Perspectives

Sufficiency to efficiency

A paradigm shift in health financing

Successful advocacy and increased global awareness has led to a significant increase in development assistance for global health in the past 20 years. One of the driving factors of this increase has been the objective of sufficiency—allocating adequate levels of aid to address defined goals. Development assistance has undoubtedly and significantly improved the health of millions globally; however, there is still great need and greater attention to health outcomes can augment resource success.

Achieving better efficiency of spend​

Moving forward the focus can no longer be on advocating for larger global health spending. Instead, donors, countries, and health program managers alike have to strive for achieving better efficiency of spend. 

As the global health community increasingly demands to see value for money, national health systems, donors, as well as sub-national health programs must be prepared to validate the impact of every health dollar spent and demonstrate improved system and performance efficiencies. The more that health systems adopt and implement the sufficiency to efficiency mindset, the further that we, as a global health community, can impact a foundational paradigm shift in health financing and program performance in which achieving optimized resource utilization and maximizing program impacts are core objectives of health programming.

This paper provides a framework for successfully transitioning to a more efficient use of available development health resources and maximizing the value of global health investments.

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