Chapter 3 | Page 129
areas.141 It also noted the low quality of resource allocation for health
services,142 declining percentage of budget allocation to health services143 and
disparities in healthcare services between urban and rural communities.144 In
recent years, direct recommendations to increase the amount of resources
allocated for health services,145 and to the development of human resources
for the health sector146 have become common. The requirement to allocate
sufficient resources to address extreme inequality and persistence of poverty
has also been identified.147
Priority setting in government expenditure has been identified as an issue in
some cases. For example, disproportionate military spending was identified as
a serious issue in the report on the Philippines, with the Committee remarking
that ‘a greater proportion of the national budget is devoted to military spending
than to housing, agriculture and health combined.’148
These issues of resource allocation warrant deeper analysis in relation to the
obligation to use maximum available resources.
141
CESCR, Concluding observations: China (including Hong Kong and Macao),
E/C.12/1/Add.107 (13 May 2005), [60].
142
CESCR, Concluding observations: Zambia, E/C.12/1/Add.106 (23 June 2005), [29].
143
CESCR, Concluding observations: Egypt, E/C.12/EGY/CO/2-4 (13 December 2013), [21].
144
CESCR, Concluding observations: Uzbekistan, E/C.12/UZB/CO/1 (24 January 2006), [6061].
145
For example, CESCR, Concluding observations: Madagascar, E/C.12/MDG/CO/2 (16
December 2009), [29(d)]; CESCR, Concluding observations: Colombia, E/C.12/COL/CO/5
(7 June 2010), [26]; CESCR, Concluding observations: Ethiopia, E/C.12/ETH/CO/1-3 (31
May 2012), [25]; CESCR, Concluding observations: Djibouti, E/C.12/DJI/CO/1-2 (30
December 2013), [30].
146
CESCR, Concluding observations: China (including Hong Kong, and Macao),
E/C.12/CHN/CO/2 (23 May 2014), [33(c)].
147
148
CESCR, Concluding observations: Brazil, E/C.12/1/Add.87 (26 June 2003), [17][40].
CESCR, Concluding observations: Philippines, E/C.12/1995/18, paras 101-133 (07 June
1995), [121].
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