Exploring the Vital Role of WHO in Global Health: A Focus on Financial Support

The World Health Organization (WHO) is a specialized agency of the United Nations (UN) that is responsible for promoting health, keeping the world safe, and serving the vulnerable. The WHO has been at the forefront of global health since its establishment in 1948 and has played a crucial role in shaping the health landscape of the world. This article will explore the vital role of WHO in global health, with a specific focus on its financial support. We will delve into the various initiatives and programs that the WHO has undertaken to improve health outcomes worldwide and the financial support that underpins these efforts. Whether it is combating infectious diseases, promoting healthier lifestyles, or supporting vulnerable communities, the WHO has been a vital force in shaping global health.

The World Health Organization (WHO) and Its Significance in Global Health

WHO’s Origins and Mandate

The Formation of WHO

The World Health Organization (WHO) was established on April 7, 1948, under the auspices of the United Nations. The organization emerged as a response to the chaos and devastation wrought by World War II, with the primary goal of promoting international cooperation in the pursuit of better health outcomes for all people.

The Constitution of WHO

The Constitution of WHO, which serves as the foundation of the organization’s operations, was adopted in 1946 and subsequently ratified by 67 signatory countries. This document lays out the principles and objectives that guide the work of the WHO, including its commitment to the highest attainable standard of health for all people and its dedication to promoting international cooperation in the pursuit of these goals.

The WHO’s Three-Pronged Approach

From its inception, the WHO has adopted a three-pronged approach to promoting global health. First, it works to provide leadership on matters of health, shaping the global health agenda and setting standards for health systems. Second, it serves as a hub for collaboration, bringing together governments, civil society organizations, and other stakeholders to address health challenges. Finally, it provides technical support to countries, helping them build stronger health systems and improve the health of their populations.

The WHO’s Constitution and Its Significance

The Constitution of WHO is a crucial document that outlines the organization’s mandate and guiding principles. It emphasizes the importance of health as a fundamental human right and calls for international cooperation to promote and protect this right. The Constitution also underscores the WHO’s commitment to serving all people, regardless of their race, religion, or political affiliation. By adhering to the principles outlined in its Constitution, the WHO seeks to promote equity, dignity, and well-being for all people around the world.

WHO’s Impact on Global Health

Shaping the Global Health Agenda

The World Health Organization (WHO) has played a pivotal role in shaping the global health agenda by providing leadership and guidance on health matters. Through its various initiatives and programs, WHO has helped to define and prioritize health issues that impact the world’s population.

Setting Standards for Health

WHO sets the standards for health in various domains, including the promotion of health, prevention of diseases, and ensuring access to essential medicines and health technologies. The organization establishes norms and guidelines for healthcare providers, policymakers, and governments, which help to ensure that health services are of high quality and accessible to all.

Promoting Health Equity

WHO’s work is underpinned by the principle of health equity, which aims to reduce health disparities and promote access to healthcare for all, regardless of income, gender, or location. The organization has been instrumental in promoting universal health coverage, which seeks to ensure that all individuals and communities have access to the health services they need.

Strengthening Health Systems

WHO supports countries in strengthening their health systems by providing technical assistance, training, and capacity-building activities. The organization works with governments and other partners to develop sustainable health systems that can effectively respond to the health needs of their populations.

Protecting and Promoting Health

WHO plays a crucial role in protecting and promoting health, particularly during outbreaks and pandemics. The organization provides guidance on disease control and prevention, coordinates international efforts to manage epidemics, and works to ensure that essential health services are maintained during crises.

Advocating for Health

WHO advocates for health on behalf of its member states, raising awareness of critical health issues and mobilizing resources to address them. The organization collaborates with governments, civil society organizations, and other stakeholders to promote health and well-being worldwide.

Overall, WHO’s impact on global health is substantial, as it shapes the health agenda, sets standards, promotes health equity, strengthens health systems, protects and promotes health, and advocates for health.

Financial Support Provided by WHO: An Overview

Key takeaway: The World Health Organization (WHO) plays a vital role in global health through its financial support to member states, including strengthening health systems, addressing pressing health challenges, and building capacity in various areas of health. WHO’s financial support helps to promote health equity, strengthen health systems, protect and promote health, and advocate for health. WHO collaborates with other international organizations, national governments, and local authorities to leverage expertise, resources, and networks to enhance the impact of its financial support in global health. However, the organization faces challenges such as funding gaps, unequal contributions among member states, dependence on voluntary contributions, budgetary constraints, and inadequate preparedness for health emergencies. To ensure sustainability and impact, WHO can prioritize high-impact projects, collaborate with partners, encourage innovation, and measure and evaluate impact.

