COUNTRY BACKGROUND - Gross National Happiness Commission

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Health Services Financing the Health Care SystemFinancing the Health Care System 13.48 The Royal Government may not be able to sustain the provision of free curative services as widely as it would wish to for all sections of the population. As there will be major recurrent cost implications of in the expansion of curative services and health infrastructure, the Royal Government will have to give careful consideration to major investments in new hospitals where the recurrent costs will be particularly high and the need for skilled manpower greater than at the primary health level. 13.49 Given the limitation of recurrent expenditure, the Royal Government will encourage the private sector to develop curative services. The private sector will be encouraged to set up private clinics especially in the more affluent areas. The Government will also investigate various approaches to cost minimization and cost recovery in the health sector to be used for further improvements in the quality of health care. The Department will experiment with modest user charges for the more expensive hospital based services for the high income groups in the urban areas. Within the 7FYP period, however, general users charges are not contemplated in hospitals. However, the possibility of contracting out ancillary services in the hospitals such as laundry, catering, etc. will be explored. Manpower and Financial Requirements for the 7FYPManpower and Financial Requirements for the 7FYP 13.50 The projected needs of manpower are shown in Table 13.5. These estimates take into account the additional health personnel necessary for the expansion of health infrastructure. Table 13.6 Shortfall in Department of Health Services Manpower (1991 and 1997 Requirements) 12 Sl. No Categories Actual 1991 Projected 1997 For Expatriate Replacement 1. Specialist doctors 27 65 17 2. Generalist doctors 17 40 31 3. Nurses# 43 96 30 4. Assistant Nurses 6 48 16 5. ANMs 34 110 nil 6. Health Assistants 23 78 nil 7. Basic Health Workers 36 106 nil 8. Lab. Technicians Surplus 18 14 9. Pharmacy Technicians 32 45 nil Total 218 606 108
TOTALS FOR Health 1992/93 1993/94 1994/95 1995/96 1996/97 FYP_TOTAL CAPITAL COSTS 77.867 73.435 136.003 89.217 98.353 474.875 RECURRENT COSTS a) Existing 67.425 74.167 81.584 89.742 98.716 411.634 b) Project Related 8.750 11.400 37.900 38.140 51.810 148.000 Total Recurrent 76.175 85.567 119.484 127.882 150.526 559.634 TOTAL COSTS 154.042 159.002 255.487 217.099 248.879 1034.509 Health Services 13
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COUNTRY BACKGROUND I. Physical Char
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COUNTRY BACKGROUND Minerals The exa
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COUNTRY BACKGROUND Bhutan is the le
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COUNTRY BACKGROUND personnel polici
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CHAPTER 2 ECONOMIC PERFORMANCEECONO
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2: Gross Domestic Product 1980 —
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Figure 2.2 Economic Performance IV.
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Table 2.4 Government Expenditures 1
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Table 2.5 Summary of RGOB Budgetary
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Figure 2.5 Economic Performance 2.2
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Economic Performance of Infant Mort
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Approach to Development · sustaina
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Approach to Development 3.19 The fo
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Environment and Sustainable Develop
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Environment and Sustainable Develop
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Women's Involvement in Development
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CHAPTER 6 PRIVATISATION AND PUBLIC
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unacceptably high inequalities of i
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CHAPTER 7 ECONOMIC OUTLOOKECONOMIC
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Economic Outlook 7.9 This section e
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Table 7.2 Seventh Plan Outlay and S
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Figure 7.2 Figure 7.3 Capital Expen
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Economic Outlook economic sector wi
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Economic Outlook recurrent expendit
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Financing GapFinancing Gap Table 7.
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Fiscal and Monetary Policy Table 8.
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Fiscal and Monetary Policy Strategy
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Page 57 and 58: Fiscal and Monetary Policy TABLE 8.
Page 59 and 60: I. IntroductionI. Introduction CHAP
Page 61 and 62: Aid Policy 9.9 Sectoral Allocation
Page 63 and 64: Aid Policy 9.20 Sector Ministries,
Page 65 and 66: Aid Policy Aid and the Private Sect
Page 67 and 68: Culture and Religion Dratshangs and
Page 69 and 70: Culture and Religion and documented
Page 71 and 72: Culture and Religion V. Financial a
Page 73 and 74: Education Table 11.1 Educational In
Page 75 and 76: Education Higher EducationHigher Ed
Page 77 and 78: Education 11.24 In 1986, the enrolm
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Page 87 and 88: of Bhutan + Corporation Planning Co
Page 89 and 90: Joint and Public Sector IndustriesJ
Page 91 and 92: Table 12.5 Sectoral Training Funded
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Page 97 and 98: Table 13.2 Health Institutions July
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Page 101 and 102: Table 13.5 Goals for Children and W
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Page 105: Mother and Child Health (MCH)Mother
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Page 117 and 118: CHAPTER 15 TRANSPORT SECTORTRANSPOR
Page 119 and 120: Table 15.2 Passenger Carriage by Dr
Page 121 and 122: Civil AviationCivil Aviation Transp
Page 123 and 124: Transport Sector 15.25 In the 7FYP,
Page 125 and 126: Transport Sector target for formati
Page 127 and 128: Transport Sector 11
Page 129 and 130: CHAPTER 16 COMMUNICATIONS SECTORCOM
Page 131 and 132: Table 16.1 Telephone Facilities 199
Page 133 and 134: A. Objectives for the 7FYPA. Object
Page 135 and 136: Communications Sector Dzongkhags -D
Page 137 and 138: TOTALS FOR Department of Post, Tele
Page 139 and 140: Renewable Natural Resources Table 1
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Page 147 and 148: Renewable Natural Resources coopera
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Chapter 18 MANUFACTURING AND TRADEM
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18.8 (see Chapter 19 on Mineral Dev
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Input supplyInput supply Manufactur
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Manufacturing and Trade Polythene P
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Manufacturing and Trade Formulation
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Manufacturing and Trade V. Financia
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Mineral Development Coal mining and
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Mineral Development Table 19.2 Esti
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Mineral Development be purchased: 3
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CHAPTER 20 ENERGY SECTORENERGY SECT
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Exports and ImportsExports and Impo
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Energy Sector 20.21 Most of the rur
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shortages. Energy Sector 20.34 Alte
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Energy Sector items will include pu
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COUNTRY BACKGROUND - Gross National Happiness Commission

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