Financing

- Increase public financing for health, in an efficient and sustainable manner. Public expenditure on health equivalent to 6% of GDP is a necessary though not sufficient condition for reducing inequities within the framework of universal health coverage. An increase in public resources for health should increase equity in resource allocation, prioritizing the primary level of care and boosting its response capacity and its capacity to articulate integrated networks of services.

- Eliminate direct payment at the point of service that acts as a financial barrier to access to guaranteed health services. This will increase financial protection by reducing inequity and exposure to catastrophic expenditures and impoverishment.

- A pre-paid integrated pool based on the principle of solidarity, that allows cross-subsidies from healthy to sick, from rich to poor, and from young to the elderly, should replace direct payments. This is an effective strategy to increase equity and the efficiency of the health system.

- Improve efficiency in financing and the organization of the health system.

- With regard to efficiency in the organization of services, it is necessary, among other steps, to: align pay incentives and payment mechanisms with the results in terms of progress toward universal health coverage; rationalize the introduction and use of drugs and other health technologies with an integrated and multidisciplinary approach; improve the procurement of inputs, essential drugs, and other health technologies by taking advantage of economies of scale and adopting transparent procurement processes; and fight corruption.

Source: CE154/12 Strategy for Universal Health Coverage