Table 1 |
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Health equity goals, resource allocation and sufficiency |
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| Health equity goal |
Resource allocation examples |
Reason for being insufficient |
|
|
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| 1. no equity goal (private insurance healthcare systems) |
pre independence Namibia (private health insurance and limited state provision) |
poor access by unemployed, urban, poor |
| 2. equal provision per person |
partial decentralisation (devolution of recurrent funding in Namibia) |
populations with higher health needs are undersupplied |
| 3. equal access for equal met need |
full decentralisation (devolution of recurrent and capital funding in Namibia) |
less mobile, less educated populations use services less |
| 4. equal utilisation for equal need |
targeted health promotion (CHW programme in Namibia) |
determinants of poor health of socio-economically deprived groups not addressed |
| 5. equality of health status |
UK NHS funding allocation based on inequalities of health status |
none: GHEI/WHO sufficiency criteria achieved |
Low et al. International Journal for Equity in Health 2003 2:5 doi:10.1186/1475-9276-2-5 |
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