The mechanism we have recommended for determining each country's obligation in covering the cost of minimum health opportunities along with the fulfilment of the resulting obligations will ease coordination in global health fundraising and resource disbursements.
This implies further that instead of asking the entire deficit for the rest of LICs from the HICs, if a mechanism like this had been followed in resource fundraising and disbursement, the burden of HIC citizens could have been reduced even further and would be even fairer.
In the discussion above we have illustrated how the obligation of LIC governments to allocate a certain uniform minimum percentage of their domestic budget resources to health can be effective as a mechanism for guiding equitable health resource contributions and disbursements globally, leading to inter-country equity.
Politically, however, the disbursement of resources is by no means inconsequential.
Obviously, as this inefficient, class-biased disbursement of resources drains public finance and accumulates national debt, it also brings tremendous riches and treasures to war profiteers, that is, the beneficiaries of the military capital and the finance capital.
Nonetheless, it appears that the greatest challenge to the efficient use of EEPCT resources was the substantial disbursement lag in the first two years of implementation.
(District Key Informant, DKI 4) However, respondents emphasized that the implementation of decentralization of health services is constrained by a lack of adequate financial resources and delays in disbursement of funds from the central government.
However, the link becomes less evident for policy interventions that require the disbursement of public resources such as tax reforms, changes in benefit systems or precisely reforms of employment protection regulations (Høj et al. 2006; IMF 2004).
Regarding common arrangements used for fund disbursement, the share of resources provided as programme-based support is not increasing.
With the help of government officials, program staff have followed resources step-by-step through the disbursement process: they track the chain of events from when funding is first allocated, to when ministries of finance and health plan their budgets, to the point at which funds are actually disbursed.
