Towards UHC: thinking public

Overview of trends in public expenditure on health (2000-2014)

by Helene Barroy, Kelsey Vaughan, Yann Tapsoba et al.
World Health Organization, July 2017

26 pp. 1.1 MB
http://www.who.int/iris/bitstream/10665/255782/1/9789241512428-eng.pdf?ua=1

The publication offers a comprehensive deep-dive analysis of public financing for health in low- and middle-income countries (LMICs) by assessing the changing relationship between domestic public financing for health and the economy, the budget and overall sector financing. The analysis reveals that the period (2000-2014) is characterized by reduced sensitivity of public expenditure on health to macro-fiscal expansion, which in turn has contributed to a reduced role for domestic public funds in financing the sector. With the impact of external sources removed, there is no evidence of an effective “health financing transition” from private to public financing for health in low-income countries (LICs). The relative reduction in out-of-pocket spending reflects a combination of an increase in external health aid with stagnation in domestic public funding.

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