Healthcare financing in Yemen

Holst, Jens and Gericke, Christian A. (2012) Healthcare financing in Yemen. International Journal of Health Planning and Management, 27 3: 198-225. doi:10.1002/hpm.2107

Author Holst, Jens
Gericke, Christian A.
Title Healthcare financing in Yemen
Journal name International Journal of Health Planning and Management   Check publisher's open access policy
ISSN 0749-6753
Publication date 2012-07-01
Year available 2012
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1002/hpm.2107
Open Access Status
Volume 27
Issue 3
Start page 198
End page 225
Total pages 28
Place of publication Chichester, West Sussex, United Kingdom
Publisher John Wiley & Sons
Language eng
Abstract Yemen is a low-middle-income country where more than half of the population live in rural areas and lack access to the most basic health care. At US$40 per capita, Yemen's annual total health expenditure (THE) is among the lowest worldwide. This study analyses the preconditions and options for implementing basic social health protection in Yemen. It reveals a four-tiered healthcare system characterised by high geographic and financial access barriers mainly for the poor. Out-of-pocket payments constitute 55% of THE, and cost-sharing exemption schemes are not well organised. Resource-allocation practices are inequitable because about 30% of THE gets spent on treatment abroad for a small number of patients, mainly from better-off families. Against the background of a lack of social health protection, a series of small-scale and often informal solidarity schemes have developed, and a number of public and private companies have set up health benefit schemes for their employees. Employment-based schemes usually provide reasonable health care at an average annual cost of YR44 000 (US$200) per employee. In contrast, civil servants contribute to a mandatory health-insurance scheme without receiving any additional health benefits in return. A number of options for initiating a pathway towards a universal health-insurance system are discussed.
Keyword Health financing
Health insurance
Community health care
Health sector reform
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Public Health Publications
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