Transforming the Latvian health system: accessibility of health services from a pro-poor perspective

Abstract

"Improving the health status of the poor and addressing their specific health needs is crucial for poverty alleviation. In this context, the design of health care systems is one of several key challenges. This study analyses the accessibility of the Latvian health care system from a pro-poor perspective. What access barriers currently affect poor and vulnerable inhabitants of Latvia? How can these barriers be removed and the health care system be made more pro-poor? In this analysis of the Latvian health care system, three relevant dimensions of accessibility are identified: the financial, the geographical, and the informational one. For each dimension, barriers to access, existing measures to overcome these and their limits are discussed and reform proposals made. Overall, efforts to enhance the access of poor and vulnerable groups to the Latvian health care system must tackle the pooling and funding side, improve the overall stewardship of health care and social protection, and meet with a supportive general political framework." (author's abstract)