Contribution of the joint network to Universal Health Coverage and the Sustainable Development Goals: the regional joint networks
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This presentation was made by Camila VAMMALLE, OECD, at the 5th Meeting of the joint OECD DELSA/GOV Network on Fiscal Sustainability of Health Systems held on 4-5 February 2016 at the OECD Conference Centre in Paris.
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Contribution of the joint network to Universal Health Coverage and the Sustainable Development Goals: the regional joint networks
- 1. CONTRIBUTION OF THE JOINT NETWORK TO UNIVERSAL HEALTH COVERAGE AND THE SUSTAINABLE DEVELOPMENT GOALS: THE REGIONAL JOINT NETWORKS 5th Meeting of the Joint Network on Fiscal Sustainability of Health Systems 4-5 February 2016, Paris
- 2. • 17 Sustainable Development Goals (SDGs), associated with 169 targets. • SDG number 3: “Ensure healthy lives and promote well-being for all at all ages”. Transforming our world: the 2030 Agenda for Sustainable Development Set of multi-dimensional aspiration goals adopted by government leaders on 25 September 2015.
- 3. Indeed, in some regions, health outcomes are still lagging Infant mortality, 2013 Source: WHO (2015), Global Health Observatory Data.
- 4. Total (public + private) health expenditure in some regions are very low compared to OECD countries On average, African countries spend 6% of their GDP on health (9.3% in OECD) Total Health Expenditure as % GDP 0 2 4 6 8 10 12 14 SierraLeone Lesotho Rwanda Liberia Uganda OECDaverage Djibouti SouthAfrica Togo Swaziland Malawi Burundi Namibia Mali Tunisia SaoTomeandP. Mozambique Algeria Niger Sudan BurkinaFaso Africaaverage Gambia Morocco Comoros Coted'Ivoire Guinea-Bissau Botswana Ghana Cameroon Egypt Ethiopia Zambia Mauritius Guinea Benin Kenya CaboVerde Libya Madagascar Senegal Congo Seychelles CentralAfrican… Nigeria Angola Gabon Mauritania Chad EquatorialGuinea Eritrea SouthSudan % of GDP Source: WHO (2015), Global Health Observatory Data.
- 5. And in particular, health expenditure represents a lower share of total public expenditure than in OECD countries Public expenditure on health as a % of total public expenditure 0 5 10 15 20 25 30 Uganda Rwanda Swaziland Nigeria Ethiopia AverageOECD Malawi CentralAfrican… Togo Lesotho Djibouti SouthAfrica Namibia Burundi BurkinaFaso Tunisia Liberia Gambia Zambia Mali Madagascar SierraLeone Sudan Benin Ghana AverageAfrica CaboVerde Niger Seychelles Mauritius Algeria Botswana Mozambique Congo Cameroon Coted'Ivoire Guinea-Bissau Angola Comoros Senegal Gabon EquatorialGuinea Guinea Morocco Chad Kenya SaoTomeandP. Egypt Mauritania Libya SouthSudan Eritrea % of total public expenditure Source: WHO (2015), Global Health Observatory Data. On average, health represents 10% of public expenditure in African countries (vs. 16% in OECD countries).
- 6. Implications This implies that in many countries, public health expenditure are expected to grow, both as a share of GDP and as a share of total public spending. Given the scarcity of resources, it is important therefore that any new money spent on health care is as effective as possible. Good budgetary and financial management systems are therefore crucial.
- 7. How can the Joint Network contribute to this agenda? Reduce poverty and increase economic growth Survey Annual meetings Case studies Analytical research Benchmark good practices and identify bottlenecks Catalyze processes for better alignment between budgeting and health Increase coverage and improve service quality More effective and efficient use of financial resources Reduce morbidity and increase life expectancy Document health budget tools and practices Improve capacity and create dialogue
- 8. Work of the Joint Network in non-OECD countries Activities in 2016: • Survey of budgeting practices for health in LAC and in Africa • Country case studies: Peru and South Africa • Meetings of Health and Budget Officials in LAC, CESEE, Africa • “Montreux collaborative agenda” on fiscal space, public finance and health financing