Office of the Assistant Director
Health Systems Strengthening Area
Health Policies and Systems Development Unit

Health for All: Can it Be Financed?
Fiscal Space and the Financing of Universal Health Care Systems: Issues and Policies

November 29-30, 2007
Washington, D.C., USA
Activity Brief  (en PDF - 108 KB) Agenda  (en PDF - 161 KB) Presentations, Background Documents and Others List of Participants  (en PDF - 96.5 KB)


Health, Human Capital and Economic Growth (HEG):

  • IADB / PAHO - Senior Policy Seminar Health, Human Capital and Economic Growth: Theory, Evidence and Policies
    October 3-4, 2002
    Washington DC., USA

  • Workshop on Health, Human Capital and Economic Growth: Case Studies
    June 4-6, 2003
    Washington, DC., USA

  • Harmonization Workshops of Health and Social Protection Accounts

  • Taller sobre Armonización de Cuentas de Salud y Protección Social - Sistema de Cuentas Nacionales. Países del MERCOSUR
    Nov. 7-8, 2005
    Montevideo, Uruguay

  • Taller sobre Armonización de Cuentas de Salud y Protección Social - Sistema de Cuentas Nacionales. Comunidad Andina:
    Bolivia, Colombia, Ecuador, Perú y Venezuela

    Mayo 27-28, 2004
    Quito, Ecuador

  • Taller sobre Armonización de Cuentas de Salud y Protección Social - Sistema de Cuentas Nacionales: Centro América, Panamá y Republica Dominicana
    Nov. 24-25, 2003
    San José, Costa Rica

  • Workshops on Health Sector Satellite Accounts

  • Consulta Técnica Regional: Armonización de las Cuentas de Salud y el Sistema de Cuentas Nacionales en Países de las Américas
    Julio 21-22, 2005
    Santo Domingo, República Dominicana

  • Primer "Taller sobre las Cuentas Satélites de la Salud en las Américas"
    Mayo 30-31, 2005
    Rio de Janeiro, Brasil

  • Workshops on Household Sector Satellite Accounts: Gender and Health: Measurement of th women's unpaid contribution to health and economic growth

  • Taller Internacional sobre Cuentas Satélite del Sector Hogares - Midiendo las Contribuciones no-remuneradas de las Mujeres a la Salud y el Desarrollo Económico de los Países
    Junio 5-6, 2006
    Santiago, Chile

  • PAHO's Work on Health Accounts/National Health Accounts

  • Primera Reunión de Unidades/Departamentos de Economía de la Salud de Instituciones Públicas de Salud de Países de América Latina y el Caribe
    Octubre 30, 2006
    Buenos Aires, Argentina

  • Background

    Recent studies on the fiscal burden in developing countries suggest that some countries of the Latin America and the Caribbean fall short of their revenue potential. Administrative inefficiencies in revenue collection, fiscal evasion, and fiscal elusion and corruption may account for the poor performance of the fiscal systems.

    Throughout the Region of the Americas, the development of national health care systems providing universal access to health care services was a major thrust of health sector reform initiatives, and it is the main objective of proposed changes to the way national health care systems are financed. Universal access to health care services is the main thrust of proposed health financing initiatives based on developing comprehensive national social health insurance schemes, decentralizing health care systems, or developing unified national (public) health cares systems. However, few such policy reform proposals have explored in depth the fiscal implications of ensuring the feasibility and sustainability of expanding coverage or of achieving universal health care systems.


    The main objectives of the Regional Workshop were to present and discuss the fiscal issues involved in connection with the feasibility and sustainability of financing universal health care systems in countries of the Region of the Americas. Experts on the organization and financing of national health care systems and in the area of public finance and fiscal policies presented and discussed the fiscal implications of building and sustaining national health care systems providing universal access to health care services.

    Venue of the Workshop

    Inter-American Development Bank - IDB
    Enrique V. Iglesias Conference Center
    Room CR-2 (Annex Building)
    1330 New York Avenue, NW
    Washington D.C. 20577


    English and Spanish (Simultaneous translation)

    Agenda and Background Materials

    (PAHO website, search Keyword: FINFISC)

    Activity Coordinators

    Eduardo Lora
    Principal Advisor
    Research Department, Office of the Chief Economist
    Inter-American Development Bank - BID
    1300 New York Ave., NW
    Washington, DC 20577
    Tel: (202) 623-1271
    Web site:

    Rubén M. Suárez
    Regional Advisor on Health Economics and Financing
    Pan American Health Organization / World Health Organization (PAHO/WHO)
    525 Twenty-Third Street, N.W.
    Washington, D.C., 20037-2895 - USA
    Tel: (+1 202) 974-3482
    Fax: (+1 202) 974-3612

    Web site:

    Logistic and Administrative Support

    María Helena Melasecca
    Events Coordinator
    Research Department
    Inter-American Development Bank - BID
    Tel: (+1 202) 623-2722
    Web site:

    Nora Morgan
    Administrative Assistant
    Pan American Health Organization - PAHO
    525 23rd St., NW
    Washington DC. 20037
    Tel. (+1 202) 974 3115