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Office of the Assistant Director
Health Systems Etrengthening Area
Health Policies and Systems Development Unit

Sub-Regional Workshop on Health Accounts and Health Financing in the Caribbean:
Barbados, Trinidad & Tobago and OECS Member States

Health Accounts / National Health Accounts Project

November 6-9, 2006
Port of Spain, Trinidad and Tobago
Activity Brief  (en PDF - 18.9 KB) Agenda  (en PDF - 22.8 KB) Document and Presentations List of Participants  (en PDF - 23.9 KB)

Meeting pictures

Harmonization Workshops of Health and Social Protection Accounts

  • Taller sobre Armonización de Cuentas de Salud y Protección Social - Sistema de Cuentas Nacionales. Países del MERCOSUR
    Nov. 7-8, 2005
    Montevideo, Uruguay

  • Taller sobre Armonización de Cuentas de Salud y Protección Social - Sistema de Cuentas Nacionales. Comunidad Andina:
    Bolivia, Colombia, Ecuador, Perú y Venezuela

    Mayo 27-28, 2004
    Quito, Ecuador

  • Taller sobre Armonización de Cuentas de Salud y Protección Social - Sistema de Cuentas Nacionales: Centro América, Panamá y Republica Dominicana
    Nov. 24-25, 2003
    San José, Costa Rica

  • Workshops on Health Sector Satellite Accounts

  • Consulta Técnica Regional: Armonización de las Cuentas de Salud y el Sistema de Cuentas Nacionales en Países de las Américas
    Julio 21-22, 2005
    Santo Domingo, República Dominicana

  • Primer "Taller sobre las Cuentas Satélites de la Salud en las Américas"
    Mayo 30-31, 2005
    Rio de Janeiro, Brasil

  • Workshops on Household Sector Satellite Accounts: Gender and Health: Measurement of th women's unpaid contribution to health and economic growth

  • Taller Internacional sobre Cuentas Satélite del Sector Hogares - Midiendo las Contribuciones no-remuneradas de las Mujeres a la Salud y el Desarrollo Económico de los Países
    Junio 5-6, 2006
    Santiago, Chile

  • PAHO's Work on Health Accounts/National Health Accounts

  • Primera Reunión de Unidades/Departamentos de Economía de la Salud de Instituciones Públicas de Salud de Países de América Latina y el Caribe
    Octubre 30, 2006
    Buenos Aires, Argentina

  • Objectives:

    The workshop contribute to the harmonization of expenditure estimates in the sub-region and in the strengthening of national capabilities to respond to challenges in the financial reforms of health systems in the following ways:

    • Promoted the exchange among professionals working on estimations of health economic and financial indicators at national institutions.
    • Presented and applied methodologies for the estimation of health expenditure and discussed and updates the estimates of expenditure on health. It also discussed challenges faced on the financing of national health systems among participating countries.
    • Opned the discussion to the ECC about promoting the development and use of health economic and financing indicators in the design, implementation, and monitoring of public health policies and the development of the national health systems.


    During the first two days of the meeting, participants attended the Thirty-First Meeting of the Standing Committee of the Caribbean Statisticians (SCCS). This exchange favored institutional exchange and strengthen the interaction among country participants. It was dedicated to the review of relevant economic, financial and investment statistics; also including population, demographic, social, environmental and living condition statistics for the region. These two days were conducted within the framework of the SCSS.

    The third and fourth days focused on Health Accounts and Health Financing. Based on available data on national health expenditure accounts and health care financing patterns, participants of the workshop will be guided to prepare up-to-date estimates on overall national health care expenditure and financing, and participated in simplified simulation exercises on the expenditure implications of alternative policy scenarios. These exercises will focus on issues such as expanding coverage of existing national health programs, the impact of changes in the demographic and epidemiological profiles and/or alternative national health financing reforms on health care expenditures. Expenditure estimates were produced using the same structure of concepts, classification and methods developed within the framework of each country's System of National Accounts (SNA).

    Simulation exercises will provide guidance on economic, macroeconomic, financial, and fiscal constraints that need to be addressed in order to achieve the desired national health policy objectives.


    Country teams with professionals from:

    • Ministry of Health - The person responsible for the development of Health Accounts/National Health Accounts;
    • Ministry of Finance - A professional who deals with the monitoring of budgetary accounting practices;
    • Department of Finance, Budgeting / National Statistical Office - A representative from these offices, in charge of government finance and expenditure data;
    • A member of staff from the national institution in charge of implementing the country' System of National Accounts.

    Activity Coordinators

    Pan American Health Organization (PAHO)

    Rubén M. Suárez-Berenguela
    Regional Advisor on Health Economics and Financing
    525 Twenty-Third Street, N.W.
    Washington, D.C., 20037-2895 - USA
    Tel: (202) 974-3482
    Fax: (202) 974-3612

    Dr. Reynaldo Holder
    Health Systems Development Advisor
    Caribbean Program Coordination Office
    Dayrells and Navy Garden Roads
    Christ Church
    Bridgetown, Barbados, W.I.
    Tel: (1-246) 426-3860
    Fax:: (1-246) 436-9779

    Dr. Amparo Gordillo-Tobar
    Consultant on Health Economics and Financing
    525 Twenty-Third Street, N.W.
    Washington, D.C., 20037-2895 - USA
    Tel: (202) 974-3019
    Fax: (202) 974-3612

    Regional Office for the Americas of the World Health Organization
    525 Twenty-third Street, N.W., Washington, D.C. 20037, United States of America
    Tel.: +1 (202) 974-3000 Fax: +1 (202) 974-3663

    © Pan American Health Organization. All rights reserved.