The welfare implications of public healthcare financing: a macro-micro simulation analysis of Uganda.

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ID: 26544
2017
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Abstract
Studies on global health and development suggest that there is a strong correlation between the burden of disease and a country's level of income. Poorer countries tend to suffer more deaths from preventable causes such as communicable, maternal, perinatal and nutritional conditions, compared with high-income countries. In low-income countries, the government health expenditure share in the general government budget is low and out-of-pocket payments for healthcare relatively high. They also rely heavily on external resources for health funding, yet sustainability of external resource flows is not guaranteed. This article explores increasing public healthcare funding from domestic resources mobilization, and evaluates the impact of measures to achieve this on sectoral growth and poverty reduction rates in Uganda using a dynamic computable general equilibrium model. This article shows that increasing the government health budget share, facilitates expanded healthcare services, improved population health, higher sectoral growth and reduced poverty. The agricultural sector is predicted to post the highest growth when compared with services and industry sectors under both domestic taxation and aid funding scenarios, while national poverty is predicted to decline from 31 to 12% of the population by 2020. This article demonstrates that the most effective measure is to frontload investment in healthcare and generate additional domestic funding for health from a household tax earmarked for health.
Reference Key
kabajulizi2017thehealth Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Kabajulizi, Judith;Keogh-Brown, Marcus R;Smith, Richard D;
Journal Health policy and planning
Year 2017
DOI
10.1093/heapol/czx125
URL
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