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1. The system design(con’t)• Targeting the poor– underutilisation of Jamkesmas benefits, esp.rural and remote– less than 50% Jamkesmas are poor or near poor• existing issues not addressed in design• Ongoing supply-side funding for public healthfacilities– distorts cost of Jamkesmas– limits incentives for service improvement/localgovernment investment in health– compensation for private sector?
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