PHM-Exch> The New Global Health Agenda - Universal Health Coverage

[Claudio Schuftan]

crossposted from: EQUIDAD at listserv.paho.org


** ** ** **

*The New Global Health Agenda - Universal Health Coverage

*

Oren Ahoobim, Daniel Altman, Laurie Garrett, Vicky Hausman, and Yanzhong
Huang
*The Council on Foreign Relations (CFR) – April 2012

*

Available online PDF [39p.] at: http://on.cfr.org/K68bPP

****

“…..The tremendous escalation between 1990 and 2008 in international
support for global health programs spawned a massive increase in medical
and public health services throughout poor countries. In middle-income
countries, especially **Brazil**, **Russia**, **India**, and
****China****(the BRICs), the commensurate rise in chronic,
noncommunicable diseases
(NCDs), and continuing concerns over infectious scourges have coincided
with this new era for global health. ****

** **

Combined, the largely infectious diseases–focused global health initiatives
and rising demand for chronic disease and traumatic injuries management
have placed a tremendous burden on health systems all over the world.****


The surge in funding and interest, largely propelled by the expanding HIV
pandemic, led to rapid proliferation of medical and public health programs,
fragmentation and competition among them, and disorder.

****

The explosion in both health initiatives and basic medical services
occurred all over the world, but particularly in sub-Saharan Africa,
**Southeast
Asia**, and eastern Europe. As donor-financed programs expanded in those
regions, most of **Latin America** and the BRICs made heavy domestic
investments in their health systems, growing both the services they
provided and public demand for both basic and secondary health care.

****

These extraordinary increases in provision and demand for health care
sharpened focus on three bottom-line needs all of these countries— and many
wealthy nations—share:****

–– health financing schemes that cover the costs of care without putting
health consumers, governments, or providers at risk of bankruptcy
      or severe economic hardship****

–– systems of health-care delivery that can absorb the many now fragmented
services and provide accessible treatment and prevention
      universally to those in need****

–– a health-care workforce worldwide that should be at a minimum five
million persons larger than it is currently, that displays
      a deeper range of skills, and that features greater attention to
health management and community-based caregivers…………..”

****

*Content:
*Preface - *Laurie Garrett*

World Momentum Builds for Universal Health Coverage - *Yanzhong Huang*

The Universal Health Coverage Moment - *Oren Ahoobim, Daniel Altman, and
Vicky Hausman

*

*
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