PHA-Exchange> Generating Political Priority for Public Health Causes in Developing Countries

[claudio at hcmc.netnam.vn]

 from "Ruggiero, Mrs. Ana Lucia (WDC)" <ruglucia at PAHO.ORG> -----

Political Priority for Public Health Causes in Developing Countries:

Implications From a Study on Maternal Mortality 

Jeremy Shiffman - Center for Global Development. June 2007

PDF: http://www.cddev.org/files/13281_file_Maternal_Mortality.pdf
<http://www.cddev.org/files/13281_file_Maternal_Mortality.pdf>  
 

"..... Why do some serious health issues--such as HIV/AIDS--get
considerable attention and others--such as malaria and collapsing health
systems--very little? Why and under what conditions do political leaders
consider an issue worthy of sustained attention, and back up that
attention with money and other resources? In this CGD Brief, visiting
fellow Jeremy Shiffman discusses nine factors that influenced the degree
to which national leaders in five countries made one public health
issue--maternal mortality--a political priority. 

 

Pregnancy-related complications are the leading cause of mortality
globally among adult women of reproductive age, with more than half a
million deaths annually. But in some countries maternal health has
become a priority and maternal deaths have fallen, while in other
countries this has not yet occurred. Drawing on his comparison of these
countries, Shiffman offers recommendations for public health
priority-setting in developing countries.

 

His bottom line: attaining public health goals is as much a political as
it is a medical or technical challenge; success requires not only
appropriate technical interventions but also effective political
strategies......"


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