000			03815nas a2200361 a 4500
001			001156917
003			AM-YeNLA
005			20231106173544.0
008			160614c2009 ai a||||r|||||0 | |eng||
020			_a978-99941-2-840
020			_a978-9939-1-0118-7
040			_aAM-YeNLA _beng
041	0		_aeng
245	0	0	_aHealth system performance assessement : _bArmenia: Report / _cNational Institute of Health; edt. Diana Andreasyan, Samvel Manukyan, P. Zelveian.
246	1	4	_aArmenia _bHealth system performance assessement: Report
260			_aYerevan : _bMinistry of Health, _c2009-.
270			_aGovernment Building 3, Republic Square _bArmenia _k(+374 10) 582 413
300			_av. : _bfigures, tables ; _c29 cm.
310			_aUnknown
500			_aThis report summarizes the main findings of an assessment of the performance of the Armenian health system, which was carried out by the Ministry of Health of Armenia, with the technical and financial support from the WHO Regional Office for Europe and from the World Bank. This assessment was carried out in 2008 and 2009 and contributes to the efforts pursued by the government of Armenia to strengthen the capacities of the Ministry of Health for effective stewardship of the health system.
500			_aThis report presents an assessment of the performance of the health system against a number of key performance dimensions: health system stewardship, health management information system, development of health human resources, equity in financing and financial protection, health system efficiency, access to health care services, quality and safety of health care services, risk factors, health promotion and disease prevention, health system responsiveness, and improvement in health status. Policy recommendations are presented at the end of each section of this report. An executive summary is enclosed. This health system performance assessment is the first in a series of similar reports released this year by the World Health Organization Regional Office for Europe. Other reports to be released in 2009 include Georgia, Estonia and Portugal.
500			_aThe reports show that as a result of a sustained public investment increase in the health sector preceding the 2009 economic crisis, a number of health indicators have improved in recent years. Child, infant and neonatal mortality have decreased substantially, and life expectancy at birth has increased. Furthermore, the country is in the midst of carrying out significant institutional and structural health care reforms. The implementation of primary health care reforms and optimization of the hospital network in regions are instrumental to achieving the country’s Millennium Development Goals by 2015.
500			_aThe “Health system performance assessment” report indicates that the key challenge remaining is the high burden of out-of-pocket payments for a significant number of people. This creates barriers to access to health care when people need it, and explains why 25 percent of the poorest people cannot yet access the services they need, despite the improved access to health care in general and to primary care services in particular. The report advises that increase in public health and health promotion expenditures, still considerably lower than in other European countries, coupled with well-targeted investments in the health sector, will greatly help improve health and equity in the country.
650	1	4	_aHealth system _zArmenia _vReport
650	1	4	_aPublic health _zArmenia _vReport
650	1	4	_aMedical care _zArmenia _vReport
700	1		_aAndreasyan, Diana _4edt
700	1		_aManukyan, Samvel _4edt _9150316
700	1		_aZelveian, P. _4edt
710	2		_aNational Institute of Health
942			_2udc _cCR _01
998			_cNLAANUSH
999			_c1101751 _d1101751