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The estimated total per capita expenditure on health was USD 19.2 in 20001/02, which is about half of what is required to finance the minimum health package set by the World Health Organization [ 13].
However, fulfilling LIC governments' minimum financial obligations for global health as proposed here along with the mechanism we have recommended will lead to equity in financing global health, in particular the essential (minimum) health package for all individuals globally; that is, financing equity between LMICs themselves, and between LMICs and HICs.
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5 This situation obtains in the financing of all health services even beyond the minimum health packages.
There were limited health facility costing studies conducted in Uganda, the best available evidence was from a study by Medical Sciences for Health (MSH) in which the minimum health care package at health centres in Uganda was costed [ 24].
The 1999 national health policy included community empowerment and mobilization for health as key elements of the national minimum health care package.
This clearly demonstrates the need to review the use of LG norms if the health sector is to equitably provide at least the minimum health care package.
The HSSIP III makes a reference to mental health as a government priority within the non-communicable diseases cluster of the minimum health care package.
Alignment with the Ugandan minimum health service package and the national standards for newborn health care demonstrates the potential for replication in other districts.
Governments have therefore started to include mental health in the minimum health care package to be delivered through an integrated approach in the existing primary health care system [ 1- 3].
The Uganda national minimum health care package was introduced during health sector strategic plan (HSSP) 1, through HSSP II, and HSSP III, where maternal and child health were among the key focus areas.
A minimum health care package, with interventions addressing the biggest burden of diseases affecting majority of the population, would form the primary focus of the health care delivery system.
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