1. Altijani Hussin, MA Manager – Health Economics Supreme Council of Health Qatar National Statistics Day 6 – 8 December, 2010 Doha – Qatar Qatar National Health Accounts: The Evidence-Based for Allocating Health Funds

2. 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

3. SLIDE 3 Introduction

4. SLIDE 4 Health Spending: Only One Component to a Population’s Health Outcomes GOOD HEALTH OUTCOMES Income Level Access to Sanitation Education Access to Nutritious Food Empowerment of Women Extrinsic to HC Sustainability of HC System Quality of HC Equity in HC Accessibility to HC Effective and Efficient Health Spending Intrinsic to HC HC: Health Care

5. 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)

6. SLIDE 6 Flow of Funds in Qatar SCH MOEF Households Financing Sources Financing Agencies Health Providers Households Other Organizations SCH Facilities Private Facilities Social Health Insurance Agency/Fund Private Health Insurance Other Gov/ Non Gov Orgs Work Based Clinics Current Envisioned

7. 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

8. 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

9. SLIDE 9 How it will be done?

10. 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

11. 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

12. SCH MOEF Households Current Envisioned Financing Sources Financing Agencies Health Providers Households Other Organizations SCH Facilities Private Facilities Social Health Insurance Agency/Fund Private Health Insurance Other Gov/ Non Gov Orgs Work Based Clinics What is needed?

13. SCH MOEF Households Current Envisioned Financing Sources Financing Agencies Health Providers Households Other Organizations SCH Facilities Private Facilities Social Health Insurance Agency/Fund Private Health Insurance Other Gov/ Non Gov Orgs Work Based Clinics

14. SLIDE 14 Financing Sources: Government Responsible Parties: – MoEF – QSA Needed Information: Health expenditure budget documents – Overall – By beneficiary

15. SLIDE 15 Financing Sources: Non- & Quasi Government Responsible Party: QSA Needed Information: – Annual EMPLOYER health expenditure survey – Annual HOUSEHOLD health expenditure and utilization survey

16. SCH MOEF Households Current Envisioned Financing Sources Financing Agents Health Providers Households Other Organizations SCH Facilities Private Facilities Social Health Insurance Agency/Fund Private Health Insurance Other Gov/ Non Gov Orgs Work Based Clinics

17. SLIDE 17 Financing Agents: Government Responsible Party: – SCH – Armed Forces – MoI – QSA Needed Information: – Health expenditures budget documents – Household Survey

18. SLIDE 18 Financing Agents: Other Government Orgs. Responsible Party: SCH Needed Information: Budget documents that include the health expenditure – Internships – Health Research – Others

19. 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

20. SCH MOEF Households Current Envisioned Financing Sources Financing Agencies Health Care Providers Households Other Organizations SCH Facilities Private Facilities Social Health Insurance Agency/Fund Private Health Insurance Other Gov/ Non Gov Orgs Work Based Clinics

21. 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

22. SLIDE 22 Conclusion Resource mobilization Capacity building Effective partnership Trace healthcare funds using Evidence Based Inclusive of the entire health sector International standard

23. SLIDE 23 The End