Evaluation of Heath Services in Khartoum State

Abstract

Governments’ intervention in the Sudanese public health sectors in the beginning of the year 1990’s were pronounced in the form like privatization of the health sector. The main objective is to up lift the burden of the cost of the health services being incurred by the sick. In Sudan this can be achieved by the move toward the implementation of the health Insurance system. As such in the Kharoum state in the year 1996, the health insurance cooperation was established to improve the distribution of the health services; therefore this research was under taken to evaluate the improvement brought by the health insurance system in the distribution of the health services between 2007 and 2009. The research looked into how the insurance subscribes were being covered between the period 2007 up to 2009. This was to find out whether insured people were getting equal treatment equivalent to the cost paid or the premium. That means the extent at which heath insurance was satisfying the policy objective. Therefore the research answered the following hypothesis: the relationship between implementation of the health insurance system and the quantity and quality of the health care, the effect of time on the availability and quality of health care, the sufficiency of the premium to cover the health care; and the relationship between health insurance and the Khartoum state policy objective. The study traced out to what the achievement of the health insurance in the distribution of the health services by the health insurance system. That is the health insurance and their redistribution effect to the beneficiaries To answer the above hypotheses, the research collected both primary and secondary data for the case study. The research used the statistical program for the whole research work. It first used stratified sampling methodology to choose the data and then descriptive statistics to analyze them. Generally the research work can be divided into two parts. The first part looked into the way how households who are insured respond to the macro economics policy and the second part looked into the type of the result achieved from under taking the macro economics policy and the conclusion drawn for. In the finding in chapter four, the research attempts to highlight that, the implementation of the health insurance cooperation improved the distribution of the health services to the beneficiaries better than the previous public health services system. In regard to the achievement, it has been mainly limited due to the concentration of the health insurance system in the urban areas and to the formal sectors. More gaps are further been widening by time and income factors consideration among different people. From the above finding, then experience can tell us that, the implementation of the health insurance, its establishment is not an end to achieve equitable and efficient health services distribution as there are some institutional factors which are barriers to the operation. To mention few are the limited medical institutions and research, poor motivation in particular when comparing the benefit being paid to expatriate doctors to their local colleagues and the concentration of health personal and facilities in the urban areas. Another problem is that, the field of health Economics is young as such that there are major problems in deciding on the conceptual framework for assessing the role of health insurance system in achieving proper health services distributions or health economics consideration. Therefore the solution is that government must look into ways to invest more in the field of health economics and health research.