挑战初级卫生保健筹资不足和碎片化问题：来自孟加拉国、印度尼西亚、马尔代夫和尼泊尔的研究结果
Challenging inadequate and fragmented primary health care financing: findings from Bangladesh, Indonesia, Maldives, and Nepal.
作者信息
Pholpark Aungsumalee, Mon Hsu Myat, Lim Leonard Thomas, Tsilaajav Tsolmongerel, de Oliveira Cruz Valeria, Hanvoravongchai Piya
机构信息
Faculty of Social Sciences and Humanities, Mahidol University, Nakhon Pathom, Thailand.
Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
出版信息
Lancet Reg Health Southeast Asia. 2025 Jun 5;38:100613. doi: 10.1016/j.lansea.2025.100613. eCollection 2025 Jul.
UNLABELLED
Strengthening primary health care (PHC) is essential for achieving universal health coverage, with effective financing playing a critical role in its success. Despite the increasing emphasis on PHC investment, securing sustainable public financing remains a significant challenge in the countries of the South-East Asia (SEA) Region. This study provides an overview of PHC financing arrangements in Bangladesh, Indonesia, Maldives, and Nepal, highlighting key challenges in these four countries. Data sources included the document review (87 documents included across the four countries) and key informant interviews (21 in total). Findings highlight the diverse approaches to PHC financing across the four countries, bringing out common and country-specific challenges. Our findings suggest that while PHC has been receiving more attention in policy agendas, underlying PHC financing functions still face many challenges. Some constraints stem from the existing health financing models within these countries, indicating a need for targeted reforms.
FUNDING
WHO South-East Asia Regional Office.
未标注
加强初级卫生保健对于实现全民健康覆盖至关重要，有效的融资对其成功起着关键作用。尽管对初级卫生保健投资的重视日益增加，但在东南亚地区各国，确保可持续的公共融资仍然是一项重大挑战。本研究概述了孟加拉国、印度尼西亚、马尔代夫和尼泊尔的初级卫生保健融资安排，突出了这四个国家的关键挑战。数据来源包括文献回顾（四个国家共87份文件）和关键 informant 访谈（共21次）。研究结果突出了四个国家初级卫生保健融资的不同方法，揭示了共同和特定国家的挑战。我们的研究结果表明，虽然初级卫生保健在政策议程中受到了更多关注，但其基础融资功能仍面临许多挑战。一些制约因素源于这些国家现有的卫生融资模式，这表明需要有针对性的改革。
资金来源
世界卫生组织东南亚区域办事处。
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