World Health Organization : Year 1993 ; World Health Organization, International Conference, Macroeconomic Development and the Health Sector, No. 2.8: Macroeconomic Changes and the Health Sector in Guinea-Bissau

By K. Evlo

Book Id: WPLBN0000104935
Format Type: PDF eBook:
File Size: 0.6 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1993 ; World Health Organization, International Conference, Macroeconomic Development and the Health Sector, No. 2.8: Macroeconomic Changes and the Health Sector in Guinea-Bissau
Author:	K. Evlo
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Evlo, B. K. (n.d.). World Health Organization : Year 1993 ; World Health Organization, International Conference, Macroeconomic Development and the Health Sector, No. 2.8. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
Introduction Guinea-Bissau, on the West African coast, has an area of 36,125 km> and a population that was estimated in 1990 at 998,963. A former Portuguese colony, Guinea-Bissau gained international sovereignty in 1974 after a long war of independence. With an income per capita of US$ 180 in 1989, Guinea-Bissau is one of the least advanced countries in the world. The health sector is also underdeveloped: health coverage of the population is poor, and the indicators of health coditions are among the least favourable in Africa. 1.1 Sector by sector The main natural resources of the country are relatively fertile agricultwal land, sea fisheries and forests. The thee sectors that cover those resources-agriculture, fishing and forestry4ominate the economy, employing 90% of the working population, providing half of the gross domestic product and almost all the exports. In spite of the existence of these natural resources, which are relatively abundant and underexploited, the economic development of the country is faced with a number of constraints, the main ones being shortage of capital, lack of qualified professionals and workers, the climate, and the state of ruin in which the war of independence left the country.

Table of Contents
CONTENTS Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 . The Economlc Context . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1.1 Sector by sector . . . . . . . . . . . . . . . . . . . . . . . . . .1 1.1.1 Agriculture . . . . . . . . . . . . . . . . . . . . . . . .1 1.1.2 Forestry and fisheries . . . . . . . . . . . . . . . . .1 1.1.3 hdushy . . . . . . . . . . . . . . . . . . . . . . . . .2 1.1.4 Commerce and transportation . . . . . . . . . . .2 1.1.5 Education . . . . . . . . . . . . . . . . . . . . . . . .2 1.2 The macroeconomic situation . . . . . . . . . . . . . . .2 1.2.1 Macroeconomic trends . . . . . . . . . . . . . . . .2 1.2.2 Macroeconomic policy . . . . . . . . . . . . . . . .3 2. The Health Sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 2.1 Organization of health servieas . . . . . . . . . . . . . . . . . . . . . . . . 4. 2.2 Obstacles to the development of the health system . . . . . . . . . . . 5 2.3 Financing the health services . . . . . . . . . . . . . . . . . . . . . . . . . . .5 3 . Macroeconomic Change and the Health Sector . . . . . . . . . . . . . 9 3.1 Economic renewal programmes in the 1980s and the role of the Government in financing health s e n i m . . . . . . . . . .9 3.1.1 Change in the Government's contribution to financing health services . . . . . . . . . . . . . . . . . . . . . . . .9 3.1.2 Cost sharing 10 3.2 Long-term effects on the health sector of recent macroeconomic changes . . . . . . . . . . . . . . . . . . . 3.2.1 Effects on the financing of health services . . 3.2.2 Effects on the availability of health services . 3.2.3 Effects of the use of health services and on health conditions . . . . . . . . . . . . . . . . . . . . Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13