This page has been archived and is no longer updated. We apologize for the inconvenience. To find similar material or an updated version of the page, please visit one the following resources:
Health Topics || Country Sites || News Releases || Our New Homepage

Esta página ha sido archivada y ya no es actualizada. Pedimos disculpas por la molestia. Para encontrar material similar o una versión actualizada de la página, visite uno de los siguientes recursos:
Temas de salud || Sitios de países || Comunicados de prensa || Nuestra nueva página de inicio

How can they support progress towards Universal Health?

Regional Meeting, Washington, D.C., 21-23 August 2017

Washington, DC.  21 August 2017.  With the approval of the Strategy for universal access to health and universal health coverage (Res. CD53/5, Rev. 2) in the 53rd Directing Council of the Pan American Health Organization, the countries of the Americas Region manifested their commitment to advance in the direction of Universal health, adopting the right to health, equity, and solidarity, as core values.

Several countries are working on the implementation of a road map for Universal health, in which the matter of health financing is critical since a minimal level of resources have to be allocated to the health sector. At the same time this effort should translate into a replacement of direct payment to foster equity in access and must be implemented in a framework of efficiency.

In this context, the proposed activity seeks to improve dialogue, advocacy and interchange of important experiences between countries, and to present a group of works. Providing participants with tools to favor dialogue on strategic purchasing and payment systems is expected as a result of the activity. Also, it is expected to build possible lines of technical cooperation on this topic for the near future.

Meeting analytic framework

Since the mid 1990's many countries of the Region have been looking for ways to develop adequate mechanisms to allocate resources within the health system, trying to move away from historic-based budgeting. This is a complex policy area, as it implies the allocation of a global amount of resources including adequate incentives, in a context of normative and budgetary rigidity.

Meeting objectives

The main objective is to discuss the state of the art of resource allocation systems and the challenges that they face in the context of moving towards Universal health, to guide PAHO/WHO technical cooperation with Members States to promote an increase in public spending in health with equity and efficiency. In this sense, a preliminary road map to guide the technical cooperation in the near future on this area is expected to be drafted.


Meeting between experts from selected countries on the basis of countries' levels of development on payment systems and strategic purchasing. The idea is to discuss with them around country experiences, previously systematized for the meeting in a study commissioned by PAHO/WHO (selected countries) and presented by professionals from each country as well as other international experiences and reflections that make part of recent lessons learnt in health economics and financing at the global level.

For this reason, the event will be developed in 3 phases: diagnosis, discussion on innovative experiences and finally a workshop to synthetize between participants. (see agenda)

Expected results and documents

At the end of the meeting we expect to gather necessary inputs to finalize the diagnosis study. Also, we expect to determine a group of priorities and countries in which to support specific interventions in the short term in the area of transforming allocation mechanisms and strategic purchasing.

pdf  Agenda y concept note - Regional meeting: Payment Systems and Strategic Purchasing. How can they support progress towards Universal Health? (210.38 kB)


PAHO/WHO: Health economics and financing team, Health Services and Access Unit, Health Systems and Services advisors.

International participants: representatives from Argentina, Bolivia, Belize, Chile, Costa Rica, Colombia, Cuba, Ecuador, El Salvador, Guatemala, Dominican Republic, Haiti, Honduras, Mexico, Panama, Paraguay, Peru, Uruguay, and Suriname. In addition, experts from the University of the West Indies, Universidad Pompeu Fabra (Spain) and Universidad del Pacífico de Lima (Peru).


Contact information

email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Health Services and Access Unit / Department of Health Systems and Services

Regional Office for the Americas of the World Health Organization

525 Twenty-third Street, N.W., Washington, D.C. 20037, United States of America

Tel.: +1 (202) 974-3000 Fax: +1 (202) 974-3663