Guinea-Bissau
Guinea-Bissau
Guinea-Bissau meets many, if not all, criteria that characterize health systems in fragile states. The country’s health system faces persistent challenges related to low public spending, poor infrastructure, inadequate supply of health workers, inadequate clinical and managerial training systems, malfunctioning referral system, non-operational health-information systems, weak governance and inadequate management capacity and systems (such as budgeting, public financial management and human resources management). Public spending accounts for about 20 percent of total health spending and is mostly used to pay staff salaries, while donors finance nearly 90 percent of the recurrent costs of the sector, including medicines and other critical health inputs. This report provides a comprehensive diagnostic of the health service delivery system in Guinea-Bissau. It explores quality of care, workload/productivity and absenteeism. A service delivery indicators (SDI) survey was implemented to cover these and other key aspects of the health system for which no data were available in Guinea-Bissau (such as public expenditure tracking survey). The report provides an extensive analysis of the data and links it to other analytical and operational work under implementation in the country.
- World Bank United States
ADVISORY WORK, inequality, INVESTMENT, poverty, CORPORATION, ECONOMIC GROWTH, TRADE UNIONS, BASIC SERVICES, CHILD HEALTH, EMPLOYMENT OPPORTUNITIES, PROJECTS, INSTITUTIONAL DEVELOPMENT, FINANCING, DISASTER MANAGEMENT, EMPLOYMENT, TECHNICAL ASSISTANCE, BEST PRACTICE, LENDING, SAFETY NETS, CIVIL SOCIETY, STAKEHOLDERS, STAKEHOLDER, GUARANTEE AGENCY, WOMEN, INFECTION CONTROL, GOVERNMENTS, EQUALITY OF OPPORTUNITY, CRIME, GUARANTEE, BANK, ACCESS TO MICRO-FINANCE, AGREEMENT, INFORMATION SHARING, PROCUREMENT, MICRO-FINANCE, HEALTH EXPENDITURE, VIOLENCE, ORGANIZATIONS, 330, STRATEGIES, LABOR SUPPLY, REDUCING POVERTY, FINANCIAL MARKETS, PENSIONS, SOCIETY, 610, FOREIGN DIRECT INVESTMENT, 613, EMERGENCY RECOVERY, LIMITED, MARKETS, INSTITUTIONAL CAPACITY, PUBLIC SERVICES, HOME BIRTH, FINANCE, MEDIA, INTERNATIONAL FINANCE, ENVIRONMENTAL SUSTAINABILITY, PUBLIC EDUCATION, WAGES, TRADE UNION, investment climate, COOPERATION, JOB OPPORTUNITY, NURSES AND MIDWIVES, SAFETY NET, BIS, fragility, SERVICES, MATERNAL HEALTH, COMPENSATION, natural resource management, HOSPITALS, MINISTER, ANTI CORRUPTION, ENTREPRENEURIAL OPPORTUNITIES, FINANCIAL SERVICES, TRUST, COMMUNICABLE DISEASES, EQUALITY, FINANCIAL MANAGEMENT, FINANCIAL PRODUCTS, ECONOMIC DEVELOPMENT, PRIVATE HEALTH CARE, CLIMATE CHANGE, DEVELOPMENT ASSISTANCE, ACCESSIBILITY, EMPLOYEE, CAPITALS, DONOR COORDINATION, CAPITAL, GREATER ACCESS, 360, VALUE, SECURITY, RISK, JUDICIARY, ACCESS TO INFORMATION, LOCAL GOVERNMENT, FOOD SECURITY, HEALTH WORKFORCE, REGULATORY AGENCY, POLICIES, GOVERNANCE, EMERGENCY, POLICY, REGULATORY FRAMEWORK, STATE, FAMILY PLANNING, HEALTH WORKERS, LOCAL GOVERNMENTS, FISCAL POLICY, JUSTICE, governance, SAFETY, SOCIAL DEVELOPMENT, NUTRITION, EMPLOYEES, SOCIAL SAFETY NETS, EQUITY, GOVERNMENT, FEMALE