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Generic plan of action format phases and steps at the country level: Macroeconomics and health strategy
June 2003
World Health Organization (WHO)
In January 2000, WHO Director-General established a Commission on Macroeconomics and Health (CMH) to study the links between increased investments in health, economic development and poverty reduction.
The Commission’s analysis revealed that: ill- health contributes significantly to poverty and low economic growth; a few conditions account for the high proportion of ill- health and premature deaths; and the current level of spending on health in Member States is insufficient to scale- up the available essential public health interventions.
The CMH recommended enhanced political commitment, at both national and international levels, to increased investments in ‘close-to-client’ (CTC) health systems and expanded coverage of cost-effective interventions targeting the poor. Thus, countries in the African Region need to prepare multi- year investment plans for scaling up essential health services.
This brief note suggests possible phases and steps that countries may follow to develop multi- year investment plans for scaling up essential health services. These steps are not prescriptive. Countries may adapt different approaches depending on their circumstances and requirements. The suggested steps should be carried out within the existing: (i) national policies, development plans and poverty reduction strategies; and (ii) administrative, planning, implementation and monitoring structures and processes in individual countries.
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