TAILIEUCHUNG - USAID Supported a Wide Range of Child and Maternal Health Activities, but Lacked Detailed Spending Data and a Proven Method for Sharing Best Practices

Public expenditure on health is financed mainly through a combination of contributions and general tax revenue transfers to the health insurance scheme. There has been increasing reliance on the latter in recent years. Participation in the health insurance scheme is compulsory for all citizens living in Hungary, and opting out is not permitted. Based on the current legal framework, coverage should theoretically be 100%, but the health insurance status of approximately 4% of the population is unclear. The benefits package is comprehensive but not exhaustive. Both a positive and a negative list are currently in place. . | United States Government Accountability Office GAO Report to Congressional Committees April 2007 GLOBAL HEALTH USAID Supported a Wide Range of Child and Maternal Health Activities but Lacked Detailed Spending Data and a Proven Method for Sharing Best Practices GAO-07-486 April 2007 À GAO ÌỈỈM Accountability Integrity Reliability Highlights Highlights of GAO-07-486 a report to congressional committees Why GAO Did This Study Every year disease and other conditions kill about 10 million children younger than 5 years and more than 500 000 women die from pregnancy and childbirth-related causes. To help improve their health Congress created the Child Survival and Health Programs Fund. The 2006 Foreign Operations Appropriations Act directed GAO to review the . Agency for International Development s USAID use of the fund for fiscal years 2004 and 2005. Committees of jurisdiction indicated their interest centered on the Child Survival and Maternal Health CS MH account of the fund. GAO examined USAID s 1 allocations obligations and expenditures of CS MH funds 2 activities undertaken with those funds 3 methods for disseminating CS MH information and 4 response to challenges to its CS MH programs. GAO conducted surveys of 40 health officers visited USAID missions in four countries interviewed USAID officials and reviewed data. What GAO Recommends GAO recommends that USAID 1 test accounting system modifications to verify that CS MH obligation and expenditure data will be recorded and traced back to CS MH allocation data and 2 assess the effectiveness of existing communication methods for sharing global health best practices across missions. USAID generally concurred with GAO s findings and recommendations. cgi-bin getrpt GAO-07-486. To view the full product including the scope and methodology click on the link above. For more information contact David Gootnick at 202 512-3149 or GootnickD@. GLOBAL HEALTH USAID Supported a Wide Range of Child and Maternal .

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