2024-09-01-世界银行-几内亚自费卫生支付对贫困的影响以及公共和外部卫生融资的协调（英）_59页_7mb

Summary: Impact of Out-of-Pocket Health Payments on Poverty and Health Financing in Guinea

Key Findings

• Out-of-pocket (OOP) health payments significantly increased extreme poverty in Guinea, raising prevalence by 2.1 percentage points, normalized poverty gap by 0.7 percentage points, and poverty severity by 0.3 percentage points.
• Health expenditure had a substantial impact on poverty, exceeding that of education in terms of poverty measures, despite receiving a smaller share of household income.
• Public and external health financing was misaligned with the regional impact of OOPs, with funds disproportionately allocated to urban areas that were less affected, while regions like N’Zérékoré, Faranah, Kindia, and Labé, which contributed most to poverty measures, received significantly less funding.
• Poverty and its exacerbation by OOPs disproportionately affected certain regions (e.g., Faranah, N’Zérékoré) and age groups (e.g., individuals aged 60+ and under 1 year).
• Universal health coverage (UHC) is urgently needed to reduce poverty traps and allocate resources more efficiently.

Recommendations

• Governments and donors should prioritize funding for health in the most affected regions and adopt UHC to target vulnerable populations.
• Improve data collection and ensure financial commitments align with poverty impacts to enhance allocative efficiency in health financing.
• Policies should focus on reducing catastrophic health expenditure through mechanisms like prepayment and innovative financing.