PHM-Exch> Good health at low cost: from slogan to wicked problem

[Claudio Schuftan]

From: Ruggiero, Mrs. Ana Lucia (WDC) <ruglucia at paho.org>
crossposted from : EQUIDAD at listserv.paho.org


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*Good health at low cost: from slogan to wicked problem

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****Lincoln**** C Chen ****

*The Lancet, *Volume 379, Issue 9815, Pages 509 - 510, 11 February 2012* *at:
http://bit.ly/wceLXg* *

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*Good Health at Low Cost 25 Years On: What Makes a Successful health System?
*

Dina Balabanova, Martin McKee, Anne Mills****

The ****London** **School**** of Hygiene and Tropical Medicine, 2011****

Pp 369. Download a free copy from http://bit.ly/oJiaPA ISBN-9780902657847

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“…..In 1985, the Rockefeller Foundation organised a Bellagio conference
that produced the book, Good Health at Low Cost—a slogan that captured the
imagination of the global health community. On the basis of four
cases—China, Sri Lanka, Costa Rica, and the Indian state of Kerala—the book
examined how countries with fairly low income could achieve health
indicators similar to, or even better than, comparable high-income
countries. ****

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The book concluded that good health can be accelerated by political
commitment to health equity, broad-based education, especially of women,
and well-performing basic health systems.

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25 years later, the Rockefeller Foundation commissioned an international
study team, led by the London School of Hygiene and Tropical Medicine, to
revisit the slogan. ****

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This time the book's focus is on “what makes a successful health system?”
Five fresh cases are examined—**Bangladesh**, **Ethiopia**, **Kyrgyzstan**,
****Thailand****, and the Indian state of Tamil Nadu. Good Health at Low
Cost 25 Years On assigns chapters to each country to highlight core
messages, present health conditions, analyse health systems, and explore
wider issues. An update of the original countries also features, alongside
an analysis of health systems in the context of political and socioeconomic
factors.

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The original slogan ignited popular imagination because its timing matched
global efforts to translate the Declaration of Alma-Ata for Health for All
in all countries at all economic levels. What seemed most inspiring was the
message that even the poorest countries could achieve good health…..”****

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