TAILIEUCHUNG - Zambia National Health Accounts 2002: Main Findings

The National Health Accounts (NHA) methodology is a tool that allows countries to track the flow of health spending from financial sources to end users. NHA includes estimates of household expenditures, spending that governments have not historically considered when looking at national health expenditures. This paper summarizes how NHA was used to capture general health and HIV/AIDS-specific expenditures in Zambia in 2002. It was that country’s first attempt to assess spending on a disease-specific expenditure. HIV/AIDS-related expenditure estimates show that households and donors are the major financiers of HIV/AIDS care. People living with HIV/AIDS spend 12 times more on health. | Zambia National Health Accounts 2002 Main Findings September 2004 Prepared by Felix Phiri Ministry of Health Zambia Marie Tien MHS Abt Associates Inc. Zambia Ministry of Health Partners for Health Reform w Abt Abt Associates Inc. 4800 Montgomery Lane Suite 600 Bethesda Maryland 20814 Tel 301 913-0500 Fax 301 652-3916 In collaboration with Development Associates Inc. Emory University Rollins School of Public Health Philoxenia International Travel Inc. Program for Appropriate Technology in Health Social Sectors Development Strategies Inc. Training Resource Group Tulane University School of Public Health and Tropical Medicine University Research Co. LLC. Funded by . Agency for International Development Order No. WP 007 Mission Partners for Health Reformplus is USAID s flagship project for health policy and health system strengthening in developing and transitional countries. The five-year project 2000-2005 builds on the predecessor Partnerships for Health Reform Project continuing PHR s focus on health policy financing and organization with new emphasis on community participation infectious disease surveillance and information systems that support the management and delivery of appropriate health services. PHRplus will focus on the following results Implementation of appropriate health system reform. Generation of new financing for health care as well as more effective use of existing funds. Design and implementation of health information systems for disease surveillance. Delivery of quality services by health workers. Availability and appropriate use of health commodities. This document was produced by PHRp us with funding from the US Agency for International Development USAID under Project No. Contract No. HRN-C-00-00-00019-00 and is in the public domain. The ideas and opinions in this document are the authors and do not necessarily reflect those of USAID or its employees. Interested parties may use the report in part or whole providing they maintain

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