Assisting Member States Through Assistance and Support

WHO provides financial support to its member states through various initiatives aimed at improving global health. These initiatives are designed to help member states build capacity, strengthen health systems, and address pressing health challenges. The following are some of the ways in which WHO assists member states through financial support:

Supporting Health Systems Strengthening

WHO supports health systems strengthening in member states through various initiatives, including providing technical assistance, training, and capacity building. This support is aimed at helping member states build sustainable health systems that can deliver high-quality health services to their populations. For example, WHO has launched several initiatives aimed at strengthening health systems in low- and middle-income countries, including the Health Systems Strengthening (HSS) initiative, which aims to support countries in strengthening their health systems to improve the health and well-being of their populations.

Addressing Pressing Health Challenges

WHO also provides financial support to member states to help them address pressing health challenges, such as outbreaks of infectious diseases, pandemics, and environmental health risks. For example, during the COVID-19 pandemic, WHO provided financial support to member states to help them respond to the pandemic, including through the development of testing kits, personal protective equipment, and vaccines.

Providing Technical Assistance and Training

WHO provides technical assistance and training to member states to help them build capacity in various areas of health, such as disease surveillance, outbreak response, and health informatics. This support is aimed at helping member states develop the skills and knowledge needed to effectively manage their health systems and respond to health challenges. For example, WHO has launched several initiatives aimed at strengthening disease surveillance and response capacity in member states, including the Global Early Warning Response System (GLEWS) and the International Health Regulations (IHR) capacity building initiative.

Strengthening Health Governance

WHO also provides financial support to member states to help them strengthen their health governance systems, including the development of policies and strategies for health system management and leadership. This support is aimed at helping member states build strong and effective health systems that can deliver high-quality health services to their populations. For example, WHO has launched several initiatives aimed at strengthening health governance in member states, including the Health System Governance (HSG) initiative, which aims to support countries in developing effective health system governance structures and processes.

Overall, WHO’s financial support to member states is aimed at improving global health by strengthening health systems, addressing pressing health challenges, and building capacity in various areas of health. By providing this support, WHO is playing a vital role in promoting health and well-being around the world.

WHO’s Budget and Funding Sources

WHO’s budget and funding sources are critical to understanding the organization’s role in global health. The organization’s budget is primarily funded through assessed contributions from member states, which are based on a country’s ability to pay. In addition to assessed contributions, WHO also receives voluntary contributions from member states, private donors, and other partners.

The organization’s budget is used to fund a wide range of activities, including the development of health policies and guidelines, the provision of technical assistance to countries, and the implementation of programs and projects aimed at improving health outcomes. In recent years, WHO has increased its focus on addressing health emergencies, such as pandemics and outbreaks, and has invested in preparedness and response capacities.

WHO’s funding sources are diverse and complex, and the organization has faced challenges in securing sufficient and predictable funding to support its work. This has led to concerns about the sustainability of WHO’s funding and the organization’s ability to meet the growing demand for its services. Efforts are underway to strengthen the organization’s funding base and ensure that it has the resources it needs to fulfill its mission and role in global health.

WHO’s Financial Support in Disease Control and Prevention

Efforts to Combat Infectious Diseases

The World Health Organization (WHO) plays a critical role in the global fight against infectious diseases. One of the primary ways in which the WHO supports this effort is through the provision of financial resources. These funds are used to support a wide range of activities, including research, vaccine development, and the implementation of disease control and prevention programs.

Supporting Research and Development

The WHO provides financial support for research and development activities aimed at identifying new treatments and vaccines for infectious diseases. This funding is crucial for advancing the development of new medical technologies, which can help to improve the diagnosis and treatment of these diseases. In addition, the WHO also supports research into the epidemiology of infectious diseases, which helps to inform the development of more effective prevention and control strategies.

Vaccine Development and Distribution

The WHO is also involved in the development and distribution of vaccines for infectious diseases. This includes supporting the research and development of new vaccines, as well as helping to coordinate the distribution of existing vaccines to countries in need. In addition, the WHO works with partners to ensure that vaccines are available to those who need them, regardless of their ability to pay.

