The report “2018 Global Health Expenditure” revealed that in low and middle-income countries health spending is growing on average 6 per cent annually compared with 4 per cent in high-income countries.

While governments provide an average of 51 per cent of a country’s health spending, more than 35 per cent of health spending per country comes from out-of-pocket expenses. And as a consequence, 100 million people are pushed into extreme poverty each year, the report said.

“Increased domestic spending is essential for achieving universal health coverage and the health-related sustainable development goals,” said WHO Director-General Tedros Adhanom Ghebreyesus in a statement on Wednesday. “But health spending is not a cost, it’s an investment in poverty reduction, jobs, productivity, inclusive economic growth, and healthier, safer, fairer societies,” Ghebreyesus added.

In middle-income countries, government health expenditure per capita has doubled since the year 2000. On average, governments spend $60 per person on health in lower-middle income countries and close to $270 per person in upper-middle income countries.

However, in low and middle-income countries, new data suggest that more than half of health spending is devoted to primary healthcare. Yet less than 40 per cent of all spending on primary healthcare comes from governments.

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