Table 1 Health equity goals, resource allocation and sufficiency
From: A step too far? Making health equity interventions in Namibia more sufficient
Health equity goal | Resource allocation examples | Reason for being insufficient |
|---|---|---|
1. no equity goal (private insurance healthcare systems) | pre independence Namibia (private health insurance and limited state provision) | poor access by unemployed, urban, poor |
2. equal provision per person | partial decentralisation (devolution of recurrent funding in Namibia) | populations with higher health needs are undersupplied |
3. equal access for equal met need | full decentralisation (devolution of recurrent and capital funding in Namibia) | less mobile, less educated populations use services less |
4. equal utilisation for equal need | targeted health promotion (CHW programme in Namibia) | determinants of poor health of socio-economically deprived groups not addressed |
5. equality of health status | UK NHS funding allocation based on inequalities of health status | none: GHEI/WHO sufficiency criteria achieved |