Budgeting and public expenditures

Joint Network of Health and Budget Officials on the Fiscal Sustainability of Health Systems


The OECD Working Party of Senior Budget Officials (SBO) created a new network in 2011, the Joint DELSA/GOV Network on Fiscal Sustainability of Health Systems, which focuses on the fiscal sustainability of public health and long-term care.

The Joint DELSA/GOV Network on Fiscal Sustainability of Health Systems brings together health budget examiners, in close co-ordination with the OECD Health Committee, in order to address the consequences of increasing health and long-term care expenditures, in particular for economic growth, public finances and solidarity arrangements. The network seeks to identify appropriate solutions for the challenges faced by member countries, through international comparison and exchange of good country practices, drawing on work from the OECD committees on health, on economic policy and on public governance, in order to promote cross-sectoral discussion – in particular linking health economics with public finance.

The chair of the network is Geert van Maanen, Secretary General of the Ministry of Health, Wellbeing and Sport, Netherlands.


Activities and outputs of the network:



Health Synthesis cover for web

Synthesis Note of the 5th
of the Network

 Health LAC meeting synthesis cover

Synthesis note of the 1st joint
network meeting of LAC countries

 Health CEE meeting synthesis cover

Synthesis note of the 2nd joint
network meeting for CEE countries

Asian health Network Synthesis Note cover thumbnail 

Synthesis note of the 1st joint
network meeting of Asian countries


The OECD is also expanding the activities of the Joint Network in other regions of the world, in partnership with the WHO, the Global Fund, CABRI, the IDB, the ADB and other international institutions. The Joint Network is currently conducting Budgeting for health surveys in Africa (in collaboration with CABRI), Latin America and the Caribbean (with the IDB) and in Central, Eastern and South-eastern European Countries, and three case studies in Peru, South Africa and the Philippines.  A regional Health and budget officials joint meeting was held in Tanzania in 2015 and in Colombia and Estonia in 2016. A similar meeting will be held in Japan in 2017. 



Fiscal Sustainability of Health Systems thumbs








Fiscal sustainability of

health systems

Health Policy Brief cover photo for web


Fiscal policy brief


Health Facts and Figures cover photo for web


Facts and figures