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HEALTH POLICY AND PLANNING. 1991 Jun; 6(2):107-18.The WHO estimates that 74% of the world's children were fully immunized against poliomyelitis by early 1990. Despite this, the disease is still paralyzing almost 1/4 of a million individuals each year and killing perhaps 25,000. This paper, 1 of a series undertaken on specific diseases for the World Bank's Health Sector Priorities Review on disease of major importance in the developing world, reviews available evidence on the cost effectiveness of polio prevention. This prevention would take the form of either immunization or case management of polio to minimize and rehabilitate disabilities. The power of available vaccines and the characteristics of disease suggest the technical feasibility of eradication of disease from polio (but not the polio virus) as a goal for the year 2000. With sustained national and international support, it is thus reasonable to hope for eradication by that year or soon thereafter. Rehabilitation of those disabled by polio (and other causes) has been neglected both by governments and by the international community. Although hard evidence on cost and effectiveness remains to be gathered, what is know strongly suggests that effective rehabilitation programs could be implemented at low cost and with the economic and welfare benefits far exceeding the expenditures. (author's modified)
The use of indicators of financial resources in the health sector. L'emploi des indicateurs de ressources financieres dans le secteur de la sante.
World Health Statistics Quarterly. Rapport Trimestriel de Statistiques Sanitaires Mondiales. 1984; 37(4):450-62.This article provides an overview of the application of financial resource indicators in health. The focus is on indicators at the country level, although in certain instances related sub-national indicators are considered as well. 1st the different categories of financial resource indicators are described. The international experience in data collection, and problems of data availability and comparability are reviewed. Although the points addressed are relevant to all countries, the discussion is most applicable to the developing world where health information is limited. Particular attention is given to the design adn use of financial resource indicators in monitoring progress towards the goal of health for all. Finally, the steps that may be taken to increase the contribution of financial resource indicators to the health development process are discussed. Viewed economically, the health sector consists of production and consumption of services which have relatively direct influence on population health status. The different types of resources may be linked to their respective prices to show the financial flows that operate within the health system. The sources and uses of funds are identified. 3 types of financial resource indicators can be identified: health within the national economy, the provision of funds from primary sources and the functional and programmatic uses of funds. The 1st type is concerned with the aggregate availability of funds within the national economy and the fraction of those funds which are allocated to health. The 2nd component relates to the origins of the funds which make up the total health expenditure, under the broad headings of public, private and external sources of health finance. The 3rd type refers to the variety of used to which funds from these sources are put (expressed in terms of function e.g. salaries), program type (e.g. primary health care), or activity (e.g. health education).