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

1. What are some options which should be included?

More importance given for disease preventive and health promotive strategies.

1.Nutrition.- $ 100 million

2. Education-$ 100 million

Promotion of education

3. Sanitary latrine and safe and wholesome water- Clean water- $100 million

4. Preventive and promitive services- $125

million

A.Vaccination

B. Community health education

C.Screening of diseases-

d. Breast feeding, family planning, communicable and non communicable diseases

e. Mosquito control measures

f. Disaster preparedness and mitigation

7. Clinic and hospital services-25 million

8.Trainning of health workers-25 million

8.Transportation facilities - 25 million

Total expense- 500 million

2. What are some options which should not be included ?

1. Avoid the use of high cost antibiotics
( eg: Example use of ntibiotics when oral rehydration solution is sufficient for cases of diarrhea)

2.Purchasing of cheap medicine with high cost

3. Avoid increased out of pocket expenditure

4. Avoid wastage of local resources.

5. Avoid inequality