3.Prof.Kara - Collaboration to Secure Access to Essential Medicines.pdf

1、Collaboration to secure access to essential medicines in global healthKara HansonProfessor of Health System EconomicsLondon School of Hygiene and Tropical MedicineGPO Pharmaceutical Summit 2026,BangkokOutlineFinancing Primary Health Care Particular challenges of financing medicines2025 a landmark ye

2、ar for global health?Rethinking global health financing“Global health commodity financing”as a new field Thailands contributionsChallenges and ways forwardFinancing Primary Health Care in low-and middle-income countries,April 2022The challenge3Insufficient funding for PHCPHC funding is fragmented,In

3、flexible,inefficientResources dont reach the frontlineSpend more and spend better on PHCAllocate more resources to PHCAllocate equitably,protect to the frontlineAlign funding flows,incentivesPriority to health is limited,political and professional pressures favour hospitalsObjectives Present new evi

4、dence on levels and patterns of global expenditure on PHC Analyse key technical and political economy challenges faced in financing PHC Identify areas of proven or promising practices that effectively support PHC across the key health financing functions Identify actionable policies to support LMICs

5、 in raising,allocating,and channelling resources in support of the delivery of effective,efficient,and equitable,people-centred PHCGovernment PHC spending is very lowAllocating resources to PHC7Provider payment and incentives8Provider payment for PHC sets incentives that influence funding flows and

6、resource use for PHC Population-based,or capitation,payment systems create the strongest incentives for providers to deliver people-centred PHC.An equal fixed payment per person Adjustment based on health needs Pays providers to manage population health,prioritise health promotion and prevention Pro