Ensuring that health systems meet priority health needs when resources are scarce means having to make choices

For those countries whose health systems are facing significant decline, or significant new threats, such as a high level of HIV/AIDS related illness, choices need to be made about:

  • how national resources are to be shared;
  • the weighting given to health;
  • where and how to spend public resources within public health systems;
  • how to motivate and direct private health spending;
  • how household contributions will be balanced against state contributions.


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