{"id":987502031,"date":"2023-02-03T08:19:55","date_gmt":"2023-02-03T07:19:55","guid":{"rendered":"https:\/\/p4h.world\/country\/saint-kitts-and-nevis\/"},"modified":"2025-03-30T21:32:33","modified_gmt":"2025-03-30T20:32:33","slug":"saint-kitts-and-nevis","status":"publish","type":"country","link":"https:\/\/p4h.world\/en\/countries\/saint-kitts-and-nevis\/","title":{"rendered":"Saint Kitts and Nevis"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; admin_label=&#8221;!!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 1&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>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 <a href=\"https:\/\/socialsecurity.kn\/\">St. Christopher (St. Kitts) and Nevis Social Security Fund<\/a> 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.<\/p>\n<p>[\/et_pb_text][ba_gradient_heading title=&#8221;Health financing towards universal health coverage<br \/>\n&#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221;HEADING (50-60 characters)&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;26px&#8221; title_line_height=&#8221;1em&#8221; custom_padding=&#8221;||10px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;][\/ba_gradient_heading][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 2 &#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>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.<sup><a href=\"#1\">[1]<\/a><\/sup><\/p>\n<p>[\/et_pb_text][ba_gradient_heading title=&#8221;Moving forward to address challenges<br \/>\n&#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221;HEADING (50-60 characters)&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;26px&#8221; title_line_height=&#8221;1em&#8221; custom_padding=&#8221;||10px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;][\/ba_gradient_heading][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]The <a href=\"https:\/\/p4h.world\/en\/documents\/st-kitts-and-nevis-proposes-approaches-to-reaching-uhc\/\">2018 Green Paper on Universal Health Care for the Federation of St. Kitts and Nevis<\/a> 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.[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 9 &#8211; Footnotes&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;13px&#8221; custom_margin=&#8221;20px||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; hover_enabled=&#8221;0&#8243; custom_css_main_element=&#8221;a{color:#4c7e96 }&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p><strong>References<\/strong><\/p>\n<p><span style=\"font-weight: 400;\"><span id=\"1\">[1]<\/span> World Health Organization, Global Health Expenditure Database, <a href=\"https:\/\/apps.who.int\/nha\/database\/country_profile\/Index\/en\">Health Expenditure Profile<\/a> (choose country) <\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>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&#8230;<\/p>\n","protected":false},"author":1,"featured_media":987573495,"template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987502031"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/country"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/1"}],"version-history":[{"count":2,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987502031\/revisions"}],"predecessor-version":[{"id":987765315,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987502031\/revisions\/987765315"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media\/987573495"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987502031"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}