Question

scenario：You have been asked to serve on a committee that advises the World Bank about how to fund a healthcare system in the developing world. As part of this role you need to design a healthcare system for the country described below costing no more than $500 million that keeps the largest possible number of people healthy:
This country is about the size of Texas—250,000 square miles. A mountain range separates the country into two regions.
Ten million people live in the coastal region, while five million live in the inland region.
Half the people live in urban areas, and the other half are evenly distributed through the country.
The coastal region has a hot, moist, tropical climate that supports lush jungles and fertile farmland.
The inland region is dry and cool and is predominantly grassland and forest.
The coastal region is well serviced by roads, but only about half the people in the inland region have convenient access to roads.
Only the largest cities and towns have modern sanitation.
Malnutrition and malaria are problems, few people are vaccinated, and there is little health care currently available.
Most people grow their own food and have little extra money to spend. Few children attend school.
Challenge: Think of health care options for this country in terms of:
1. What are some options which should be included?
2. What are some options which should not be included ?

Answer 1

Question No. 1

Options which should be included

1. Education: You have really work on to educate the children. It is the most important step towards building a country. Assign budget for this purpose. Education is really important part in healthcare.
2. Infrastructure of Coastal region: Coastal region is where a lot of work to be done. Infrastructure is less than inlands. Infrastructure is also very important to provide healthcare services to people.
3. Integrated healthcare system: For a integrated healthcare system a lot of funding is required because of costs involved you have got $500 million which is although not enough but you can start with a system which will benefits for people.
4. Community Health Centers: Community health center also there to provide medical access in Coastal as well as inland. Community health center are very crucial in coastal areas where the availability of transport is less.
5. Nutrition and Malaria : Malnutrition is a big concerns for almost all country. So there should more emphasis on nutrition needs of people like education. Prominent ways to eradicate malaria in coastal areas where there are more cases can appear or in mosquito prone areas are necessary. In tropical conditions there are chances of outbreak of malaria may be high,so budget should also focus on that issue also.

Question No 2

Options which should not be included

Unwanted new technologies which can be costly.

Refrain from arranging to build high class healthcare institutions. When the time will come then you can thought of high class.

low level of transparency may indicate a lack of accountability to the population coming under the decentralized authority and a subsequent lost opportunity to leverage the planning and budgeting advantages of being close to the population.

Wastage of funds in other unrelated infrastructure can cost you dearer. First priority should be given to education, food, health and health related projects in coastal as well as in inland.