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An assessment of interactions between global health initiatives and country health systems

Samb, Badara ; Evans, Tim ; Dybul, Mark ; Atun, Rifat ; Moatti, Jean-Paul ; Nishtar, Sania ; Wright, Anna ; Celletti, Francesca ; Hsu, Justine ; Kim, Jim Yong ; Brugha, Ruairi ; Russell, Asia ; Etienne, Carissa

The Lancet (British edition), 2009-06, Vol.373 (9681), p.2137-2169 [Periódico revisado por pares]

Kidlington: Elsevier Ltd

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Título:
An assessment of interactions between global health initiatives and country health systems
Autor: Samb, Badara ; Evans, Tim ; Dybul, Mark ; Atun, Rifat ; Moatti, Jean-Paul ; Nishtar, Sania ; Wright, Anna ; Celletti, Francesca ; Hsu, Justine ; Kim, Jim Yong ; Brugha, Ruairi ; Russell, Asia ; Etienne, Carissa
Assuntos: Acquired immune deficiency syndrome ; AIDS ; Antiretroviral drugs ; Biological and medical sciences ; Budgets ; Delivery of Health Care ; Delivery of Health Care - organization & administration ; Developing Countries ; Disease ; Equipment and Supplies ; Financing, Organized ; General & internal medicine ; General aspects ; Global Health ; Goals ; Health Expenditures ; Health Manpower ; Health Personnel ; Health Personnel - education ; Health Planning ; Health Policy ; Health Priorities ; Health Services Accessibility ; Health Services Needs and Demand ; Healthcare Disparities ; HIV ; Hospitals ; Human health sciences ; Human immunodeficiency virus ; Humans ; Information Systems ; Internal Medicine ; International Agencies ; LDCs ; Life Sciences ; Low income groups ; Malaria ; Medical sciences ; Médecine générale & interne ; Program Evaluation ; Public private partnerships ; Quality of Health Care ; Santé publique et épidémiologie ; Sciences de la santé humaine ; Structural adjustment ; Tuberculosis ; World Health
É parte de: The Lancet (British edition), 2009-06, Vol.373 (9681), p.2137-2169
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
scopus-id:2-s2.0-67249115636
Descrição: Summary Since 2000, the emergence of several large disease-specific global health initiatives (GHIs) has changed the way in which international donors provide assistance for public health. Some critics have claimed that these initiatives burden health systems that are already fragile in countries with few resources, whereas others have asserted that weak health systems prevent progress in meeting disease-specific targets. So far, most of the evidence for this debate has been provided by speculation and anecdotes. We use a review and analysis of existing data, and 15 new studies that were submitted to WHO for the purpose of writing this Report to describe the complex nature of the interplay between country health systems and GHIs. We suggest that this Report provides the most detailed compilation of published and emerging evidence so far, and provides a basis for identification of the ways in which GHIs and health systems can interact to mutually reinforce their effects. On the basis of the findings, we make some general recommendations and identify a series of action points for international partners, governments, and other stakeholders that will help ensure that investments in GHIs and country health systems can fulfil their potential to produce comprehensive and lasting results in disease-specific work, and advance the general public health agenda. The target date for achievement of the health-related Millennium Development Goals is drawing close, and the economic downturn threatens to undermine the improvements in health outcomes that have been achieved in the past few years. If adjustments to the interactions between GHIs and country health systems will improve efficiency, equity, value for money, and outcomes in global public health, then these opportunities should not be missed.
Editor: Kidlington: Elsevier Ltd
Idioma: Inglês

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An assessment of interactions between global health initiatives and country health systems

Samb, Badara ; Evans, Tim ; Dybul, Mark ; Atun, Rifat ; Moatti, Jean-Paul ; Nishtar, Sania ; Wright, Anna ; Celletti, Francesca ; Hsu, Justine ; Kim, Jim Yong ; Brugha, Ruairi ; Russell, Asia ; Etienne, Carissa

Kidlington: Elsevier Ltd

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