Health financing for universal coverage

Key messages about resource tracking

Resource tracking work has two broad uses:

  • To generate statistics for routine monitoring purposes (typically annual health accounts)
  • For evaluation work or applied policy analysis using tools such as Public Expenditure Tracking Surveys (PETS) and Public Expenditure Reviews (PERs).

Improving strategic directions for resource tracking

Future work on resource tracking needs to be conscious of the balance and trade offs between:

  • A standardised approach to generating data and indicators, enabling both cross-country and longitudinal comparisons and;
  • More tailored analytic work that requires flexibility to adapt to the specific policy needs of country decision-makers at a given point in time.

A move towards a mixed and balanced strategy is ideal to meet both objectives of international comparability, and reflecting countries’ different stages of development.

Whatever the mix, it is important to standardise the taxonomy across all countries as well as certain aspects such as the functional framework for health financing. This will ensure that items with the same characteristic are classified into the same category regardless of the labels used by a particular country.

It is also important to:

  • Better articulate priorities for resource tracking at the country level, and understand country level policy concerns and priorities.
  • Improve data quality and understand who produces it and who uses it, to improve its relevance and reinforce demand.
  • Improve flexibility, connectivity, and user-friendliness of available data and tools.
  • Improve coordination across agencies, networks and countries to address fragmentation of resource tracking efforts and ensure an overall vision and approach, driven by domestic policy needs.