An impossibly long list of member states lined up to address universal health coverage (UHC) and non-communicable diseases (NCDs) at the World Health Assembly on Thursday afternoon, indicating the centrality of these issues for countries.
here was near-universal support for primary health services to be the backbone of UHC, with disease prevention as the other key pillar – particularly to prevent NCDs.
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However, the same spirit of agreement was absent in Committee B, with a divergence among member states’ opinions on a “replenishment mechanism” proposed by the WHO Director-General to ensure more sustainable financing of the organisation.
Member-states deliberated on different possible models of sustainable funding of the WHO, delaying agreement on a single, unified formula of a “replenishment mechanism”.
The US made it clear that it did not support the replenishment mechanism – a view that ultimately held sway. It, however, expressed support to have rounds of investments by donors, similar to other global health organizations like The Global Fund.
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It is also widely believed that the country pushed for inclusion of “earmarked contributions” in the draft text of the resolution, in exchange for its support to the resolution.