Work toward this outcome aims to secure increased and improved public financing for health, with equity and efficiency, as a necessary condition to advance toward universal health, according to national context. To achieve this outcome, it is necessary to:

a) Improve and/or increase public expenditure on health, prioritizing investments in promotion, prevention, and the first level of care (infrastructure, medicines and other health technologies, and human resources for health) within integrated health services delivery networks with a people-, family-, and community-centered approach, with due attention to public health interventions/programs to respond to the health needs of the population, including health promotion, and actions to address the social determinants of health.

b) Increase investment to build national health authorities’ capacity to fulfill the essential public health functions.

c) Develop coordinated initiatives to mobilize complementary national and international resources, including with the private sector and other sectors.

d) Establish solidarity-based pooling arrangements for efficient and equitable use of diverse sources of public financing.

e) Develop systems for procurement and payment to suppliers that promote efficiency and equity in the allocation of strategic resources.

f) Develop and validate instruments for monitoring and evaluating the performance of financing.

g) Develop mechanisms for equitable allocation of funds and decentralization of resources, according to public health priorities and the response capacity of health facilities in the context of integrated health services networks.

Note: For further details on the scope of this Outcome, please refer to the PAHO Strategic Plan 20-25 Document.