National Health System


One of a fairly fundamental subsystem of the National  Health  System (SKN) is a  health  care financing. The absence or no funding in the administration of optimal  health  efforts and other programs, is one of the main causes of not achieving  health  development goals that we want. Why not, almost all activities in development can not be denied, requires funding and costs. Some important factors in  health  financing must be considered include:

* The quantity of  health  development budget provided by government and private sector donations.

* Level of effectiveness and efficiency of use (functionalization) of the existing budget.

Therefore,  health  policy reform in a country should provide an important focus for  health  financing policy to ensure the adequacy, equity, efficiency and effectiveness. Planning and adequate  health  financing arrangements will help the government in a country to be able to mobilize financing sources, rationally allocate and use it efficiently and effectively.  Health  financing policy that prioritizes equality and pro-poor would encourage the achievement of universal access. In a broader aspect is believed that the financing in this field has contributed to social and economic development.

 Health  service itself in recent years become very expensive both in developed countries and in developing nations. Excessive Use of  health  services with high technology is one of the main causes. Another cause is the dominance of  health  care financing with cash payment mechanisms and weak capacity in the management of resources and services itself. WHO provides the focus of  health  financing strategy which includes key issues, challenges, the main objective of policies and action programs in general are in following areas:

* Increasing investment and public spending in  health ,

* Arranging the achievement of universal participation and strengthening permeliharaan poor  health ,

* Development praupaya financing schemes including social  health  insurance, excavation

* national and international support, strengthening of regulatory frameworks, and functional interventions,

* Developing policies based on scientific fact and data,

* Monitoring and evaluation.

Implementation of  health  financing strategies in a country is directed to a few basic things namely; sustainable financing of priority  health  programs, a reduction in cash funding individuals, eliminate the cost barriers to access  health  services, equity in access to services, improving efficiency and effectiveness of resource allocation and quality of services adequate and acceptable to service users.

MOH Strategic Plan 2005-2009 stated that improving  health  care financing is one of the four main strategies the  health  department in addition to mobilizing and empowering people to live healthier, improve public access to quality  health  services and improving surveillance systems, monitoring and  health  information.

The target of the main strategies to improve  health  financing that is;

* The development of  health  gain adequate budgeting by central and local government,

* Preferred government  health  budget for prevention and  health  promotion and

* Establishment of system of guarantee for financing in this sector, especially for the poor.

Source by Madagaox Mokondo

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