Investing in Health: Pathways for a Fiscal Pivot
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Washington, DC: World Bank
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This paper examines how low- and lower middle-income countries (LLMICs) can expand government health spending to accelerate progress toward Universal Health Coverage and other health-related Sustainable Development Goals. Despite long-term gains, growth in government health spending has markedly slowed, and many LLMICs face tightening fiscal space, declining external support, and rising competition for public resources. Pathways for a Fiscal Pivot sets out an agenda to expand government health spending across budget transfers, social contributions, and development assistance for health, combining political economy strategies with technical and operational measures to shape reforms, processes, and financing decisions. The pathways draw on the literature, case studies, and extensive consultations with government representatives and other experts. Rather than a blueprint, they offer a starting point for debate on a fiscal pivot for investing in health.
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GOOD HEALTH, GOVERNMENT HEALTH EXPENDITURE, UNIVERSAL HEALTH COVERAGE, HEALTH REFORMS