Disease Control and Prevention Programs

The WHO provides financial support for disease control and prevention programs aimed at reducing the spread of infectious diseases. This includes supporting the implementation of programs that promote good hygiene practices, such as hand washing and vaccination. In addition, the WHO also supports programs that aim to improve the detection and treatment of infectious diseases, including the training of healthcare workers and the provision of laboratory equipment and supplies.

Overall, the WHO’s financial support for efforts to combat infectious diseases is crucial for improving global health. By supporting research and development, vaccine development and distribution, and disease control and prevention programs, the WHO is helping to reduce the burden of infectious diseases on communities around the world.

Cancer Control and Prevention Initiatives

The World Health Organization (WHO) plays a crucial role in global health by providing financial support for disease control and prevention. One area where WHO’s financial support has been instrumental is in cancer control and prevention initiatives.

Cancer is a leading cause of death worldwide, accounting for nearly 10 million deaths in 2018, according to the WHO. To address this public health challenge, WHO has launched several initiatives aimed at improving cancer control and prevention globally.

One of the key initiatives is the WHO’s “Global Initiative for Cancer Control” (GICC), launched in 2002. The GICC is a comprehensive approach to cancer control that focuses on improving access to cancer diagnosis, treatment, and care services. The initiative also aims to promote cancer research, prevention, and control in low- and middle-income countries.

To achieve these goals, WHO provides financial support to member states for the development of cancer control programs. This includes funding for the establishment of cancer registries, which are essential for understanding the burden of cancer in a particular region. WHO also provides funding for the development of treatment facilities, including radiation therapy centers and chemotherapy units.

In addition to funding, WHO also provides technical assistance and capacity building support to member states. This includes training healthcare workers, strengthening laboratory services, and improving access to essential medicines.

Overall, WHO’s financial support for cancer control and prevention initiatives has been instrumental in improving access to cancer care services and reducing the burden of cancer globally. By investing in these initiatives, WHO is helping to ensure that everyone, regardless of their location or economic status, has access to the care they need to combat this deadly disease.

WHO’s Financial Support in Building Strong Health Systems

Health System Strengthening Efforts

WHO’s Role in Promoting Universal Health Coverage

The World Health Organization (WHO) recognizes the importance of universal health coverage (UHC) as a means to achieve health equity and ensure that all individuals and communities have access to essential health services. In support of this goal, WHO provides financial support to countries for the development and implementation of UHC policies and strategies. This includes providing technical assistance to countries in the design and implementation of UHC financing mechanisms, such as pooled funding mechanisms and social health insurance schemes.

WHO’s Support for Health System Strengthening

In addition to its work on UHC, WHO also provides financial support to countries for broader health system strengthening efforts. This includes support for the development of health management information systems, the strengthening of health workforce capacity, and the improvement of health service delivery.

WHO’s Support for Health Management Information Systems

One area in which WHO provides financial support is in the development of health management information systems (HMIS). HMIS are essential for tracking progress towards health goals, monitoring the performance of health services, and identifying areas for improvement. WHO provides financial support to countries for the development of HMIS through the provision of technical assistance and the allocation of funds for HMIS development.

WHO’s Support for Health Workforce Capacity Building

Another key area of support provided by WHO is in the strengthening of health workforce capacity. This includes providing financial support for training and education programs for health workers, as well as for the development of policies and strategies to improve the recruitment and retention of health workers. WHO also provides technical assistance to countries in the development of career development opportunities for health workers, including leadership and management training.

WHO’s Support for Health Service Delivery

Finally, WHO provides financial support for the improvement of health service delivery. This includes support for the development of primary health care services, as well as for the strengthening of health services in underserved and marginalized communities. WHO also provides financial support for the improvement of health service delivery through the provision of technical assistance and the allocation of funds for health service delivery improvement initiatives.

Investing in Health Workforce Development

Strengthening Health Systems through Capacity Building

One of the primary ways in which the World Health Organization (WHO) contributes to global health is by investing in health workforce development. This involves supporting the education, training, and professional development of healthcare workers at all levels, from frontline providers to policymakers and researchers. By doing so, the WHO aims to build the capacity of health systems to deliver high-quality care and services to communities around the world.

