Analysis of health care expenditure in the republic of Tajikistan
We analysed dynamics of total health expenditure (THE) in the Republic of Tajikistan. During 2007-2011 according to National health accounting, private spending decreased on 0.2%, but nevertheless, the proportion of private expenditure on health remains at a high level. In this period foreign aid in the structure of THE is 0.5% of GDP. In total health expenditure the proportion of public expenditure increased on 0.7%, but still remains quite low and there is domination of private expenditures. In the structure of total health expenditure in the context of health care providers large propotion is spending on inpatient facilities. On second place of largest expenses are the cost of purchasing drugs and medical products on an outpatient basis. Expenditure on PHC is still low. Main propotion of public expenditure in all medical institutions accounted on the wage fund. Other costs such as medicines, food, household and office expenses constitute a tiny fraction. This existing model affects the quality and access to health services of population.