Decline in government health expenditure

Over the decade from 1979 to 1989 the proportion of government expenditure devoted to health has fallen in most countries of sub-Saharan Africa, in more than half of the countries of Latin America and the Caribbean, and in one third of the nations of Asia. And the cuts have not been marginal. In the 37 poorest nations spending per head on health care has fallen by nearly 25% in this period.

1. The World Bank has become the biggest funder of public health in the world.

1. Inadequate resources for health
2. Decline in government expenditure

1. Insufficient health payments

1. Underpayment of medical auxiliaries
2. Neglected health practices
3. Limited availability of health resources
4. Insufficient health personnel
5. Insufficient doctors
6. Inequitable use of medical resources
7. Inadequate primary health care
8. Arbitrary evaluation of disability compensation

1. Prohibitive medical expenses
2. Overdependence on government subsidies
3. Non-diversification in subsistence fishing economies
4. Misuse of public health funds
5. Insufficient financial resources for urban services
6. Increasing public health costs
7. Commercialization of medical practice

1. Dependence on social welfare

1. Shortage of financial resources for action against problems
2. Lack of health insurances
3. Government manipulation of public information

1. Providing public health services
2. Limiting public health subsidies
3. Freeing up public health subsidies

1. Self-government
2. Overspending
3. Limitedness
4. Health
5. Government
6. Decline