Beyond Abuja: A Primer on Approaches for Timely and Targeted Health Budget Advocacy—Building on the Tanzanian Experience

A number of global financial targets stipulate the minimum amount of domestic resources governments should spend on health. These targets, like the 2001 Abuja Declaration, are well known and well understood. They are also rarely met, suggesting they do not resonate strongly enough with key decision-makers in developing and executing country budgets. Stemming from its work supporting domestic budget advocacy for health in Tanzania, HP+ is proposing new frameworks that better link budget advocacy to the broader development context, health outcomes, and budget processes. This policy note outlines four such approaches that advocates can use, tailored to a specific country's context and stakeholder audience, to present a compelling narrative that encourages governments to allocate greater domestic resources for health.