Health systems governance and financing & COVID-19
Strengthening frontline services for pandemic response, the current priority for governments given the COVID-19 virus outbreak, requires supportive health financing policies. WHO’s guidance on health financing policy is ultimately focused on strengthening
health system resilience, health security and universal health coverage (UHC). Our thinking focuses on raising adequate revenues for health systems, organizing those revenues in order to maximize risk-sharing across the entire population, and spending
those funds in the best way to improve the health of all citizens of a country. Public financial management is a cross-cutting theme across these core functions.
Short-term measures in response to COVID-19 must be carefully streamlined, and WHO is heavily involved with colleagues to provide comprehensive guidance to countries on the types of actions and adjustments needed to support the response. Questions include:
- What immediate spending actions can be taken with existing budgets?
- How can the necessary budget for the COVID-19 response be secured through revisions to finance laws?
- What can be done to accelerate budget execution and funds release to frontline services?
- What is the best way to ensure rapid access to COVID-19 services for all those who need it, irrespective of ability to pay?
- How can the core of the health system be strengthened even as the immediate response takes priority?
News
Publications

29 July 2021
Health financing for the COVID-19 response
Process guide for national budgetary dialogue
Related links
Health Financing Policy
Health Systems
- Technical guidance documents on strengthening health system response to COVID-19
- WHO European Observatory COVID-19 Health System Response Monitor (HSRM)
Public Financial Management (including budget formation and execution)
- No calm after the storm: time to retool country PFM systems in the health sector
- Why PFM is key for the effective roll out of COVID-19 vaccines
- If you're not ready, you need to adapt: lessons for managing public finances from the COVID-19 response
- COVID-19 funds in response to the pandemic
- How to budget for the COVID-19 response?
Resource Mobilization
Strategic Purchasing
- Purchasing Priorities to Support the COVID-19 Response
- Adjustments in health purchasing as part of the Covid-19 health response: results of a short survey and lessons for the future
Private Sector Engagement
- Action Plan for mobilizing the private health delivery sector in the response to the COVID-19
- Priorities for mobilizing the private health delivery sector in the response to the COVID-19
- A resource house of news on countries’ approaches to the private sector during COVID-19
Participatory governance
- Governance of the Covid-19 response: a call for more inclusive and transparent decision-making
- Symptoms of a broken system: the gender gaps in COVID-19 decision-making
- The health democracy deficit and COVID-19