Domestic Resource Mobilization for Increased Health Sector Fiscal Space and Universal Health Coverage A Health Financing Systems Assessment “Drill-Down” Guidance Note

This note provides guidance on how to carry out a “drill-down” examination of domestic resource mobilization (DRM) for increased health sector fiscal space to ensure progress towards universal health coverage (UHC). It is best used as a complementary tool when a country’s broader health financing systems assessment (HFSA) has identified a low level of public financing as a key constraint. The guidance note specifically aims to identify a given country’s most critical opportunities (and constraints) to increase domestically-resourced public financing for universal health coverage (UHC) so that policy-makers can make informed decisions to tackle primary challenges.