Developing a Skilled Health Workforce for the 21st Century

Investing in health workforce development is essential to ensuring that health systems can respond effectively to the challenges of the 21st century. These challenges include not only the growing burden of noncommunicable diseases but also the increasing threat of emerging and re-emerging infectious diseases, as well as the ongoing need to provide basic healthcare services to underserved populations. To meet these challenges, healthcare workers must be equipped with the knowledge, skills, and attitudes necessary to provide high-quality care and services that are evidence-based, patient-centered, and efficient.

Promoting Gender Equity and Social Justice in Health Workforce Development

The WHO recognizes that health workforce development must be inclusive and equitable, and that it must promote gender equity and social justice. This means ensuring that healthcare workers of all genders and backgrounds have access to the education, training, and resources they need to succeed in their roles. It also means addressing the gender bias and discrimination that continue to affect healthcare workers, particularly women, and promoting the participation of underrepresented groups in healthcare.

Collaborating with Partners to Strengthen Health Workforce Development

Finally, the WHO recognizes that health workforce development is a complex and multifaceted process that requires collaboration and partnership among many different stakeholders. To this end, the WHO works closely with governments, healthcare providers, academic institutions, and other partners to develop and implement strategies for health workforce development that are tailored to the needs and contexts of individual countries and communities. By working together, the WHO and its partners can help to build a strong and effective health workforce that can support the delivery of high-quality healthcare to people around the world.

Collaboration and Partnerships in WHO’s Financial Support

Collaboration with Other International Organizations

In order to achieve its goals and objectives, the World Health Organization (WHO) has established collaboration and partnerships with other international organizations. These partnerships aim to leverage the expertise and resources of other organizations to enhance the impact of WHO’s financial support in global health. Some of the key international organizations that WHO collaborates with include:

United Nations (UN) Agencies

The United Nations (UN) is a global intergovernmental organization that was established in 1945 with the aim of promoting international cooperation and coordination on a wide range of issues, including global health. WHO collaborates closely with other UN agencies, such as the United Nations Children’s Fund (UNICEF), the United Nations Development Programme (UNDP), and the United Nations Population Fund (UNFPA), to promote health and well-being across the world.

Non-Governmental Organizations (NGOs)

Non-governmental organizations (NGOs) are independent organizations that are not affiliated with any government, but work to address social, environmental, and human rights issues. WHO collaborates with a wide range of NGOs, such as the Bill and Melinda Gates Foundation, the Global Fund, and the Clinton Health Access Initiative, to promote health and well-being in developing countries.

Private Sector

The private sector, including pharmaceutical companies, biotech firms, and other healthcare providers, also plays a crucial role in global health. WHO collaborates with private sector organizations to promote innovation and access to essential health technologies, such as vaccines and medicines, to improve health outcomes in developing countries.

Academic and Research Institutions

Academic and research institutions, such as universities and research centers, also play a critical role in global health. WHO collaborates with these institutions to generate evidence and knowledge to inform policy and programmatic decisions, and to promote innovation and best practices in health systems.

By collaborating with other international organizations, WHO is able to leverage expertise, resources, and networks to enhance the impact of its financial support in global health. This collaboration is essential to achieving the goals and objectives of the organization and promoting health and well-being across the world.

Partnerships with National Governments and Local Authorities

WHO’s partnerships with national governments and local authorities are critical in achieving its goals in global health. These partnerships help in the allocation of resources, technical support, and sharing of knowledge. National governments are the primary partners of WHO, and the organization works closely with them to implement its programs and initiatives. Local authorities, on the other hand, play a crucial role in the implementation of WHO’s activities at the community level.

Collaboration with National Governments

National governments are essential partners of WHO, and the organization works closely with them to ensure the successful implementation of its programs and initiatives. The collaboration with national governments is based on the principle of national ownership, which ensures that the programs and initiatives are tailored to the specific needs of each country. The collaboration also ensures that the resources are allocated effectively and efficiently, and that the impact of the programs is maximized.

One of the key areas of collaboration between WHO and national governments is the development of national health strategies and plans. WHO provides technical support to national governments in the development of these strategies and plans, including the identification of priority areas, the development of indicators, and the allocation of resources. The organization also provides support in the implementation of these strategies and plans, including the training of health workers, the strengthening of health systems, and the improvement of access to health services.

