What are the implications of low per-capita income on evidence-informed country-level policymaking?
I would like to suggest the following for discussion:
a. The systematic and transparent use of evidence to inform policy-making is just as important, if not more so, in low-income countries than in high-income countries. Wastage of even small amounts is likely to have greater impacts on public health.
b. Low-expenditure health systems have a correspondingly low capacity for development and implementation of policy: weak institutions; overstretched health workforce; poor capacity for monitoring, data and accountability...
c. The fact that very-low-expenditure health systems can function at all suggests that ways have been found to make the most of very limited resources. This presents both a lesson and a source of learning for higher-income health systems.