, 7 tweets, 2 min read Read on Twitter
The @CSO4UHC is calling on #HLMUHC to commit govts to move from private, voluntary, out-of-pocket payments towards public financing with minimum 5% of GDP as govt health spending. Here’s why. #UHC4Me 1/7
World Health Report 2010 by @WHO showed that only when direct payments fall to 15–20% of total health expenditure that incidence of financial catastrophe and impoverishment falls to negligible levels. 2/7
World Health Report 2010 also showed that governments which ensure access to a set of services usually spend 5–6% of GDP as government health expenditure. 3/7
McIntyre et al analysis said “target of government expenditure of at least 5% of GDP is an appropriate one” to reduce impoverishment, pay sufficient health workers and achieve 90% coverage of essential services. 4/7
Low-income countries already spend 7% of GDP on health but mostly from out-of-pocket payments, the least fair efficient or equitable way to fund #UHC. 5/7
Tax is the fairest way to fund #HealthforAll, collecting from population according to ability, but ensuring health access based on need, not ability to pay. 6/7
For the poorest countries, 5% of GDP government expenditure is still inadequate so donors must contribute 0.1% GNI as health aid, targeting support to help govts build #UHC. 7/7
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