Second, national governments should be held accountable for their own public health performance. Ensuring health security should be seen as part of a government’s fundamental duty to protect its people. So national governments must commit to building and maintaining stronger public health capacities.
Third, we should focus on sustainable funding for public health. On the basis of World Bank analyses, our report suggests that we face a funding gap of $1.9 billion to $3.4 billion. The Commission believes that high-income and upper-middle-income countries should commit to funding their public health systems from domestic resources. Lower-middle-income and low-income countries should work with development partners to agree on the appropriate balance of domestic resources and international support but, wherever possible, should seek a path toward full domestic resourcing to ensure ownership and sustainability.