Investing in Health: Pathways for a Fiscal Pivot

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dc.creatorKurowski, Christoph
dc.creatorEvans, David
dc.creatorSchmidt, Martin
dc.creatorThorat, Sakshi
dc.creatorGabani, Jacopo
dc.creatorGutierrez, Catalina
dc.creatorKumar, Anurag
dc.date2026-01-07T17:53:09Z
dc.date2026-01-07T17:53:09Z
dc.date2025-12-22
dc.date.accessioned2026-07-01T00:30:13Z
dc.descriptionThis 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.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttps://openknowledge.worldbank.org/entities/publication/cf1f5885-24c6-4863-ae54-7a61851d57a4
dc.identifierhttps://hdl.handle.net/10986/44133
dc.identifier10.1596/44133
dc.identifier.urihttp://hdl.handle.net/123456789/404723
dc.languageEnglish
dc.languageen_US
dc.publisherWashington, DC: World Bank
dc.rightsCC BY-NC 3.0 IGO
dc.rightshttps://creativecommons.org/licenses/by-nc/3.0/igo
dc.rightsWorld Bank
dc.subjectGOOD HEALTH
dc.subjectGOVERNMENT HEALTH EXPENDITURE
dc.subjectUNIVERSAL HEALTH COVERAGE
dc.subjectHEALTH REFORMS
dc.titleInvesting in Health: Pathways for a Fiscal Pivot
dc.typeWorking Paper

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