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Countdown to 2015 country case studies: what can analysis of national health financing contribute to understanding MDG 4 and 5 progress?

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dc.contributor.author Mann, Carlyn
dc.contributor.author Ng, Courtney
dc.contributor.author Akseer, Nadia
dc.contributor.author Bhutta, Zulfiqar-A.
dc.contributor.author Borghi, Josephine
dc.contributor.author Colbourn, Tim
dc.contributor.author Hernandez-Pena, Patricia
dc.contributor.author Huicho Oriundo, Luis
dc.contributor.author Malik, Muhammad-Ashar
dc.contributor.author Martinez-Alvarez, Melisa
dc.contributor.author Munthali, Spy
dc.contributor.author Salehi, Ahmad-Shah
dc.contributor.author Tadesse, Mekonnen
dc.contributor.author Yassin, Mohammed
dc.contributor.author Berman, Peter
dc.date.accessioned 2019-02-06T14:45:55Z
dc.date.available 2019-02-06T14:45:55Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5116
dc.description.abstract Background: Countdown to 2015 (Countdown) supported countries to produce case studies that examine how and why progress was made toward the Millennium Development Goals (MDGs) 4 and 5. Analysing how health-financing data explains improvements in RMNCH outcomes was one of the components to the case studies. Methods: This paper presents a descriptive analysis on health financing from six Countdown case studies (Afghanistan, Ethiopia, Malawi, Pakistan, Peru, and Tanzania), supplemented by additional data from global databases and country reports on macroeconomic, health financing, demographic, and RMNCH outcome data as needed. It also examines the effect of other contextual factors presented in the case studies to help interpret health-financing data. Results: Dramatic increases in health funding occurred since 2000, where the MDG agenda encouraged countries and donors to invest more resources on health. Most low-income countries relied on external support to increase health spending, with an average 20–64 % of total health spending from 2000 onwards. Middle-income countries relied more on government and household spending. RMNCH funding also increased since 2000, with an average increase of 119 % (2005–2010) for RMNH expenditures (2005–2010) and 165 % for CH expenditures (2005–2011). Progress was made, especially achieving MDG 4, even with low per capita spending; ranging from US$16 to US$44 per child under 5 years among low-income countries. Improvements in distal factors were noted during the time frame of the analysis, including rapid economic growth in Ethiopia, Peru, and Tanzania and improvements in female literacy as documented in Malawi, which are also likely to have contributed to MDG progress and achievements. Conclusions: Increases in health and RMNCH funding accompanied improvements in outcomes, though low-income countries are still very reliant on external financing, and out-of-pocket comprising a growing share of funds in middle-income settings. Enhancements in tracking RMNCH expenditures across countries are still needed to better understand whether domestic and global health financing initiatives lead to improved outcomes as RMNCH continues to be a priority under the Sustainable Development Goals. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries BMC Public Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Afghanistan en_US
dc.subject Child health en_US
dc.subject Developing Countries en_US
dc.subject Ethiopia en_US
dc.subject Financial Support en_US
dc.subject Health finance en_US
dc.subject Healthcare Financing en_US
dc.subject Malawi en_US
dc.subject Maternal health en_US
dc.subject Newborn health en_US
dc.subject Pakistan en_US
dc.subject Peru en_US
dc.subject Reproductive health en_US
dc.subject Tanzania en_US
dc.subject Child en_US
dc.subject Child, Preschool en_US
dc.subject Delivery of Health Care/economics/organization & administration en_US
dc.subject Economic Development en_US
dc.subject Female en_US
dc.subject Global Health en_US
dc.subject Humans en_US
dc.subject Income en_US
dc.title Countdown to 2015 country case studies: what can analysis of national health financing contribute to understanding MDG 4 and 5 progress? en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12889-016-3403-4
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 1471-2458

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