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The marginal budgeting for bottlenecks tool (MBB) is an analytical costing and budgeting tool that helps countries develop their health plans by taking into account the most effective interventions, cost and budget marginal allocations of their implementation to health services and assess their potential impact on health coverage, Health related Millennium Development Goals(MDGs) and health outcomes of the poor.〔The oldest – although unpublished – concept note available on the topic: MARGINAL BUDGETING FOR BOTTLENECKS: A NEW COSTING AND RESOURCE ALLOCATION PRACTICE TO BUY HEALTH RESULTS Using health sector’s budget expansion to progress towards the Millennium Development Goals in Sub-Saharan Africa; A Soucat, W Van Lerberghe, F Diop, S N Nguyen and R Knippenberg Draft version: November 2002, please do not quote http://www.gavialliance.org/resources/14_MBB_Concept_paper.pdf〕 It builds on the High Impact Interventions to reduce mortality as published in various scientific articles including ''The Lancet'' series on Child, Maternal and neonatal survival. The tool has been developed in the context of Highly Indebted Poor Country Initiative and Poverty Reduction Strategy Papers ==Concept== The MBB mainly addresses the following six questions: * Who does what? Which high impact interventions can be integrated into existing providers/service delivery arrangements to accelerate progress towards the health MDGs? * Equity * What are the major hurdles or "bottlenecks" hampering the delivery of health services, and what is the potential for their improvement? * How much money is needed for the expected results? * How much can be achieved in health outcomes such as mortality reduction by removing the bottlenecks? * Which amounts of financing is it possible to mobilize and how should these be allocated and channelled ? It builds on theoretical knowledge: * The Tanahashi model of evaluating the health service delivery performance by looking at 5 determinants of the health system 〔Tanahashi 1978 bulletin of WHO_1978_56(2)_295-303 http://whqlibdoc.who.int/bulletin/1978/Vol56-No2/bulletin_1978_56%282%29_295-303.pdf〕 * The implementation of effective interventions also called High Impact Interventions〔How many child deaths can we prevent this year?, Dr Gareth Jones PhD,Richard W Steketee MD,Prof Robert E Black MD,Prof Zulfiqar A Bhutta PhD,Saul S Morris PhD,The Bellagio Child Survival Study Group, The Lancet – 5 July 2003 ( Vol. 362, Issue 9377, Pages 65–71 ), http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2803%2913811-1/fulltext〕 * Fiscal Space where governments can collect the money to implement the marginal cost required 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Marginal budgeting for bottlenecks」の詳細全文を読む スポンサード リンク
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