Collaboration with Local Authorities

Local authorities play a crucial role in the implementation of WHO’s activities at the community level. The collaboration with local authorities is based on the principle of local ownership, which ensures that the programs and initiatives are tailored to the specific needs of each community. The collaboration also ensures that the resources are allocated effectively and efficiently, and that the impact of the programs is maximized.

One of the key areas of collaboration between WHO and local authorities is the implementation of community-based health programs. WHO provides technical support to local authorities in the implementation of these programs, including the identification of priority areas, the development of indicators, and the allocation of resources. The organization also provides support in the training of community health workers, the strengthening of community-based health systems, and the improvement of access to health services at the community level.

In conclusion, partnerships with national governments and local authorities are critical in achieving WHO’s goals in global health. These partnerships help in the allocation of resources, technical support, and sharing of knowledge. The collaboration with national governments is based on the principle of national ownership, while the collaboration with local authorities is based on the principle of local ownership. The success of WHO’s programs and initiatives depends on the effective implementation of these partnerships.

Addressing Challenges and Ensuring Sustainability in WHO’s Financial Support

Funding Gaps and Challenges

Insufficient Funding for WHO’s Mandates

One of the primary challenges faced by the World Health Organization (WHO) is the persistent shortfall in funding to address the wide range of global health issues within its mandate. This funding gap has led to a lack of resources for essential programs, such as disease control, health emergency preparedness, and the provision of essential medicines and vaccines. The WHO relies heavily on voluntary contributions from member states and other donors, which often fluctuate and may not align with the organization’s priorities. As a result, the WHO is frequently forced to make difficult choices about which programs to prioritize and fund, based on the availability of resources rather than the urgency of the health needs.

Unequal Contributions among Member States

Another challenge facing the WHO’s financial support is the unequal contributions among its member states. The WHO’s budget is financed through assessed contributions from member states, which are based on a country’s ability to pay. However, the assessment of a country’s ability to pay is often subject to political considerations and may not reflect the true capacity of a country to contribute to the WHO’s work. As a result, some member states contribute far more than others, leading to an imbalance in the distribution of resources within the organization. This unequal contribution has implications for the WHO’s ability to respond to global health challenges, as some countries may not have the resources to contribute to critical programs and initiatives.

Dependence on Voluntary Contributions

The WHO’s reliance on voluntary contributions from member states and other donors is another challenge that impacts the organization’s financial support. The voluntary nature of these contributions means that the WHO is at the mercy of the political priorities and fiscal capacities of its donors. This can lead to fluctuations in funding levels, which may not align with the organization’s needs or priorities. Furthermore, the WHO’s ability to attract voluntary contributions is influenced by the perceived effectiveness of the organization and its response to global health challenges. If the WHO is perceived as ineffective or unable to respond to crises, it may face difficulties in securing the necessary funding to carry out its mandate.

Budgetary Constraints and Efficiency

Another challenge faced by the WHO is the need to operate within a limited budget. The organization’s budget is determined by its member states, and any increase in funding must be agreed upon by a consensus of member states. This can lead to difficulties in meeting the growing demands of the organization’s work, particularly in light of the increasing complexity and scope of global health challenges. Additionally, the WHO must operate efficiently and effectively within its budget constraints, which can sometimes lead to trade-offs between different programs and initiatives.

Inadequate Preparedness for Health Emergencies

The WHO’s funding gaps also impact its ability to prepare for and respond to health emergencies. The organization’s role in coordinating global responses to health emergencies, such as pandemics, requires significant resources. However, the WHO’s budget for emergency preparedness and response is often insufficient, leading to a lack of preparedness and an inability to respond effectively to crises. This was evident during the COVID-19 pandemic, where the WHO faced significant challenges in coordinating a global response due to a lack of resources and preparedness.

In conclusion, the funding gaps and challenges faced by the WHO have significant implications for the organization’s ability to address global health issues and fulfill its mandate. The persistent shortfall in funding, unequal contributions among member states, dependence on voluntary contributions, budgetary constraints, and inadequate preparedness for health emergencies are all significant challenges that must be addressed to ensure the sustainability of the WHO’s financial support and its ability to promote global health and well-being.

