Global Health Systems and Financing Priorities for the Post-2015 Agenda
This sub-theme focuses on how management and financing of health systems can improve quality, equity and raise health outcomes. The discussions will foster wider agreement of collective actions for providing financial protection, ensuring programs are responsive to people’s expectations and services address the needs of poor and vulnerable populations. A number of tenets will guide the discussions:
- The dynamic nature of health priorities require flexible and adaptable financing, management and delivery systems;
- Achieving quality and financial sufficiency are not the end but the means to achieve better health;
- External financing should not crowd out but promote domestic resource mobilization;
- As countries go through economic transition, stewardship of the health sector should prevent disproportionate increases in out-of-pocket expenditures and further disparity in access;
- Health financing strategies should work with the contribution from non-health sectors, such as education, defense, labor and social security sectors, and the influence of trade and foreign policies;
- Universal Health Coverage requires political commitment and calls for expanding services to the underserved, with financial protection and resilient health systems that meet quality standards.
At PMAC 2015, the international community will take pulse on the status of health financing globally and discuss trends and new ideas in resource mobilization. The growing trend of disparities among countries and strong upward pressures increasing costs and financing requirements will be reviewed with an analysis of the drivers. Weighing costs escalation against the returns on investing in health, the meeting will provide a venue to develop a good value proposition on increased financing on health for wider acceptance at global and country levels. This is critical for the debate on universal health coverage and has implications on both international financing and domestic resource mobilization. The discussions will highlight advocacy for poor countries to spend more, and for rich countries to get more value for the money spent. And overall, to re-affirm the notion of good health for low cost and review lessons learned amongst all countries.
The key pathways to achieving equity and improved health outcomes are adequacy/sufficiency, allocative and technical efficiency (including sub-sectoral priorities and incentives) and the level of financial protection provided. The sessions will review financial investments and with emphasis on the need to demonstrate measurable results. The discussions will take stock of accountability by the international development community as well as Ministers of Finance asked to increase outlays and Ministers of Health who have to decide among competing priorities.
Worldwide, countries are weighing the unfinished agenda in health, emerging priorities such as non-communicable diseases, pandemic threats and global climate change. Common threats to health security call for shared solutions including cross-border and regional collaboration, and the need for strategies to finance regional public health goods. In addition, the sub-theme will provide opportunities for an exchange with emerging donor countries, and learn about their shared interests, strategic priorities and explore partnerships with long-standing donors. Special sessions may be arranged with BRICS countries, and other transitional economies that are moving into upper middle income status, their experiences with moving towards donor status, reaching self-reliance, including the assurance to procure and supply sufficient drugs, vaccines and other health commodities.
Collectively, the sessions under this sub-theme will address the following issues:
- What is the current situation with health financing globally? What progress has been made with mobilizing domestic resources and establishing sustainable sources of financing?
- What are the lessons learned from vertical global financing mechanisms, sectoral programs and what is needed to address neglected health threats and broader health goals?
- What are the emerging challenges for the next two decades that will define plans for reaching universal health coverage and what adaptations are needed within service delivery and financing systems to address them?
- What systems changes are needed to enable providers and managers to manage for results, including practical, manageable and measurable improvements in quality?
- What are the lessons learned with innovative strategies such as using incentives to promote quality of care? How can results-based financing systems extend coverage and improve quality? How can demand-side subsidies reduce out of pocket expenditures?
- How can clients and civil society effectively participate in decisions on service delivery, quality and financing of health care?