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Exists fragmented pool of providers, unspent budget, less efficiency in resource use, lack of proper financial management

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GOD Provides outdoor services. Many patients across the country (rural and urban) take services. It is not urban focused, don't get medicines.

Should you keep this mixed system (so many providers)

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Loan based, not sustainable

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Poor funding for primary health care

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should merge the govt. models to minimize the complexity. There are other ministry hospitals.
Should ensure universal access (not only pro-poor)

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Should increase separate budget/funding with universal access

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Should manage common pool of providers, resource allocation should be efficient

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Higher Out of Pocket Expenditure

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Moral hazard

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Initial Budget planning

Need-based budget allocation

Coordination among planning and budgeting

Improved Public Financial Management

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Diseases should be diagnosed at first point and then medicines should be provided.

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Overall system should be developed

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Repeated visits (repeated buying of medicines) for any disease which causes higher OOP payment

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directly to govt. (shown as govt. financing in NHA)
directly to NGOs

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Cost recovery

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Should avoid duplication of services

Coordination