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Health Equity and Financial Protection in Asia

Objective

In much of Asia, households are liable for large out-of-pocket payments when they use health services. As a result, many fail to seek care or get inadequate care, while others seek care but end up in financial difficulty. Expanding insurance is one obvious policy solution, but private and community-based insurance schemes have rarely been successful, and social insurance schemes have struggled with the problem of covering the informal sector and the poor; some countries as a result have resorted to a predominantly tax-financed health system. But demand-side factors are only one part of the problem. The cost of health care itself is often unnecessarily high because of weak supply-side incentives. Limited controls on provider prices and type of care delivered can mean that the insured simply end up with higher-priced care. A first strand of the project examines how, in six Asian countries (Cambodia, China, Indonesia, the Philippines, Thailand, and Vietnam), price and other barriers impede use of health care, and result in inequalities in use. It also looks at how households cope with health shocks, and whether they are able to prevent health expenditures and income losses associated with illness from causing sudden and potentially impoverishing drops in consumption. A second strand evaluates the impact of a variety of programs that aim at promoting health care use (especially among the poor), enhance quality and contain costs, and hence help ensure that households are protected from the financial consequences of health shocks. The project builds on successful previous collaborations, but has several innovative features: a focus on the causes of inequity and lack of financial protection, and the impact of programs on both; a mix of cross-country comparative work and in-depth country-specific work; a mix of academic researchers and policy analysts; and an equal emphasis on dissemination to researchers, policymakers and the international development community.

Field of science

  • /social sciences/sociology/governance/public services

Call for proposal

FP7-HEALTH-2007-B
See other projects for this call

Funding Scheme

CP-SICA - Collaborative project for specific cooperation actions dedicated to international cooperation partner countries (SICA)

Coordinator

ERASMUS UNIVERSITEIT ROTTERDAM
Address
Burgemeester Oudlaan 50
3062 PA Rotterdam
Netherlands
Activity type
Higher or Secondary Education Establishments
EU contribution
€ 1 046 503
Administrative Contact
Eddy Van Doorslaer (Prof.)

Participants (9)

PRINS LEOPOLD INSTITUUT VOOR TROPISCHE GENEESKUNDE
Belgium
EU contribution
€ 176 070
Address
Nationalestraat 155
2000 Antwerpen
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Jef Van Lint (Mr.)
UNIVERSITY OF MACEDONIA
Greece
EU contribution
€ 151 488
Address
Egnatia Street 156
540 06 Thessaloniki
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Owen O'donnell (Dr.)
THE CHANCELLOR, MASTERS AND SCHOLARS OF THE UNIVERSITY OF OXFORD
United Kingdom
EU contribution
€ 206 550
Address
Wellington Square University Offices
OX1 2JD Oxford
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Anne Pope (Ms.)
CENTRE FOR ADVANCED STUDY
Cambodia
EU contribution
€ 183 720
Address
Street 156 Sangkat Teuk Laak 2 160
Phnom Penh
Activity type
Research Organisations
Administrative Contact
Sokhom Hean (Dr.)
SHANDONG UNIVERSITY
China
EU contribution
€ 307 560
Address
Shanda Nanlu 27
250000 Jinan Shandong
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Qingyue Meng (Prof.)
YAYASAN SMERU
Indonesia
EU contribution
€ 60 159
Address
Jl Pandeglang 30
10310 Jakarta
Activity type
Research Organisations
Administrative Contact
Sudarno Sumarto (Dr.)
UPECON FOUNDATION, INC
Philippines
EU contribution
€ 230 250
Address
School Of Economics Bldg
1101 Diliman - Quezon City
Activity type
Research Organisations
Administrative Contact
Emmanuel De Dios (Dr.)
INTERNATIONAL HEALTH POLICY PROGRAM FOUNDATION
Thailand
EU contribution
€ 290 727
Address
3Rd Floor, Soi Sataranasuk 6 6 3Rd Floor
11000 Nonthaburi
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Viroj Tangcharoensathien (Dr.)
RESEARCH AND DEVELOPMENT CENTER FOR COMMUNITY HEALTH STRATEGY
Vietnam
EU contribution
€ 232 740
Address
Ngoc Thuy, Long Bien District
Hanoi
Activity type
Research Organisations
Administrative Contact
Huyen Thanh Dao (Dr.)