Time to Capitalize on Increased Government Fiscal Capacity to Contribute to Universal Health Coverage in Mali

With recent high rates of economic growth in sub-Saharan Africa, bilateral and multilateral donors have demonstrated increased interest in seeing low- and middle-income countries in the region transition toward greater domestic financing of health programs. However, despite high growth rates in GDP and increasing government revenue collection, in many countries—including Mali—allocations to the health sector have not grown proportionally. This brief explores factors driving underinvestment in health in Mali despite the country’s commitments to the Sustainable Development Goals and its progress on the journey toward self-reliance and universal health coverage. Considerations to improve domestic resource mobilization for health and implement universal health coverage in Mali are also discussed. The challenges and achievements of the Malian health sector may be relevant to other sub-Saharan African countries that are also seeing plateauing development assistance for health and a domestic underinvestment in health.

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