By World Bank

"A consultant to aggressive Vouchers in overall healthiness provides instruments that could support be sure the appropriateness of aggressive vouchers to satisfy varied coverage ambitions. The booklet explains capability merits and downsides of this strategy and discusses how you can bring public well-being care subsidies that advertise potency, innovation, and responsibility. A consultant to aggressive Vouchers in well-being is directed to overseas donors and overall healthiness care services and policymakers in constructed and constructing nations.

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Box 4-1 illustrates what can happen when political factors influence the design and implementation of voucher schemes. If the ministry of health is to play a significant role in promoting, designing, and running the voucher scheme, other obstacles will also emerge—unless the idea for the voucher scheme is put forward by the highest level of the ministry itself. Conducting a Feasibility Assessment | 37 Box 4-1. Political Impediments to Voucher Schemes in El Salvador and Honduras Political support from the highest level encouraged a donor to support the establishment of a voucher scheme for screening cervical cancer in El Salvador (Calero 2003a).

Yes Yes No Are there any inputs that can only be used for this health intervention? Is the aim to increase equity in health outcomes? Does the health problem only affect the poor? No No Are there areas where all users are poor? Yes Subsidize the supply of all services in those areas. No Is the aim to protect families from catastrophic health cost? No Subsidies may not be justified. Yes Are there any inputs/services whose costs are always catastrophic? Yes Subsidize the supply of those inputs/ services.

No No Are there areas where all users are poor? Yes Subsidize the supply of all services in those areas. No Is the aim to protect families from catastrophic health cost? No Subsidies may not be justified. Yes Are there any inputs/services whose costs are always catastrophic? Yes Subsidize the supply of those inputs/ services. No Is it more efficient to means test input subsidies than to means test insurance subsidies? Yes Introduce means-tested input subsidies. No Supply-side subsidies may not be appropriate.

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