Agency for Statistics of BiH in this first release presents the data regarding National Health Accounts (NHA) for BiH which were prepared by the Working group for National Health Accounts.
This first release is a result of the aggregation of data from entities statistical offices of Federation of BiH and Republic of Srpska, as well as from Brcko District, Agency for Statistics of Bosnia and Herzegovina stated in a report on Tuesday.
This year, data for the year 2018 are published for: total expenditures in health care sector by the purpose of health care and sources of funding (HCxHF), total consumption in health care sector by purpose of health care and health care providers (HCxHP) and current expenditures in health care sector by providers of health care and sources of funding (HPxHF), which are in accordance with the International Classification for Health Accounts – ICHA.
Total health expenditures in BiH in 2018 amounted 2 972 million BAM, out of which 70% were public, and 30% were private expenditures.
Public health in BiH is financed mostly from mandatory health insurance, while the share of budget funds in public health is very low (municipal, cantonal, entity, and state budget).
In 2018, the share of health consumption in the Gross Domestic Product of Bosnia and Herzegovina was 8,7%.
Almost total private consumption (99%) is spent on direct household expenditures, while only a small portion of private consumption (1%) is spent on voluntary health care payments. Direct household expenditures i.e. payment “out of pocket”, include formal and informal payments. Formal payments include part-payments for public health services and part-payments for medications, other direct payments to private doctor’s offices (dentists, specialists, diagnostics, purchasing glasses, etc.) and payment for medications that are not prescribed and other therapeutic aids.
In BiH, health consumption is continually increasing. In 2014, total health consumption amounted to 2 589 million KM, and it is about 382 million less than in 2018.