Civil society organizations in Timor-Leste are playing important roles to identify health system problems and solutions, contribute ideas to the Ministry of Health’s (MOH) annual action plan, and participate in monitoring that holds the government accountable.

​​​For countries wanting to strengthen health budget execution, learning about promising approaches used by others is one thing but putting them into practice is another. This blog reveals how two countries, Lao PDR and Peru, adapted promising practices and began to implement them.

Excerpts from an interview with Mr. Marcelo Amaral, Director General of Corporate Service at the Ministry of Health in Timor-Leste.

What do Lao PDR, Malaysia, and Kenya have in common? All three countries have strengthened their budget structures and processes to enable good health budget execution. Their experiences hold valuable lessons for others striving to increase budget execution and unlock significant resources for health.

By now, much has been written about the egregious global inequities in COVID-19 vaccine distribution. But less has been said about another inequity that holds serious implications for global health: the disparities in genomic sequencing capacities and capabilities worldwide.

Poor budget execution results in inefficiencies that undermine the ability of health agencies to improve access to needed health services and improve population health. Yet billions of dollars in unexecuted health budgets are returned to treasuries every year. 

The events of the past 18 months underscore the importance of generally strong, equitable, and accessible health systems. COVID-19 is not the only threat we face, and as we prepare for the future it is critical that we begin to sufficiently invest in the foundational health system strengthening required to develop lasting resilience.