Transcript Overview of National Health Accounts

Impact of NHA Findings on
Health Policies in Georgia
Sofia Lebanidze
Ministry of Labour Health and Social Affairs of Georgia
Helsinki, 2010
Overview
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NHA Institutionalization: A historical review
NHA results
NHA findings impact on health policies
Future Plans
Classification of NHA Institutionalization
process in Georgia

Phase I. Familiarization - NHA familiarization process
at the MoLHSA (2003)

Phase II. NHA development and production Technical support from WB, USAID, Abt Associates
& Curatio International Foundation (CIF) (2004 –
2005)

Phase III. Institutionalization – Governmental Decree
regarding NHA institutionalization in the country
(2006)

Phase IV. Beyond institutionalization – MoLHSA
responsibility for NHA production (from 2007 up to
now)
Total health expenditure as % of GDP
8.7%
1,800
8.5%
1,600
8.5%
8.7%
8.6%
8.4%
09%
09%
8.2%
1,400
08%
1,200
08%
1,000
800
7.8%
1,660
600
400
200
522
651
725
836
998
1,160
1,387
08%
08%
07%
0
07%
2001
2002
2003
2004
2005
Total Health Expenditure (Mill GEL)
NHA
08%
2006
2007
% of GDP
2008
Public Health Expenditure
400
350
8%
6.1%
6.3%
6.7%
5.4%
300
6.0%
250
75
88
109
1.1%
1.2%
2001
2002
4.9%
5%
4%
3%
2%
1.3%
2003
1.3%
2004
1.7%
1.8%
1.5%
1.8%
1%
0%
2005
2006
Public Health Expenditure (Mill GEL)
% of GDP
% of Government Expenditure
NHA
256
130
50
0
7%
6%
4.2%
196
150
100
5.7%
255
200
343
2007
2008
Total health Expenditure strucuture by
financial sources (%)
5%
78%
73%
16%
20%
2004
2005
7%
6%
77%
74%
78%
78%
14%
14%
15%
2001
2002
2003
Public Expenditure
NHA
3%
12%
9%
9%
11%
72%
69%
22%
18%
21%
2006
2007
2008
Private Expenditure
International Aid
Per capita Total health expenditure (GEL)
400
40
350
29
300
6
250
200
150
100
50
10
21
13
25
18
24
12
30
84
106
130
152
2001
2002
2003
2004
45
14
78
58
57
230
178
193
2005
2006
261
0
International Aid
NHA
Public
2007
Private
2008
NHA findings impact on health
policies (1)
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NHA results are used for international comparison

NHA is also used to compute policy-related
indicators such as per capita health spending, health
expenditures as a percentage of the gross domestic
product (GDP) and different indicators.

Results are included into WHO NHA data base

NHA results are used to examine health financing
policy issues

Allocation of Government Health Care Funding to Priority
Services and Populations – a simulation tool for defining the
health benefit package in Georgia.
NHA findings impact on health
policies (2)

NHA results used in Health Care Budget
Planning.
 Medium
Term Expenditure Framework 2006-2010
 Program
budgeting process oriented on the
results of 2011-2014 uses 2008 NHA results as a
basis for evaluation and monitoring of annual
outcomes.
 Technical
documents of State Health Programs
use NHA findings for describing existing situation
and pricing the services.
NHA findings impact on health
policies (3)

Report on Distribution of Health Payments and Catastrophic
Expenditures in Georgia uses 2002-2007 NHA data
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In 2008 Georgia Health System Performance Assessment
Report was prepared, where from selected 42 indicators 7 were
developed on the basis of NHA Results.
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NHA data was used by actuary organization in calculation of
government state programs premiums estimations and NHA
Findings; by insurance companies and actuary organizations
for calculation of Insurance premiums.
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During Hospitals privatization process, investors used NHA
results for planning their hospital expenditures and revenues
based on NHA data and different materials.

World Health statistics report 2008-2010 (WHO). 2001-2008 NHA
Data were used in World Health statistics report 2008-2010
NHA findings impact on health
policies (4)
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AIDS Spending Assessments report (NASA) expenditure chapter of 2007 UNGASS report was
prepared on the basis of NHA data.
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NHA Data on HIV/AIDS was also used to prepare
HIV/AIDS country strategy.
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TB NHA Sub-Analysis results were used by MoLHSA
and donor organizations in evaluation of National
Strategy plan for TB.

Based on the Reproductive NHA Sub-Analysis
results of sub-analysis and RH survey (2000, 2005)
Country RH Strategy was developed
Future Plans

Soon the analytical document of the 2001 – 2009
NHA accounts will be finished; Standardized NHA
analysis will be included in the MoLHSA annual
National Health Report.

Preparation of 2009 NHA will be finished until the
end of 2010.

In 2010 carry out the second round of HH in-depth
survey with the support and financing of GHSPIC to
estimate private out of pocket health expenditures.
Thank you for your Attention!