Discussion: The current unsatisfactory state of health financing was attributed 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 sectors that address social determinants of
health; predominance of out-of-pocket spending; underdeveloped prepaid health financing mechanisms; large
informal sectors vis-à-vis small formal sectors; and unpredictability and non-alignment of majority of donor funds
with national health priorities.