This report examines three critically important areas to inform discussions on the appropriate level of health care spending in the Russian Federation: (i) the efficiency of spending on health care services; (ii) distributional impacts of spending on health care services; and (iii) the key...

Out-of-pocket payments (OOPs) are direct (at the point of service) financial contributions or co-payments by patients and their families associated with consumption of medical products (such as medicines) and/or services. They can be formal as well as informal payments. Together with taxation,...

The purpose of this study is to conduct a baseline survey on the cost and efficiency in Primary Health Care (PHC) Centers in Serbia before the implementation of the payment reforms. Results can be used to inform the payment reform and to establish a baseline on health sector performance...

The public expenditures review (PER) of the health sector was prepared in response to a request from the government of Egypt as part of a broader PER work that covers other sectors. This policy note is intended to inform government policymakers of the key findings from the PER and recommend...

This paper examines health provider payment reforms in China the present system and how it evolved, and changes that will improve it in the context of ongoing health reform. The paper begins with a brief introduction and background discussion followed by two substantive sections experiments with...

Sri Lanka is now a middle income country and already at the advanced stages of aging and disease transitions. This report aims to stimulate policy dialogue for control and prevention of non-communicable diseases (NCDs) and to improve the quality of NCD services to the people of Sri Lanka. It...

This report is a further response to the call from Uganda's leaders for 'value for money' in public spending. The report is the second in a series of three sector-oriented public expenditure reviews (PER) for the Government of Uganda (GOU) prepared by the World Bank as input into the Government...

This report, Second Programmatic Public Expenditure Review (PPER 2), is a sequel to PPER, which was published in July 2007. PPER 2 provides a detailed analysis of key public expenditure issues in Tajikistan and reports on the nonlending policy dialogue and technical assistance programs managed...