Leveraging public financial management for better health

Public Financial Management (PFM) challenges differ in size and scope across countries. Increased revenue for the health sector alone will not achieve UHC goals unless well-functioning PFM systems are in place.

To leverage PFM reform in the health sector, WHO provides support in the following areas:

  • Global experts network: WHO convenes experts and partners for knowledge exchange under the Montreux Collaborative Agenda on Fiscal Space, PFM and Health Financing
  • Global budget repository: WHO collects, consolidates and provides on-line access to country budget documents to support health budget analysis, benchmarking and dialogue
  • Global guidance on fiscal and budget reforms: WHO develops global guidance and tools to support fiscal dialogue between finance and health authorities, and shares good practices on budget reform in health
  • Country support: WHO provides technical guidance and support to country budget health reforms, with a focus on the transition to output-based budgeting
  • Capacity building: WHO supports capacity building for ministries of health and other health stakeholders on fiscal space, PFM and budget issues in various ways (face-to-face training, webinars, on-line course).

Nearly 50%

of African countries

introduced programme budgets in health enhancing accountability and transparency

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Many countries

spend less than 80% of their annual budget allocation for health

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Publications

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Public financing for UHC: towards implementation

From 31 October through 2 November 2018, WHO’s Department of Health Systems Governance and Financing convened the third in a series of meetings related...

Publication budget matter cover

Robust public budgeting in the health sector is a necessary condition to enable the effective implementation of health financing reforms towards universal...

Blue cover with the word "budget" in a globe

There is no universal health coverage (UHC) without public financing, making public budgeting a central piece of UHC reforms. Peru has made significant...

Fiscal space, public financial management, and health financing: sustaining progress towards UHC: implementation of the collaborative agenda

In April 2016, WHO’s Department of Health Systems Governance and Financing convened a  follow-up meeting to bring together representatives...