GENITAL CUTTING, BANKS, productivity, OPPORTUNITIES FOR WOMEN, ESSENTIAL MEDICINES, growth, UNION, GENDER EQUITY, ORGANIZATION, FISCAL SYSTEM REFORM, LOAN, POLICY DESIGN, HEALTH FACILITY, PEOPLE, FINANCIAL RESOURCES, MEDIUM, JUDICIAL SYSTEM, TECHNOLOGY, ANTI-CORRUPTION, institutions, STRATEGY, environmental sustainability, UNIONS, ACCESS TO HEALTH SERVICES, CORRUPTION, COMMUNITY HEALTH WORKERS, TRANSPORT, DISASTER, CAPACITY BUILDING, HEALTH SERVICES, TRUST FUNDS, URBAN AREAS, GENDER, URBAN DEVELOPMENT, GOVERNMENT OFFICIALS, REPRODUCTIVE HEALTH, ACCOUNTABILITY, FINANCIAL INSTRUMENTS, LAW, EXPENDITURE, HEALTH SERVICE DELIVERY
ADVISORY WORK, inequality, INVESTMENT, poverty, CORPORATION, ECONOMIC GROWTH, TRADE UNIONS, BASIC SERVICES, CHILD HEALTH, EMPLOYMENT OPPORTUNITIES, PROJECTS, INSTITUTIONAL DEVELOPMENT, FINANCING, DISASTER MANAGEMENT, EMPLOYMENT, TECHNICAL ASSISTANCE, BEST PRACTICE, LENDING, SAFETY NETS, CIVIL SOCIETY, STAKEHOLDERS, STAKEHOLDER, GUARANTEE AGENCY, WOMEN, INFECTION CONTROL, GOVERNMENTS, EQUALITY OF OPPORTUNITY, CRIME, GUARANTEE, BANK, ACCESS TO MICRO-FINANCE, AGREEMENT, INFORMATION SHARING, PROCUREMENT, MICRO-FINANCE, HEALTH EXPENDITURE, VIOLENCE, ORGANIZATIONS, 330, STRATEGIES, LABOR SUPPLY, REDUCING POVERTY, FINANCIAL MARKETS, PENSIONS, SOCIETY, 610, FOREIGN DIRECT INVESTMENT, 613, EMERGENCY RECOVERY, LIMITED, MARKETS, INSTITUTIONAL CAPACITY, PUBLIC SERVICES, HOME BIRTH, FINANCE, MEDIA, INTERNATIONAL FINANCE, ENVIRONMENTAL SUSTAINABILITY, PUBLIC EDUCATION, WAGES, TRADE UNION, investment climate, COOPERATION, JOB OPPORTUNITY, NURSES AND MIDWIVES, SAFETY NET, BIS, fragility, SERVICES, MATERNAL HEALTH, COMPENSATION, natural resource management, HOSPITALS, MINISTER, ANTI CORRUPTION, ENTREPRENEURIAL OPPORTUNITIES, FINANCIAL SERVICES, TRUST, COMMUNICABLE DISEASES, EQUALITY, FINANCIAL MANAGEMENT, FINANCIAL PRODUCTS, ECONOMIC DEVELOPMENT, PRIVATE HEALTH CARE, CLIMATE CHANGE, DEVELOPMENT ASSISTANCE, ACCESSIBILITY, EMPLOYEE, CAPITALS, DONOR COORDINATION, CAPITAL, GREATER ACCESS, 360, VALUE, SECURITY, RISK, JUDICIARY, ACCESS TO INFORMATION, LOCAL GOVERNMENT, FOOD SECURITY, HEALTH WORKFORCE, REGULATORY AGENCY, POLICIES, GOVERNANCE, EMERGENCY, POLICY, REGULATORY FRAMEWORK, STATE, FAMILY PLANNING, HEALTH WORKERS, LOCAL GOVERNMENTS, FISCAL POLICY, JUSTICE, governance, SAFETY, SOCIAL DEVELOPMENT, NUTRITION, EMPLOYEES, SOCIAL SAFETY NETS, EQUITY, GOVERNMENT, FEMALE GENITAL CUTTING, BANKS, productivity, OPPORTUNITIES FOR WOMEN, ESSENTIAL MEDICINES, growth, UNION, GENDER EQUITY, ORGANIZATION, FISCAL SYSTEM REFORM, LOAN, POLICY DESIGN, HEALTH FACILITY, PEOPLE, FINANCIAL RESOURCES, MEDIUM, JUDICIAL SYSTEM, TECHNOLOGY, ANTI-CORRUPTION, institutions, STRATEGY, environmental sustainability, UNIONS, ACCESS TO HEALTH SERVICES, CORRUPTION, COMMUNITY HEALTH WORKERS, TRANSPORT, DISASTER, CAPACITY BUILDING, HEALTH SERVICES, TRUST FUNDS, URBAN AREAS, GENDER, URBAN DEVELOPMENT, GOVERNMENT OFFICIALS, REPRODUCTIVE HEALTH, ACCOUNTABILITY, FINANCIAL INSTRUMENTS, LAW, EXPENDITURE, HEALTH SERVICE DELIVERY
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