Assessing Fiscal Space for National Health Insurance Funds in Sudan

Öz

The Sudanese economy is currently witnessing significant shifts, as a result of political and social interactions. All these cast a shadow on the health status and thus on the financial situation of the fund for national health insurance. This study aims to examine the fiscal space potentiality for national health insurance in Sudan. The methodology used is fiscal space categories, and in-depth interviews with stakeholders and economic expert in March 2014. The results of fiscal space assessing for health reveal that, fiscal space realizing has a good potentiality through earmark tax implementation for cigarette. With the moderate in macroeconomic situations according to expected growth in GDP, the potentiality to generate fiscal space is moderate. The weak potentiality in re-prioritization of health in the government statement as a result of public revenue projected to decrease. The fiscal space for implementation of universal health coverage is limited due to large size of informal sector and poverty rate. The grant and aids is limited because the rate is low. The benefit for NHIF from efficiency gains is indirect; therefore the fiscal space is limited. This result quietly underlined in the in-depth interviews outcomes. The study recommends policy interventions to secure fiscal space creation in Sudan for NHIF.

Kaynakça

1. Okwero, Peter; Tandon, Ajay; Sparkes, Susan; McLaughlin, Julie; Hoogeveen, Johannes G.. 2010. Fiscal space for health in Uganda. World Bank. © World Bank. https://openknowledge.worldbank.org/handle/10986/5949 License: CC BY 3.0 IGO.
2. Tandon, Ajay; Cashin, Cheryl. 2010. Assessing public expenditure on health from a fiscal space perspective. Health, Nutrition and Population (HNP) discussion paper.
3. A. Giving more weight to health: assessing fiscal space for health in Indonesia. (46847). Indonesia: World Bank.
4. Taneja, Neha. , Jaffer, Safder & Buckle, Joanne.. (2013). National Health Insurance Fund of Sudan Cost Benefit Analysis and Financial Sustainability . Khartoum: NHIF.
5. http://www.who.int/gho/mortality_burden_disease/life_tables/situation_trends_te xt/en/ . Accessed 24/3/2014.
6. World Bank. 2011. Assessing Fiscal Space for Health in Nepal. Washington, DC. © World Bank. https://openknowledge.worldbank.org/handle/10986/12371 License: CC BY 3.0 Unported.”
7. http://www.worldbank.org/en/country/sudan/overview . Accessed 7/3/2014.
8. World Bank. 2014. Data: Indicator. http://data.worldbank.org/indicator (accessed December 27, 2013).

9. 2000. The EFA 2000 Assessment: Country Reports: Sudan: Part II Analytic Section: The Development of Basic Education in Sudan from 1990-1999. UNESCO. http://www.unesco.org/education/wef/countryreports/Sudan/rapport_2.html (accessed December 28, 2013)).
10. 2012. Final country program document for the Sudan.UNFPA. November 2012. Sudan 2012 article iv consultation. (2012). IMF. Country Report No. 12/298. www.imf.org/external/pubs/ft/scr/2012/cr12298.pdf. Accessed 7/3/2014.
11. 2013. Abuja +12: Shaping the future of health in Africa. Abuja: AU & UNAIDS.
12. 2011, Sudan Households Health Utilization & Expenditure Survey in Northern States 2009. Khartoum: CBS.