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  1. Case StudyNHA Account Group 2: Facilitator Dr Zine Eddine Elidrissi Dr M Tyane, Dr M Farag, Dr A Garraoui, Dr W Buehler, Ms J Hermez, Dr R Souissi, Dr W Van Lerberghe, Dr Saidou Barry

  2. Overview of the country • Low income country • 50 Million Population • 20% unemployment, huge informal working sector • Decentralization in principle, but inequitable distribution of resources  mainly in the capital

  3. Characteristics of health financing system • System is under-funded: • THE % GDP 2.7%, $24 per capita • Public Expenditure on health is too small (3% only) • Health insurance schemes and household spending is diverted mainly to the private sector and abroad (97%) • Inequitable system putting too much burden on household (70.4%) • A significant proportion of health expenses is spent abroad (12%)

  4. Total ($1.2 Bil) Health Expenditure by financing agent

  5. Health expenditure ($1.2 Bil) by service provider

  6. Flow of funds from financing agent to providers

  7. Recommendations • Mobilize additional public resources for health provisions • Deployment of additional resources to the underserved and marginalized regions • Put in place a system to ensure transparency of health spending • Improve health prepayment systems to: • Reduce out of pocket expenditure • reduce risk of catastrophic spending and impoverishment • enhance institutional and social solidarity schemes

  8. Recommendations • Introduce measures to enhance the quality of public health services and their accessibility in order to improve their utilization • Availability, Accessibility, Utilization, coverage • Develop national health account disaggregated by geographical regions