Abstract

Health is a central development issue. Arrangements for health financing also have important implications for national and household budgets and broader macroeconomic conditions. The latest evidence from Fiji, Samoa, Solomon Islands, Tonga, and Vanuatu shows these five South Pacific countries have substantial—and changing—health challenges, especially given rapid population growth and the rise of non‐communicable diseases. Yet each country faces important constraints to expanding public expenditure on health. Several options for obtaining better health outcomes from health expenditure are canvassed; improving technical and allocative efficiency is the most urgent, affordable, and practical option. An agenda for action is provided.

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