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Saint Kitts and Nevis - P4H Network
Current Health Expenditure (CHE) as % Gross Domestic Product (GDP)5.6%CHE/GDP
Out-of-pocket (OOPS) spending as % of Current Health Expenditure (CHE)43.3%OOP/CHE
Domestic General Government Health Expenditure (GGHE-D) as % General Government Expenditure (GGE)5.9%GGHE-D/GGE
Gross Domestic Product (GDP), in constant (2020) US$ in millions (M), billions (B), or trillions (T)973MGDP (USD)
Population in thousands (K), millions (M) or billions (B)46.7KPopulation

Saint Kitts and Nevis is composed of two islands in the Caribbean. Once a colony of the United Kingdom of Great Britain and Northern Ireland, full independence was gained in 1983. In the late 1960s, inclusive education, health and social security systems were established. The St. Christopher (St. Kitts) and Nevis Social Security Fund is a compulsory insurance fund established by an act of parliament in 1977. It began operations on 1 February 1978, taking over from the National Provident Fund, and includes maternity, sickness and injury benefit for members and beneficiaries.

Health financing towards universal health coverage

Out-of-pocket (OOP) expenditure remains high but has declined from 47.98% of CHE in 2005 to 43,29% in 2022. GGHE-D as a percentage of general government expenditure decreased to 5.91% in 2022 from 8.62% in 2021.[1]

Moving forward to address challenges

The 2018 Green Paper on Universal Health Care for the Federation of St. Kitts and Nevis notes that OOP expenditure remains high and is barrier to access for parts of the population. Furthermore, the sustainability of health financing as a whole is uncertain, due to the expenses related to the management of chronic diseases, addiction and injuries. The above-mentioned green paper lays out a range of options to address the challenges, including establishing a national health insurance.

References

[1] World Health Organization, Global Health Expenditure Database, Health Expenditure Profile (choose country)

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