TY - JOUR
T1 - An assessment of interactions between global health initiatives and country health systems
AU - World Health Organization Maximizing Positive Synergies Collaborative Group
AU - Samb, Badara
AU - Evans, Tim
AU - Dybul, Mark
AU - Atun, Rifat
AU - Moatti, Jean Paul
AU - Nishtar, Sania
AU - Wright, Anna
AU - Celletti, Francesca
AU - Hsu, Justine
AU - Kim, Jim Yong
AU - Brugha, Ruairi
AU - Russell, Asia
AU - Etienne, Carissa
AU - De, Susna
AU - Mwase, Takondwa
AU - Wang, Wenjuan
AU - Wright, Jenna
AU - Daré, Lola
AU - Delfraissy, Jean François
AU - Boillot, François
AU - Miege, Pierre
AU - Zhang, Xiulan
AU - Rhatigan, Joseph
AU - Weintraub, Rebecca
AU - Pun, Sok
AU - Abé, C.
AU - Caceres, Carlos
AU - Camara, Mamadou
AU - Coriat, Benjamin
AU - D’Almeida, Cristina
AU - Aleshkina, Julia
AU - Murzalieva, Gulgun
AU - Kadzandira, John
AU - Hammami, N.
AU - Mwapasa, Victor
AU - Chkhatarashvili, Ketevan
AU - Buch, Eric
AU - Miti, Katabaro
AU - Kamenga, Claudes
AU - Elouma, Marthe Sylvie Essengue
AU - Schwalbe, Nina
AU - Greenberg, Alan
AU - Frehywot, Seble
AU - Markus, Anne
AU - Goeman, Lieve
AU - Khan, Alia
AU - Amati, Jael
AU - Mwaura-Muiru, Esther
AU - Ivers, Louise C.
AU - Rao, Krishna Dipankar
N1 - Funding Information:
Study Group: USA Susna De, Takondwa Mwase, Wenjuan Wang, Jenna Wright (Abt Associates, Bethesda, MD); Nigeria Lola Daré (African Council for Sustainable Health Development); France Jean-François Delfraissy (Agence Nationale de Recherches sur le Sida et les Hépatites Virales [ANRS], Paris); France François Boillot (Alter Santé Internationale et Développement, Montpellier); China Pierre Miege, Xiulan Zhang (Beijing Normal University, Beijing); USA Joseph Rhatigan, Rebecca Weintraub (Brigham and Women's Hospital, Boston, MA); Cambodia Sok Pun (Catholic Relief Services); Cameroon C Abé (Catholic University of Central African States, IRSA); Peru Carlos Caceres (Cayetano Heredia University); France Mamadou Camara, Benjamin Coriat, Cristina d'Almeida (Centre d'Economie de Paris Nord [CEPN], Université Paris 13); Kyrgyzstan Julia Aleshkina, Gulgun Murzalieva (Centre for Health System Development); Malawi John Kadzandira (Centre for Social Research, University of Malawi); Nepal N Hammami (Child Welfare Scheme); Malawi Victor Mwapasa (College of Medicine, University of Malawi); Georgia Ketevan Chkhatarashvili (Curatio International Foundation); South Africa Eric Buch, Katabaro Miti (Department of Political Science, University of Pretoria, Pretoria); USA Claudes Kamenga (Family Health International); Switzerland Marthe Sylvie Essengue Elouma, Nina Schwalbe (GAVI, Geneva); USA Alan Greenberg, Seble Frehywot, Anne Markus (George Washington University, Washington, DC); Indonesia Lieve Goeman (German Technical Cooperation); USA Alia Khan (Global AIDS Alliance, Washington, DC); Kenya Jael Amati, Esther Mwaura-Muiru (GROOTS); USA Louise C Ivers, Andrew Ellner, Aaron Shakow (Harvard Medical School, Boston, MA); USA Jim Yong Kim, Nicole C Kley, Alec Irwin; Erin Sullivan (Harvard School of Public Health, Boston, MA); USA Brook Baker, Jennifer Cohn, Paul Davis, Jamila Headley, Asia Russell, Patricia Siplon (Health GAP, Philadelphia, PA); Pakistan Sania Nishtar (Heartfile, Islamabad); UK Clare Dickinson, Mark Pearson, Catriona Waddington (HLSP Institute, London); UK Rifat Atun, Mark Pearson (Imperial College, London); France Sylvie Boyer, Fred Eboko, Jean-Paul Moatti, Fabienne Orsi (INSERM/IRD UMR 912, Aix-Marseille Universités); France Bernard Larouzé, Guillaume Le Loup (INSERM, UMR 707, Université Pierre and Marie Curie, Paris); Zambia Phillimon Ndubani, Joseph Simbaya (Institute of Economic and Social Research, University of Zambia); Belgium Marleen Boelaert, Anna Cavalli, Gorik Ooms, Marjan Pirard, Katja Polman, Wim Van Damme, Monique Van Dormael, Peter Vermeiren (Institute of Tropical Medicine, Antwerp); Thailand Waranya Teokul (International Health Policy Program); France Riitta Dlodlo, Paula Fujiwara, Sandrine Ruppol (International Union Against Tuberculosis and Lung Disease, Paris); Italy Stefano Vella (Istituto Superiore di Sanità, Rome); Ukraine Tetyana Semigina (Kyiv Mohyla Academy, Kiev); UK Elizabeth Corbett, Peter Godfrey-Faussett, Neil Spicer, Gill Walt (London School of Hygiene and Tropical Medicine, London); Thailand Churnrurtai Kanchanachitra (Mahidol University); Belgium Mit Philips (Médecins sans Frontières); Italy Guglielmo Riva (Ministry of Foreign Affairs, Rome); Democratic Republic of Congo Jean-Pierre Kabuayi, Alain Kambale Kiputsu, André Ndongosieme (Ministry of Health, National Tuberculosis Programme, Kinshasa); Cameroon Sinata Koulla-Shiro (Ministry of Public Health, Yaounde); Mali Salif Samake, Sory Ibrahima Bamba, Youssouf Coulibaly, Mamadou Namory Traore, Issa Bara Issa Berthé (Ministry of Public Health, Bamako); Thailand Suwit Wibulpolprasert (Ministry of Public Health, Bangkok); Thailand Somsak Chunharas (National Health Foundation): USA Gregory Jerome, Joia Mukherjee (Partners in Health, Boston MA); Cameroon Mathias Eric Owona Nguini (Paul Ango Ela Fondation [FPAE], Yaounde); India Krishna Dipankar Rao, Srinath Reddy (Public Health Foundation of India); Malawi Lot Nyirenda (REACH Trust); Ireland Regien Biesma, Carlos Bruen, Ruairi Brugha, Patrick Dicker, Aisling Walsh (Royal College of Surgeons in Dublin, Ireland); South Africa Johann Cailhol, Ann Parsons, Thubelihle Mathole, David Sanders (School of Public Health, University of Western Cape); India Sai Subhasree Raghavan (Solidarity and Action Against the HIV Infection in India); