Towards UHC in Africa How to argue for increased domestic resources?. Kai Straehler -Pohl | Sector Project P4H, Germany. Africa on the move – Countries moving towards UHC. HFS/UHC/SHP Processes. GIZ/P4H supported process. P4H supported process.
Towards UHC in Africa
How to argue for increased domestic resources?
Kai Straehler-Pohl | Sector Project P4H, Germany
Africa on the move – Countries moving towards UHC
… but onechallengeremains: HowtogettheMinistryofFinance on boardfor a substialbudgetincrease?
Part 1: The necessary condition
Arguments that you should invest
The intrinsic value: Health as a human right
General commentNo. 14 (ECOSOC, 2000):
… a set of both freedoms and entitlements which accommodate the individual's biological and social conditions as well as the State's available resources, both of which may preclude a right to be healthy for reasons beyond the influence or control of the State…
The instrumental value: Health generates wealth
Wordle from: Harmonization for Health in Africa (2011): Investing in Health for Africa: The Case for Strengthening Systems for Better Health Outcomes. Chapter 3 – The wider investment case.
The instrumental value: Health generates wealth (2)
The instrumental value: Health generates wealth (3)
Improved adult healthandnutrition
Higher GDP per capita
Increasedaccesstonaturalresourcesand global economy
Increasedinvestment in physicalcapital
Higher attractivenessfor FDI
Adaptedfrom: Ruger, Jamison and Bloom (2002): WG report 1 of The Commission on MacroeconomicsandHealth.
The combined argument: Health is wealth
The combined argument: Health is wealth (2)
Part 2: The sufficient condition
Arguments that the investment will pay off
The performance argument: Monitoring results
The value-for-money argument: Doing the right things right
The performance argument: incentives to improve