A review of innovative international financing mechanisms to address noncommunicable diseases

Ankita Meghani, Sanjay Basu

Research output: Contribution to journalArticlepeer-review

Abstract

Noncommunicable diseases have become prevalent in low- and middle-income countries. A key question that remains unresolved is how to support the development of systems to prevent and treat noncommunicable disease through international financing mechanisms. We conducted a review of articles and grey literature published from 2000 through 2014 on innovative financing models proposed or used for other disease control efforts. We found that the greatest available evidence supported pooled funding models, where funding from multiple groups is combined for a specific investment, with such models previously deployed in vaccine and infectious disease funding areas. Robust evidence also supported the viability of international transactions taxes or levies placed on specific transactions to fund investments in drug procurement and supply, and of the front-loading of development aid through bond sales, particularly to stabilize funding and subsidize drug procurement. Far less compelling evidence was available to support diaspora bonds or debt reduction programs as mechanisms to aid low- and middle-income countries' health systems in financing noncommunicable disease prevention and care services.

Original languageEnglish (US)
Pages (from-to)1546-1553
Number of pages8
JournalHealth Affairs
Volume34
Issue number9
DOIs
StatePublished - Jan 1 2015

ASJC Scopus subject areas

  • Health Policy

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