The panellists and participants attributed the current state of health financing to lack of clear vision and plan for health financing; lack of national health accounts
and other evidence to guide development and implementation of national health financing policies and strategies; low investments in other sectors that address social determinants of health such as water and sanitation, food security, housing, and road safety; predominance of un-pooled out-of-pocket spending; underdeveloped prepaid health financing mechanisms,
especially health insurance; large informal sectors vis-à-vis small formal sectors, which limits amounts of tax revenues to governments; limited evidence of cost-effectiveness of investments in health; and sizeable amounts of donor funds focussed on disease programmes and
specific interventions without sufficient investment in programme integration, intersectoral collaboration and health systems strengthening.