{"id":987773391,"date":"2025-06-07T13:44:39","date_gmt":"2025-06-07T12:44:39","guid":{"rendered":"https:\/\/p4h.world\/?post_type=documents&#038;p=987773391"},"modified":"2025-06-19T14:10:31","modified_gmt":"2025-06-19T13:10:31","slug":"challenging-inadequate-and-fragmented-primary-health-care-financing-findings-from-bangladesh-indonesia-maldives-and-nepal","status":"publish","type":"documents","link":"https:\/\/p4h.world\/en\/documents\/challenging-inadequate-and-fragmented-primary-health-care-financing-findings-from-bangladesh-indonesia-maldives-and-nepal\/","title":{"rendered":"Challenging inadequate and fragmented primary health care financing: findings from Bangladesh, Indonesia, Maldives, and Nepal"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;!!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;!!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;TO BE EDITED &#8211; TEXT &#8211; Click on the WHEEL icon to open the text-area where you can type your text. Add a paragraph to introduce the Document&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p data-start=\"425\" data-end=\"988\">Strengthening primary health care (PHC) is central to achieving universal health coverage in the WHO South-East Asia Region. This study, published in <em data-start=\"642\" data-end=\"687\">The Lancet Regional Health \u2013 Southeast Asia<\/em> and <em data-start=\"692\" data-end=\"707\">Health Policy<\/em>, analyses PHC financing arrangements in <a href=\"https:\/\/p4h.world\/en\/countries\/bangladesh\/\">Bangladesh<\/a>, <a href=\"https:\/\/p4h.world\/en\/countries\/indonesia\/\">Indonesia<\/a>, <a href=\"https:\/\/p4h.world\/en\/countries\/maldives\/\">Maldives<\/a>, and <a href=\"https:\/\/p4h.world\/en\/countries\/nepal\/\">Nepal<\/a>\u2014four countries with mixed health systems and ongoing reform efforts. Despite increasing policy attention, securing sustainable and equitable public financing for PHC remains a persistent challenge.<\/p>\n<p data-start=\"990\" data-end=\"1514\">Authored by Aungsumalee Pholpark (<a href=\"https:\/\/p4h.world\/en\/who-we-are\/organization\/coordination-desk\/\">P4H Coordination Desk<\/a>), Hsu Myat Mon, Leonard Thomas Lim, Tsolmongerel Tsilaajav, Valeria de Oliveira Cruz, and Piya Hanvoravongchai, the study identifies systemic issues such as fragmented funding flows, low budget allocations, and weak provider incentives. The findings point to the need for targeted reforms\u2014improving financial autonomy at the primary care level, introducing performance-based payment mechanisms, and enhancing data systems to track PHC spending. These insights aim to inform policy strategies that strengthen PHC delivery and financial resilience across the region.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Strengthening primary health care (PHC) is central to achieving universal health coverage in the WHO South-East Asia Region. This study, published in The Lancet Regional Health \u2013 Southeast Asia and Health Policy, analyses PHC financing arrangements in Bangladesh, Indonesia, Maldives, and Nepal\u2014four countries with mixed health systems and ongoing reform efforts. Despite increasing policy attention,&#8230;<\/p>\n","protected":false},"author":559,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"categories":[],"tags":[126],"document_type":[2337],"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987773391"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/documents"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/559"}],"replies":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/comments?post=987773391"}],"version-history":[{"count":4,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987773391\/revisions"}],"predecessor-version":[{"id":987773405,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987773391\/revisions\/987773405"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987773391"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/categories?post=987773391"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/tags?post=987773391"},{"taxonomy":"document_type","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/document_type?post=987773391"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}