Altijani Hussin, MAManager – Health Economics Supreme Council of Health

Qatar National Statistics Day6 – 8 December, 2010 Doha – Qatar

Qatar National Health Accounts: The Evidence-Based for Allocating Health Funds

SLIDE 2

•Advocating for the importance of the NHA as an Evidence Based approach

•Framework for implementing and using the NHA

–How it will be implemented?

–Who will do it?

–What is needed?

Purpose of This Presentation

SLIDE 3

Introduction

SLIDE 4

Health Spending: Only One Component to a Population’s Health Outcomes

GOOD HEALTH GOOD HEALTH OUTCOMESOUTCOMES

Income Level

Access to Sanitation

Education

Access to Nutritious Food

Empowerment of Women

Ext

rinsi

c to

HC

Sustainability of HC System

Quality of HC

Equity in HC

Accessibility to HC

Effective and Efficient Health

Spending

Intr

insi

c to

HC

HC: Health Care

SLIDE 5

What are National Health Accounts?

•A set of accounts that describe all expenditure flows within the health sector (Public and Private)

•A tool for policy formulation, monitoring, and evaluation: diagnose the financial information

•Answer the following questions:– Where does the money come from? (Sources of funding)– How are resources managed? (Financing agents)– Who provides what services? (Uses of funds)– Which patients receive what? (Beneficiaries of funds)

SLIDE 6

Flow of Funds in Qatar

SCHMOEF

Households

Financing Sources

Financing Agencies Health Providers

Households

Other Organizations

SCH Facilities

PrivateFacilities

Social Health Insurance

Agency/Fund

Private Health Insurance

Other Gov/Non Gov Orgs

Work Based Clinics

Current

Envisioned

SLIDE 7

Example of A Question Answered by NHA

•Per Capita Total Health Expenditure (PCTHE)?•PCTHE = Total Health Expenditure (THE)/Total Pop.

THE = (SCH + HMC + PHC + Other Public Funds) + (Private/Semi Private Orgs + OOP)

• Other Public Funds: Armed Forces, Police, QP, etc.• Private/Semi Private: QTel, Qatar Airways, etc.• OOP: Households

•WHO (estimates 2007): $3,416

SLIDE 8

Why Qatar Needs National Health Accounts?

•Contribute to the health policy process•Inclusive of all financing stakeholders•Monitor and evaluate the SHI Project•Compare health financing within the country and

with other countries•Informed health policy decisions and avoid potentially

adverse policy choices

SLIDE 9

How it will be done?

SLIDE 10

QHA Strategic Plan

•Offers effective institutional arrangement for consistent and sustainable NHA

•Ensures the NHA is a government-driven program•Fosters effective partnership among all stakeholders

– Training, data collection, analysis, and dissemination

•Strategic Needs– Environment for advocacy and consensus building – Capacity building of the producers and users of QHA– Resource mobilization

SLIDE 11

Who Will Manage it?

• The Steering Committee: Senior Government officials – SCH– Ministry of Economy and Finance– Ministry of Interior– Qatar Statistics Authority– Hamad Medical Corporation (HMC)– Qatar Chamber of Commerce and Industry

• The Technical Team: SCH

SCHMOEF

HouseholdsCurrent

Envisioned

Financing Sources

Financing Agencies Health Providers

Households

Other Organizations

SCH Facilities

PrivateFacilities

Social Health Insurance

Agency/Fund

Private Health Insurance

Other Gov/Non Gov Orgs

Work Based Clinics

What is needed?

SCHMOEF

HouseholdsCurrent

Envisioned

Financing Sources

Financing Agencies Health Providers

Households

Other Organizations

SCH Facilities

PrivateFacilities

Social Health Insurance

Agency/Fund

Private Health Insurance

Other Gov/Non Gov Orgs

Work Based Clinics

SLIDE 14

Financing Sources: Government

•Responsible Parties: – MoEF – QSA

•Needed Information: Health expenditure budget documents

– Overall – By beneficiary

SLIDE 15

Financing Sources: Non- & Quasi Government

•Responsible Party: QSA•Needed Information:

– Annual EMPLOYER health expenditure survey – Annual HOUSEHOLD health expenditure and utilization

survey

SCHMOEF

HouseholdsCurrent

Envisioned

Financing Sources

Financing Agents Health Providers

Households

Other Organizations

SCH Facilities

PrivateFacilities

Social Health Insurance

Agency/Fund

Private Health Insurance

Other Gov/Non Gov Orgs

Work Based Clinics

SLIDE 17

Financing Agents: Government

•Responsible Party: – SCH– Armed Forces– MoI– QSA

•Needed Information: – Health expenditures budget documents– Household Survey

SLIDE 18

Financing Agents: Other Government Orgs.

•Responsible Party: SCH•Needed Information: Budget documents that

include the health expenditure– Internships– Health Research– Others

SLIDE 19

Financing Agents: Non Government

•Responsible Party: QSA•Needed Information: Budget documents that

include the health expenditure– Annual EMPLOYER health expenditure survey – Annual HOUSEHOLD health expenditure and utilization

survey– Annual Private Health Insurance Survey

SCHMOEF

HouseholdsCurrent

Envisioned

Financing Sources

Financing Agencies Health CareProviders

Households

Other Organizations

SCH Facilities

PrivateFacilities

Social Health Insurance

Agency/Fund

Private Health Insurance

Other Gov/Non Gov Orgs

Work Based Clinics

SLIDE 21

Healthcare Providers

•Responsible Party: All health care providers (public and private)

•Needed Information: Budget documents that include the health expenditure

– Detailed health care functions– Detailed health care providers– Revenues, by source (premiums, co-payment, cash,

etc.)– Detailed health care burden of diseases– Detailed health care beneficiaries

SLIDE 22

Conclusion

Resource mobilization

Capacity building Effective partnership

• Trace healthcare funds using Evidence Based

• Inclusive of the entire health sector• International standard

SLIDE 23

The End