Macroeconomics and Health (CMH)

Consultation on National Responses to the CMH Report - June 2002

To identify future directions, a Consultation on National Responses to the CMH Report was held at WHO Headquarters in June 2002. Ministers and senior representatives from the ministries of health, finance and planning from 19 countries came together with representatives from the World Bank, 12 bilateral agencies, the Bill and Melinda Gates Foundation, and WHO staff to discuss how to translate the CMH recommendations into country actions.

The Consultation considered what could be done to dramatically increase investments for achieving the Millennium Development Goals (MDG) in health, and the steps countries need to take to accelerate national action. Senior representatives from the following countries participated in the meeting:

The African region: Ghana, Mozambique, Senegal, United Republic of Tanzania, Uganda
The Americas region: The Caribbean States, Guatemala, Santa Lucia and OECS countries
The European region: Poland
The Eastern Mediterranean region: Jordan, the Islamic Republic of Iran, Oman, Pakistan
The South-East Asian region: Bangladesh, India, Indonesia, Nepal, Sri Lanka, Economic and Social Commission for Asia and the Pacific (ESCAP).

The Consultation recommended that each country supporting Macroeconomics and Health work should develop a specific plan of action appropriate to its situation, keeping in view the broad parameters of action outlined in the CMH Report. Development of an action plan requires a number of key activities including :

1. Advocacy on CMH findings and mobilization of additional political support:

  • communicate the CMH concept and messages and encourage debates on the Report's findings
  • define the appropriate country-level response to CMH recommendations.

2. Data analysis, development of strategies, and setting out a framework of macroeconomics and health action:

  • review relevance of CMH findings within a country context
  • investigate system constraints to scaling up
  • ensure that information on coverage, equity, and cost effectiveness of priority services is available
  • develop national health investment plans on how to reach people effectively
  • consider approaches to retaining and training health care professionals across all levels of the health system
  • investigate how to incorporate health in the PRSP process
  • incorporate increased health spending within national Medium-Term Expenditure frameworks.

3. Addressing the national burden of HIV/AIDS:

  • address the impact of HIV on poverty, economic growth, and health status
  • establish policies and resources for increased access to prevention and care.

4. Estimating funding needs and mobilization of additional financial support from domestic and international sources:

  • improve information on the costs of health inaction
  • ensure links between relevant ministries and insert health in HIPC
  • build effective links with global funding initiatives.

5. Managing implementation of plans and monitoring achievements:

  • build country capacity for stewardship, intersectoral action, and monitoring performance
  • assess results, relate them to expenditure and track financial flows for health.

6. Securing better coordination and coherence of action:

  • document country experiences in intersectoral collaboration
  • establish effective mechanisms for in-country coordination, coherence in regional and global action, and to ensure that global initiatives respond to country needs.