towards health have risen
As resources have become more
scarce (and inequities have grown), mobilizing and allocating
public and private resources for health has become an issue of
central concern for the state, the private sector and civil society.
The costs of health services
have risen at a time when household poverty has increased in
many countries (Equinet
Steering Committee, 2000; Simms,
2000). Market reforms have reduced tax-based spending on
health relative to individual out-of-pocket spending. Inequity
in health financing has increased, and collective forms of payment
have been replaced by individual forms. Under-funded health services
have looked to clients to 'take more responsibility' for their
health, including contributing more funds towards health systems.
Solidarity and social networks
have weakened as a result.