />
_ _ _ _ _<br />
Government<br />
spending<br />
(% GDP)<br />
_ _ _ _ _ _ _<br />
_ _ _<br />
● ● ● ● ●<br />
_ _ _ _ _<br />
Government<br />
<strong>health</strong> spending<br />
(% total government<br />
spending)<br />
Notes: Deficit/surplus: World Bank; Other indicators: WHO Health for All.<br />
10−year<br />
bond rates<br />
Year<br />
2000−2007 2008 2009 2010 2011<br />
Unemployment<br />
rate<br />
Tajikistan: Fig. 2 Trends in per capita spending on <strong>health</strong>, 2000–2011<br />
75<br />
Public spending per capita OOP spending per capita Non−OOP private spending per capita<br />
Per capita spending $, PPP<br />
50<br />
25<br />
0<br />
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011<br />
60<br />
Growth %<br />
40<br />
20<br />
0<br />
−20<br />
40<br />
Growth %<br />
20<br />
0<br />
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011<br />
Public spending<br />
per capita growth<br />
OOP spending<br />
per capita growth<br />
Note: Spending calculated from WHO Health for All.<br />
Non−OOP private spending<br />
per capita growth
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