Development priorities for the next 15 years and beyond must be based on the reality of the world we live in. This requires looking at poverty and health needs rather than simply Gross National Income (GNI) per capita, which often does not reflect the reality for people on the ground. Only small increase in GNI can change a classification upward and is often based on overoptimistic economic modelling, discarding economic fluctuations, setbacks and limitations in public health expenditure.
Countries that graduate as Middle Income Country can’t automatically and swiftly translate new revenues into health expenditures.