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Increasing and improving financing, with equity and efficiency, and advancing toward the elimination of direct payment that constitutes a barrier to access at the point of service.

Improve and strengthen the efficiency of health system financing and organization. Efficiency in the organization of services implies, among other things, implementing people- and community-centered care models and delivering quality services; aligning payment mechanisms with the objectives of the system; rationalizing the introduction and use of medicines and other health technologies with an integrated, multidisciplinary, evidence-based approach; improving supply mechanisms for medical devices, medicines, and other health technologies; optimizing supply management; taking advantage of economies of scale; adopting transparent procurement processes; and fighting corruption.


Increase and optimize public financing for health in an appropriate, efficient, sustainable, and fiscally responsible manner in order to expand access, reduce health inequities, increase financial protection, and implement efficient interventions. Efficient allocation of public spending for health is a necessary condition for reducing inequities within the framework of universal access to health. Recognizing the special characteristics of countries, appropriate allocation of resources should be aimed at increasing equity by prioritizing the first level of care, seeking to improve its response capacity and its capacity to organize service networks. Public expenditure on health equivalent to 6% of GDP is a useful benchmark in most cases and is a necessary—though not sufficient condition to reduce inequities and increase financial protection within the framework of universal access to health and universal health coverage.