2
(3) providing community-based primary healthcare in order to reach poor population groups; this
will also play a major role in coming years when demographic transition continues to change
the shape of health demands
(4) ensuring that the poorest access health insurance to reduce out-of-pocket expenditures which
are one of the most important barriers to their access to health; particular attention to
population groups that are often overlooked or not registered, such as informal workers,
people without ID cards, indigenous people and people living in very remote areas
(5) the private sector to complement the offer of the public health sector and increase efficiency
in health provision; however, care has to be taken through monitoring and regulation in order
to ensure that these services are affordable for the poor
(6) integration information management systems in order to inform decision-making,
identification of health priorities, identification of inequalities and areas of exclusion,
accountability, transparency, management, planning and allocation of resources
(7) multi-sectoral investments to offer better access to health services and increase health levels
across all population groups.
Based on these observations, this report recommends to:
 Carefully prepare, design and implement reforms aimed at ensuring access to quality health
care by the poorest populations.
 Strengthen community-based primary health care in order to reach poor population groups
across the countries.
 Carefully design health insurance schemes as a way of pooling risks and expanding health
service coverage
 Engage with the Private sector to improve efficiency and quality of the health systems
 Invest in high-quality integrated information management systems in order to identify what
works as well as challenges, uncover inequality in access to good quality healthcare and health
outcomes