There is now policy consensus
that out-of-pocket payments, such as user fees, are less equitable
than tax, insurance and pre-payment approaches (WHO,
2000). The fundamental issue, however, has not yet been addressed.
What capacities and systems
need to be put in place to ensure that national revenue is fairly
allocated and that local funds are raised, managed and allocated
in a manner that builds public accountability and responds to
informed public demand?
The next module explores ways
in which the social networks and capacities within civil society
facilitate risk pooling and solidarity based financing and enhance
public accountability in the allocation and management of funds.