Strategies for Ensuring Sustainability and Impact

Ensuring sustainability and impact in WHO’s financial support is crucial for the organization to effectively achieve its goals and objectives. The following strategies can be implemented to achieve this:

  • Prioritizing high-impact projects: WHO can prioritize high-impact projects that have the potential to make a significant impact on global health. This approach ensures that resources are directed towards initiatives that have the potential to generate the greatest impact, maximizing the return on investment.
  • Collaborating with partners: WHO can collaborate with partners such as governments, non-governmental organizations, and the private sector to leverage resources and expertise. Collaboration can help to increase the reach and effectiveness of WHO’s financial support, enabling the organization to achieve greater impact.
  • Encouraging innovation: WHO can encourage innovation in its financial support initiatives by providing funding for pilot projects and research. Encouraging innovation can help to identify new and more effective approaches to addressing global health challenges, ensuring that WHO’s financial support is both sustainable and impactful.
  • Measuring and evaluating impact: WHO can measure and evaluate the impact of its financial support initiatives to ensure that they are achieving their intended goals. This approach can help to identify areas for improvement and ensure that resources are directed towards initiatives that are having the greatest impact on global health.

Overall, these strategies can help to ensure that WHO’s financial support is sustainable and impactful, enabling the organization to effectively achieve its goals and objectives in global health.

FAQs

1. What is the World Health Organization (WHO)?

The World Health Organization (WHO) is a specialized agency of the United Nations (UN) that is responsible for promoting health, keeping the world safe, and serving the vulnerable. It was established on April 7, 1948, and its headquarters are located in Geneva, Switzerland. The WHO is dedicated to providing leadership on global health matters, shaping the health research agenda, setting norms and standards for health, and articulating evidence-based policy options.

2. What is the role of WHO in global health?

The WHO plays a vital role in global health by providing guidance and coordination on a wide range of health issues. It works to promote health, keep the world safe, and serve the vulnerable. The organization develops and promotes evidence-based policies and provides technical support to countries to improve their health systems. It also monitors and assesses health trends, including the spread of diseases, and works to strengthen the capacity of countries to respond to health emergencies.

3. What is the contribution of WHO in terms of financial support for global health?

The WHO provides financial support to countries and partners through various mechanisms, including grants, loans, and technical assistance. The organization works to mobilize and allocate resources to support health programs and initiatives around the world. It also provides guidance and support to countries to help them develop sustainable financing mechanisms for health. Additionally, the WHO collaborates with other organizations and donors to leverage resources and increase the impact of health investments.

4. How does WHO ensure the effective use of financial resources in global health?

The WHO ensures the effective use of financial resources in global health by promoting transparency, accountability, and value for money. The organization works to align financial resources with health priorities and needs, and monitors the use of resources to ensure that they are used efficiently and effectively. It also conducts regular evaluations and assessments to measure the impact of health investments and to identify areas for improvement. Furthermore, the WHO works to strengthen the capacity of countries to manage and use financial resources for health in a sustainable and efficient manner.

5. How does WHO support low- and middle-income countries in terms of financial resources for health?

The WHO supports low- and middle-income countries in terms of financial resources for health by providing technical and financial assistance. The organization works to strengthen the capacity of countries to manage and use financial resources for health in a sustainable and efficient manner. It also provides grants and loans to support health programs and initiatives in these countries. Additionally, the WHO collaborates with other organizations and donors to leverage resources and increase the impact of health investments in low- and middle-income countries.

6. How does WHO promote equity in the distribution of financial resources for health?

The WHO promotes equity in the distribution of financial resources for health by advocating for increased investments in health in low- and middle-income countries. The organization works to mobilize and allocate resources to support health programs and initiatives in these countries, and collaborates with other organizations and donors to leverage resources and increase the impact of health investments. Additionally, the WHO promotes the use of innovative financing mechanisms, such as the Global Fund to Fight AIDS, Tuberculosis and Malaria, to increase the availability of resources for health in low- and middle-income countries.

7. How does WHO ensure the financial sustainability of health programs and initiatives?

The WHO ensures the financial sustainability of health programs and initiatives by promoting the development of sustainable financing mechanisms. The organization works to strengthen the capacity of countries to manage and use financial resources for health in a sustainable and efficient manner. It also provides guidance and support to countries to help them develop and implement financing strategies that are aligned with their health priorities and needs. Additionally, the WHO works to promote the use of innovative financing mechanisms, such as social health insurance and

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