4. Paying for services
Adequate funding for health is important to manage the excess demands on the health system. This section considers how countries are PAYING FOR COVID-19 SERVICES. Health financing describes how much is spent on health and the distribution of health spending across different service areas. The section also describes who is covered for COVID-19 testing and treatment, whether there are any notable gaps (in population coverage and service coverage), and how much people pay (if at all) for those services out-of-pocket.
4.1 Health financing
On 18 March, the Governments of FBIH and RS announced additional injections of funds of between USD 20-30 million to be directed to clinical centres and hospitals, primarily for the procurement of equipment and supplies related to COVID-19. However, given that the strict public procurement procedures have been alleviated under a ‘fast-track’ procurement process, the role of the ‘usual’ purchaser (HIFs) was unclear.
These additional funds should come from emergency government funding. The World Bank is also ready to financially support BIH towards strengthening the health system response to COVID-19. Additional pledges were announced by the European Union (EUR 7 million) and the Swiss SDC (USD 200,000) on 23 March.
So far, there have not been any notable changes in the distribution of health spending.
As of 18 May, no information is available on how payment of additional resources might be used to manage capacity constraints (e.g. private sector beds).