Department of Health Systems and Services, World Health Organization/Country Office-India, Delhi, India.
National Health Authority, Delhi, India.
Health Syst Reform. 2021 Jan 1;7(1):e1897323. doi: 10.1080/23288604.2021.1897323.
As countries all over the world grapple with containing the COVID-19 outbreak, Low- and Middle-Income Countries (LMICs) are particularly hard-pressed because on the one hand, the pandemic has created unforeseen high demand for health services which requires increased spending. On the other hand, the contagion and the public health measures taken to curb it have disrupted economies whilst creating additional spending pressures as well. This constrains the policy options available for LMICs to ensure an adequate and sustainable financing for the health sector's COVID-19 response whilst maintaining routine supply of essential health services. Despite this, as demonstrated by India, many LMICs are undertaking many reform efforts to address both the health and economic hardships caused by the pandemic. In this commentary, we describe the policy tools that one such LMIC, India, has used to enable financing for the outbreak.
随着世界各国努力控制 COVID-19 疫情，中低收入国家（LMICs）面临着特别困难的局面，一方面，疫情对卫生服务产生了前所未有的高需求，需要增加支出。另一方面，传染病及其为遏制疫情而采取的公共卫生措施扰乱了经济，同时也造成了额外的支出压力。这限制了中低收入国家为确保卫生部门应对 COVID-19 有足够和可持续的资金而采取的政策选择，同时保持基本卫生服务的常规供应。尽管如此，正如印度所表明的那样，许多中低收入国家正在进行许多改革努力，以应对疫情带来的健康和经济困难。在本评论中，我们描述了一个这样的中低收入国家印度所使用的政策工具，以实现对疫情的资金支持。
