A Snapshot of Health Equity in Papua New Guinea: An Analysis of the 2010 Household Income and Expenditure Survey

Wayne Irava, Katie Barker, Aparnaa Somanathan and Xiaohui Hou

No 99895, Health, Nutrition and Population (HNP) Discussion Paper Series from The World Bank

Abstract: This paper highlights challenges that the government of Papua New Guinea faces in delivering equitable health care. It analyses findings from the 2010 household survey, including sickness reporting, health service utilization and out of pocket expenditure, concluding that the poorest quintile is most vulnerable to illness, yet has the lowest utilization rates of healthcare facilities. The lack of healthcare workers and the distance to facilities are among the most dominant reasons cited for not utilizing healthcare facilities in the poorest quintile while out-of-pocket payments have minimal catastrophic impact, yet have still been found to be a barrier to utilization. The paper also sets out policy implications of these findings, including the need for the government to focus on, and prioritize, strengthening the health services delivery to achieve universal health coverage.

Keywords: living standards; communities; equity; health service delivery; villages; workers; healthcare providers; nurse; income; health care utilization; care; health policy; ... See More + edicine; budgets; health care access; health economics; traditional medicines; financial resources; community health; age groups; services; monitoring; delivery system; urban areas; household; health care; health care workers; medical supplies; expenditures; healthcare services; health; health workers; nutrition; health posts; pocket payments; health coverage; elderly people; health service utilization; information systems; primary health care; mobile clinics; health facilities; internet; public health; health system; health information systems; children; aid; clinics; working conditions; costs; delivery of health services; financial contributions; households; patients; patient; health providers; access to care; rural areas; poverty; illness; health expenditure; health indicators; incidence; localities; population; facilities; aging; health care services; health equity; access to health services; household income; use of health services; community; epidemiology; medicines; health workforce; health care spending; hospitals; health organization; illnesses; outpatient services; health needs; health service; interview; catastrophic health expenditure; household expenditure; health services; service; health information; human development; health spending (search for similar items in EconPapers)
Pages: pages 24 pages
Date: 2015-06
New Economics Papers: this item is included in nep-hea
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