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العنوان
اقتصاديات الصحة في الجمهورية اليمنية :
المؤلف
الزعيمي، جمال سعيد محمد علي.
الموضوع
الصحة- الاقتصاد.
تاريخ النشر
2005 .
عدد الصفحات
307ص.:
اللغة
العربية
الدرجة
الدكتوراه
التخصص
الإقتصاد ، الإقتصاد والمالية (متفرقات)
الناشر
تاريخ الإجازة
20/2/2005
مكان الإجازة
جامعة أسيوط - كلية التجارة - الاقتصاد والماليه العامه
الفهرس
يوجد فقط 14 صفحة متاحة للعرض العام

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المستخلص

Economics of health in the Republic of Yemen
“a theoretical and practical study”
ByAbstract
Th
Gamal Saeed Mohamed Ali El-Zaemey
e aims of this study are to identify the Efficiency of allocating government spending which is necessary for improving the health status of the population and enhancing the economic growth in Yemen.
The methods use to This objective are:
- Statistical analysis for estimating the function of health production in Yemen, aiming at identifying the most efficient factors in improving the population health status in Yemen.
- Statistical analysis was also used to estimate the Schultz-Dennison growth model in order to calculate the return from investment in human capital for the purpose of identify the most efficient factors in speeding up economic growth in Yemen.
- Economical evaluation methods such as Cost-Effectiveness Analysis, Cost–Benefit Analysis for investment of Immunization programme in Yemen and the estimation of the magnitude of the economic burden of infectious diseases in Yemen (2001) were used for the purposes of identifying the fact that investment in health especially in programs of infectious diseases control is a main determinant in the performance of the national economy.
The conclusions of this study are:
- The economic and environmental factors are the main determinants of the health productions efficiency (improving the population health status) and are of more influence than health services. The priorities of government spending necessary to achieve the highest health production with the least-cost are: the increase per capita of consumption of pure water, followed by increasing spending on health services, reducing birth rates, increasing employment and increasing the number of students, respectively.
- The investment in health is a main determinant of the efficiency of national economy; this is evident through the following results:
• The average contribution of health in the economic growth is (23.4%) and the average for education contribution is (35.4%) which is greater than the contribution of material capital (8.8%) throughout the period from 1978-2001, this means that investment in health has a higher efficiency than material investment in speeding up economic growth in Yemen.
• Investment in health - especially in expanded immunization programs and programs of infectious diseases control and treatment – will be transformed into additional return of millions of dollars annually which can be used for enhancing the economic growth in Yemen. Some results have shown that investment in expanded immunization activities is of high economic efficiency because every dollar spent on a complete immunization against the six diseases of childhood saves $145, and every dollar spent on immunization against hepatitis saves $75. In addition, the economic burden of infectious diseases is estimated at around $4.14 million in 2001, which is about 42.7% of the gross national production. This means that poor health weakens the economic development and that investment in health enhances economic growth.
In the light of the previous results, the study suggests that a health care policy that is based on focusing primarily on fancying health services and ignoring economic, environmental and educational factors will be ineffective and is of little benefit in achieving the goal and improving the health status of the population. Likewise, a developmental policy based on focusing primarily on materialistic investments and ignoring services that help in assisting the health status of the population will end in failure and is of little benefit in achieving economic growth.
Therefore, the study recommends adopting a strategy of integration between health development and economic development. Such a strategy requires the construction of a development policy that gives the priority in allocating expenses to investments that improve the health status of the population and limit the material investments.
On the other hand, the study recommend adapting a health policy based on giving the priority to allocating health expenses for the expansion in essential preventive and therapeutic health services that undertake the task of control and treatment diseases that make up the greater portion of disease burden in Yemen on the expense of complicated therapeutic care in specialized hospitals.
This requires starting to respond to the needs of the governrates on the basis of the numbers their populations and their health needs, along with focusing on the most deprived governrates which are: Al-hodeidah, Taiz, Amran, Saadah and Laheg because they carry the larger portion of disease burden in Yemen