PHA-Exch> Reaching the Poor Policy Briefs: Cambodia - Mexico

[Claudio Schuftan]

From: Ruggiero, Mrs. Ana Lucia (WDC) ruglucia at paho.org


CAN ANYBODY REVIEW THESE FOR PHA-EXCHANGE?
Claudio


 *Reaching the Poor Policy Brief Series*

*The World Bank - March 2008*

New Reaching the Poor Policy Brief Series, are now available. This
installment of two briefs focuses on addressing demand  side health care
financing, with two cases from Cambodia and Mexico.

English versions of this installment are attached and electronic files of
these four new briefs will be made available in English, French, Spanish and
Russian
World  Bank's  website:  http://go.worldbank.org/PUJ2E7T1Z0

*Health Insurance Initiatives*

·         *Mexico** (Seguro): * Providing Subsidized Health Insurance for
the Poor
English<http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsMexicoREV2.pdf>
(pdf
132kb) | French<http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsMexicoFR.pdf>
(pdf
134kb) | Spanish<http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsMexicoSP.pdf>
(pdf
119kb) | Russian<http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsMexicoRU.pdf>
(pdf
851kb)

*Public Private Partnerships*

·         *Cambodia*: Contracting Health Care Services for the Rural Poor
English<http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsCambodiaREV.pdf>
 *(pdf 150kb)* |
French<http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsCambodiaFR.pdf>
(PDF
173kb) | Spanish<http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsCambodiaSP.pdf>
(PDF
157kb) | Russian<http://siteresources.worldbank.org/INTPAH/Resources/Reaching-the-Poor/RPPBriefsCambodiaRU.pdf>
(PDF
1MB)


This policy brief series is produced by the World Bank Institute with
financial support from the Government of the Netherlands.

*Motivation:
*It  has  been  known  for  too  long  that  the  poor and socially
vulnerable  die  earlier  and  suffer  more  from  diseases, high fertility,
and malnutrition,  than  the  better-off in most countries.  This fact has
motivated bigger investments in the health sector on the naïve assumption
that spending on health is spending on the poor.  The overwhelming evidence
in the last 10 years have  shown  that  simply  spending  more  on health
does not  necessarily equal reaching and helping the poor.  The Reaching the
Poor Program has sought to find evidence that spending in health can be
pro-poor and to begin to understand the conditions necessary to attack
inequality.

Vigilance,  Hope,  and  Hard  Work  The  research phase of the Reaching the
Poor Program  funded  by the World Bank, with support from the Bill and
Melinda Gates Foundation  and  the  Dutch  and  Swedish  Governments,
supported evaluations of health  programs.   A  critical  finding  of  the
research phase was that health programs  do  not  have  to  be  pro-rich.
Addressing and reversing inequality, however,  is  not easy.
Common success characteristics include:
(i)   an explicit objective  of  reaching  the  poor;
(ii)  analysis of the bottlenecks facing the poor;
(iii) adapting   solutions   to   address   local   conditions;
(iv) experimentation;
(v)  monitoring; and
(vi) patience.

Each Brief will highlight the main achievements of successful attempts to
address health service use inequality. They are short and policy oriented,
but they are based on longer and technical evaluation documents.   The wide
variety of policy instruments that have proven successful shows that there
is not one way of addressing inequality, but that motivated policy makers
and advocates can make a difference.

Abdo Yazbeck, Lead Health Economist
World Bank Institute, the World Bank

The  RPP  II  Team  (in alphabetical order):  Ann Goldman, Jo Hindriks,
Michelle Morris, Mary Mugala, Tanya Ringland, Chialing Yang and Abdo Yazbeck
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