<div class="gmail_extra">crossposted from: <a href="mailto:EQUIDAD@listserv.paho.org">EQUIDAD@listserv.paho.org</a><br><div class="gmail_quote"><br><br>




<u></u>
<u></u>
<u></u>
<u></u>





<div link="blue" vlink="purple" lang="EN-US">

<div>

<p style="margin-left:.5in"><b><font color="maroon" face="Arial" size="3"><span style="font-size:12.0pt;font-family:Arial;color:maroon;font-weight:bold">The New Global Health Agenda - Universal Health Coverage <br>
<br>
<u></u><u></u></span></font></b></p>

<p style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">Oren Ahoobim, Daniel Altman, Laurie
Garrett, Vicky Hausman, and Yanzhong Huang<br>
<b><span style="font-weight:bold">The Council on Foreign Relations (CFR) –
April 2012<br>
<br>
<u></u><u></u></span></b></span></font></p>

<p style="margin-left:.5in"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">Available online PDF [39p.] at: <a href="http://on.cfr.org/K68bPP" target="_blank"><font color="black"><span style="color:windowtext">http://on.cfr.org/K68bPP</span></font></a><br>

<br>
<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">“…..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 <u></u>Brazil<u></u>, <u></u>Russia<u></u>,
<u></u>India<u></u>, and <u></u><u></u>China<u></u><u></u> (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. <u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><u></u> <u></u></span></font></p>

<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">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.<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial"><br>
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.<br>
<br>
<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">The explosion in
both health initiatives and basic medical services occurred all over the world,
but particularly in sub-Saharan Africa, <u></u>Southeast Asia<u></u>,
and eastern Europe. As donor-financed programs expanded in those regions, most
of <u></u>Latin America<u></u> 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.<br>
<br>
<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><font face="Arial"><span style="font-size:10.0pt;font-family:Arial">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:<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:1.0in;text-autospace:none"><font face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial">––
health financing schemes that cover the costs of care without putting health
consumers, governments, or providers at risk of bankruptcy <br>
      or severe economic hardship<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:1.0in;text-autospace:none"><font face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial">––
systems of health-care delivery that can absorb the many now fragmented services
and provide accessible treatment and prevention <br>
      universally to those in need<u></u><u></u></span></font></p>

<p class="MsoNormal" style="margin-left:1.0in;text-autospace:none"><font face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial">–– a
health-care workforce worldwide that should be at a minimum five million
persons larger than it is currently, that displays <br>
      a deeper range of skills, and that features
greater attention to health management and community-based caregivers…………..”</span></font><font size="1"><span style="font-size:9.0pt"><br>
<br>
</span></font><u></u><u></u></p>

<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><b><font face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial;font-weight:bold">Content: <br>
</span></font></b><font face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial">Preface - <i><span style="font-style:italic">Laurie Garrett<u></u><u></u></span></i></span></font></p>

<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><font face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial">World Momentum
Builds for Universal Health Coverage - <i><span style="font-style:italic">Yanzhong
Huang<u></u><u></u></span></i></span></font></p>

<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><font face="Arial" size="1"><span style="font-size:9.0pt;font-family:Arial">The Universal Health
Coverage Moment - <i><span style="font-style:italic">Oren Ahoobim, Daniel
Altman, and Vicky Hausman<br>
<br>
<u></u><u></u></span></i></span></font></p>

<p class="MsoNormal" style="margin-right:0in;margin-bottom:10.0pt;margin-left:.5in;line-height:115%"><font face="Arial"><span style="font-size:10.0pt;line-height:115%;font-family:Arial"><img src="cid:image002.gif@01CD2225.835C6FE0" border="0" height="1" width="1"></span></font><b><font color="maroon" face="Arial" size="1"><span style="font-size:8.0pt;line-height:115%;font-family:Arial;color:maroon;font-weight:bold"> <br>
</span></font></b></p></div></div></div><br></div>