Macroeconomics and Health (CMH)

MacroHealth Newsletter

No. 14, February 2006


COUNTRY UPDATES…

Technical support to Mozambique for costing priority health package

Following a request by the Ministry of Health of Mozambique, WHO is providing technical support to the formulation and costing of the health component in the PARPA II, the second five-year poverty reduction strategy paper (PRSP). A mission was conducted in November 2005 to define the priority health package to be costed, adapt the costing methodology and start the data collation. During a second mission, recommendations were made to the Ministry of Health of Mozambique for preparing for the resource needs estimation, and additional data was collected. An analysis of the health financing situation, including opportunities for mobilizing additional and more predictable funding for the health sector, was carried out.

Health economists recommend way forward for MH work in Viet Nam

In September 2005, two health economists from Malmö, Lund University, travelled to Viet Nam to assess the opportunities and constraints for developing a national programme on macroeconomics and health. This was supported by the Swedish International Development Cooperation Agency (SIDA) in response to strong country interest, which had led to the development of a national proposal for a Viet Nam macroeconomics and health programme.

The findings and recommendations of the assessment are presented in the report Investing in health for economic development in Viet Nam: report on opportunities and constraints for a national macroeconomics and health programme. The report describes the health and socioeconomic situation of Viet Nam along with a summary of the key health and development policies in the country. The main opportunities found include the existence of a programme proposal developed by the Central Party Commission on Social Issues, a high level of awareness of the importance of investing in human capital for economic development, and the current policy challenges facing the government that might usefully be addressed within the framework of a national macroeconomics and health programme. The main constraints include the human resource capacity from which to draw on for the implementation of the programme, the seeming incoherencies in the policy development process, and the still fragile policy analysis capacity.

The authors emphasize the need for mainstreaming such a macroeconomics and health initiative so as to avoid layering on the programme on top of existing processes and burdening the existing policy structure. The authors recommend the identification of key national agencies and institutions to be involved in a macroeconomics and health initiative.

The national proposal is currently being supported by SIDA.

For more information, see http://www.who.int/macrohealth/action/CMH_Vietnam_Final.pdf

WHO facilitates support to Yemeni health sector resource estimation

In Yemen, WHO has facilitated technical support to the health sector planning process and for building capacity in the Ministry of Public Health and Population to carry out resource estimations for health programmes. This support also aims to enhance advocacy for increasing the public health sector budget, both from national resources and international donor contributions.

Resource needs were estimated for a five-year health sector plan (2006-2010), to be integrated into the Yemeni Government’s five-year development poverty-reduction plan. This estimation followed on from previous work to estimate the resource needs for an ambitious package of health services over a ten-year period. Inevitably, the five-year health sector plan needed to incorporate both financial and capacity constraints that were less evident in the longer-term plan.


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