Dissemination Meeting
Guyana Health Accounts 2016
August 3, 2018
Objectives
Discuss methodology of Health Accounts study in Guyana
Disseminate Guyana’s 2016 Health Accounts results
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GUYANA’S 2016 HEALTH ACCOUNTS PROCESS/
METHODOLOGY
Health Accounts in Guyana First exercise
Health Accounts for
calendar year 2016
Led by the MOPH
Supported by USAID’s
HFG project, PEPFAR
and PAHO/WHO
© 2014 Lorine Ghabranious/MSH, Courtesy of Photoshare 4
Governance Health Accounts Technical Team: Responsible for
data collection, analysis, and validation Health Accounts Steering Committee:
Responsible for strategic guidance and support
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Timeline
Launch(June 5, 2017)
SHA 2011 Training(June 5-9, 2017)
Steering Committee
Engagement(First meeting June 9, 2017 & subsequent
meetings throughout)
Data collectors trained(July 2017)
Primary data collection
(July – Sept. 2017)
Secondary data collection & validation
(October 2017-Feb 2018)
Analysis workshop (Feb 2018)
Analysis continued &
refined(Feb – July 2018)
Data validation(July 2018)
Dissemination(August 2018)
Data collection
Data analysis
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Data Collection Primary data source –
surveys collected from all major: Donors NGOs Employers Insurance companies
(including NIS) Secondary data sources Government MOPH (including GPHC) Regions
Households© 2013 Stacy Bauer, Courtesy of Photoshare 7
Methodology -Household Expenditure Estimation (2016)
Household Budgetary Survey (2006): Sections on health services and contributions to insurance
Used medical inflationand population growth to adjust the data to 2016
© 2006 Helen Hawkings, Courtesy of Photoshare8
Handling Double Counting
Reviewed and handled double counting for the following: Employer // Insurance
Household // Insurance
NGO // Government
NGO // Donor
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Distribution Keys
Distribution keys used to unpack the non-earmarked spending by function and disease
Data source for distribution key: Health services utilization: 2009 Statistical Bulletin,
2009 DHS, and 2009 data from the Guyana AIDS Response Report
Unit cost data: St. Lucia costing study of the main referral hospital and public facility (April 2010 –March 2011)
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RESULTS
2016 Guyana Health Accounts: Summary Results
Indicator Data (2016)
Total Health Expenditure (THE, GYD) 28,595,303,655
Current Health Expenditure (GYD) 28,422,162,398
Capital Expenditure on Health (GYD) 173,141,256
Health-Related Spending (GYD) 28,772,368
Health-Related Capital Spending (GYD) 580,768,205
THE per capita (GYD) 38,207.28
THE as a % of GDP 3.93%
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Source of Total Health Expenditure
Government81%
Households9%
Donors6%
Coporations4%
NGO<1%
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Regional Comparison of Source of Total Health Expenditure
81%72%
62%56%
37%
9%14% 34%
38%
55%
10% 15%4% 7% 8%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Guyana(2016)
St. Vincent &Grendadines
(2012)
Dominica(2010-11)
Barbados(2012-13)
St. Kitts & Nevis(2011)
Government Households Other
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Managers of Total Health Expenditure
Central Government
58%
Regional Government
24%
Households8%
Donors3%
NIS2%
Insurance Companies
2%
Corporations2%NGOs
1% 15
Total Health Spending by Type of Provider
40%32%
9% 7% 5% 3% 2% 3%0%5%
10%15%20%25%30%35%40%45%
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Total Health Spending by Function
Curative Care64%
Preventive Care19%
Administration8%
Pharmaceuticals5%
Laboratory and Diagnostic Services
2%
Other<1%
Capital<1%
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34%
8%
22%
13%
12%
12%
Non-communicable Diseases
HIV/AIDS and Other STDs
Other Infectious Diseases
Injuries
Reproductive Health
Other
0% 5% 10% 15% 20% 25% 30% 35% 40%
Share
Total Health Spending by Disease
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Household Out-of-Pocket Spending by Function
Pharmaceuticals59%
Outpatient Curative Care
22%
Inpatient Curative Care
15%
Preventive Care4%
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HIV Current Health Spending by Source
Donors35%
Government62%
Other3%
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HIV Spending by Type of Service
Administration25%
Curative Care21%
Preventive Care52%
Capital Spending1%
Other1%
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POLICY IMPLICATIONS
Policy Implications
Increase spending on NCD prevention Improve the balance of spending tertiary and
primary facilities to improve accessibility of services
Assess options for improving allocative efficiency in government HIV spending
Better understand the impact of HIV prevention spending
Increase spending on treatment to implement Treat All and prevent transmission
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Thank youwww.HFGproject.org
The HFG project is funded by the United States Agency for International Development (USAID) under cooperative agreement No. OAA-A-12-00080. The author's views expressed in this presentation do not necessarily reflect the
views of USAID or the United States government.
Abt Associates In collaboration with: Avenir Health | Broad Branch Associates | Development Alternatives Inc. (DAI) | Johns Hopkins Bloomberg School of Public Health (JHSPH) | Results for Development Institute (R4D)| RTI International | Training Resources Group, Inc. (TRG)