LEADER 06152oam 22007575 450 001 9910960715603321 005 20240405093831.0 010 $a9781464802904 010 $a1464802904 024 7 $a10.1596/978-1-4648-0289-8 035 $a(CKB)3710000000261090 035 $a(EBL)1819605 035 $a(SSID)ssj0001375785 035 $a(PQKBManifestationID)11746495 035 $a(PQKBTitleCode)TC0001375785 035 $a(PQKBWorkID)11336329 035 $a(PQKB)10291079 035 $a(MiAaPQ)EBC1819605 035 $a(Au-PeEL)EBL1819605 035 $a(CaPaEBR)ebr10950246 035 $a(CaONFJC)MIL653378 035 $a(OCoLC)893674010 035 $a(The World Bank)210289 035 $a(US-djbf)210289 035 $a(Perlego)1483803 035 $a(EXLCZ)993710000000261090 100 $a20020129d2014 uf 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aHealth Financing in the Republic of Gabon /$fSaleh, Karima 205 $a1st ed. 210 1$aWashington, D.C.,$cThe World Bank,$d2014. 215 $a1 online resource (152 pages) 225 1 $aWorld Bank Studies 300 $aDescription based upon print version of record. 311 08$a9781464802898 311 08$a1464802890 311 08$a9781322220987 311 08$a1322220980 320 $aIncludes bibliographical references. 327 $aFront Cover; Contents; Foreword; Acknowledgments; About the Authors; Abbreviations; Executive Summary; Background; Positive Developments in Gabon's Path to Universal Health Coverage; Gabon in Perspective; Next Steps in Gabon's Path to Universal Health Coverage; What Could Work Better; Note; Chapter 1Background and Objectives; Economic Background; Figures; Figure 1.1 Gabon: Annual Growth Rate Based on GDP Per Capita, PPP; Tables; Table 1.1 Socioeconomic Indicators in African Countries, 2012; Population Dynamics and Demographic Changes; Figure 1.2 Demographic Profile, 2012-45 327 $aEpidemiological ChangesTable 1.2 Disease Burden, Causes of Death in Percent, 2011; Health Service Infrastructure; Figure 1.3 The Structure and Levels of the (Public) Health System in Gabon; Table 1.3 Health Facilities by Type and Ownership; Figure 1.4 Hospital Bed Ratios Compared to Other Countries of Similar Income and Health Spending; Table 1.4 Hospital Bed Ratios Per 1,000 Population; Health Service Providers; Table 1.5 Public Sector Medical and Paramedical Staff by Type; Figure 1.5 Human Resource Population Ratio as Compared to Other Countries of Similar Income and Health Spending; Boxes 327 $aBox 1.1 The Case of Kango Medical Center in the West Health Region (Estuaire Province)Figure 1.6 Density of University-Level Staff at Primary Health Care Facilities Per 100 Population, 2012; Health Policy and Strategy; Historical Perspective on the Evolution of Health Financing Reform; Book Objectives; Notes; Chapter 2Health Outcomes, and Use of Health Services; Introduction; Key Findings; Health Outcomes; Figure 2.1 Health Outcomes Relative to Countries of Similar Income; Figure 2.2 Trend in Under-5 Mortality Rate and Maternal Mortality Ratio as Compared to MDG Targets 327 $aFigure 2.3 The Causes of Maternal Deaths by PercentFigure 2.4 Trends in Under-5 Mortality and Infant Mortality Rates; Figure 2.5 Causes of Mortality, in Percent, 2010; Health Service Use; Figure 2.6 Main Causes of Morbidity and Mortality, for All Ages, in Percent, 2005; Figure 2.7 Health Service Utilization by Health Regions and Departments, 2012; Figure 2.8 Child Birth Attended by a Skilled Birth Attendant, Percentage, 2012; Table 2.1 Health Related Indicators for Gabon; Figure 2.9 Barriers to Accessing Health Care Reported by Women (15-49 years), 2012 327 $aFigure 2.10 Women Receiving All Necessary Exams during Prenatal Visits, Percentage, 2012Figure 2.11 Health Service Use and Quality of Care among Children Under 5 Years of Age with Fever, 2012; Figure 2.12 Health Facility Attendance by Consumption Quintile; Summary; Figure 2.13 Patient Perceptions and Reasons for Dissatisfaction with Public Facilities during Childbirth, 2000 and 2012; Notes; Chapter 3Health Financing; Introduction; Key Findings; Global Comparisons; Figure 3.1 Total Health Spending as Compared to Other Countries with Similar Income 327 $aFigure 3.2 Public Health Spending Compared to Countries with Similar Income 330 3 $aGabon is an upper middle income country, with reasonable spending on health, however, its health outcomes resemble that of a country that is low / low-middle income. Where has Gabon gone wrong, and what are the challenges that Gabon is facing in improving health outcomes? Gabon is an emerging economy, while it has achieved high economic development it still has not achieved living standards and health outcomes seen in upper middle income countries. Gabon faces low life expectancy (63 years), levels as seen in other low income countries. It is in an early stage of an epidemiological transition. Fertility rates remain high, and mortality rates are starting to decline. It has a high burden from communicable diseases. While HIV incidence and tuberculosis incidence has started to show positive results, Malaria incidence continues to remain high. There are cost-effective interventions available to prevent many of the communicable diseases the country faces. These interventions require multi-sector approaches, behavioral change programs, outreach services, community development, and a primary health care focus. 410 0$aWorld Bank e-Library. 410 0$aWorld Bank Studies 606 $aSustainable development$zGabon 607 $aGabon$2fast 615 0$aSustainable development 676 $a338.9672107 700 $aSaleh$b Karima$01807739 702 $aCouttolenc$b Bernard F. 702 $aBarroy$b Helene 702 $aDebra$b Naylor 801 0$bDJBF 801 1$bDJBF 906 $aBOOK 912 $a9910960715603321 996 $aHealth Financing in the Republic of Gabon$94363468 997 $aUNINA