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Table 1 The WHO matrix description

From: Health diplomacy to promote multisectoral participation in fighting against fragmentation and increasing budget for internalization of the health financing progress matrix in Burundi

The WHO matrix contains guiding principles expressed in the form of seven assessment areas and nineteen desirable attributes both summarized here in four main components:

• Multisectoral collaboration in financing,

• Improving predictable and stable budget through financial and non-financial support,

• Ensuring coordination of funds to prevent, avoid or alleviate fragmentation, and

• Providing timely financial data to inform priority services to be improved.

The purpose of this health financing assessment tool at country level, is to provide annual evidence-based feedback to policy makers about gaps and enhancements to be made to accelerate progress on UHC.

The WHO matrix recommends country assessment findings to be stated in the form of four progress levels:

Emerging

No clear policy that guides implementation or practices

Progressing

There is policy under development with some aspects being implemented

Established

There is approuved policy which is being implemented, assessed, and regularly adjusted to comply with the international standards

Advanced

There is approuved policy aligned with the international standards, disseminated in all sectors, effectivelly implemented nationally, and with systematic annual assessment to inform policy design improvements and implementation.

With this progress matrix, the WHO has launched a call for multisectoral participation, such as bringing all stakeholders to the table, assessing together, closing gaps together, and jointly creating a national progress matrix [14] to build a decent UHC structure. Avoiding fragmentation, raising and maintaining sufficient budget for health are the main focus of the WHO matrix implementation at a country level.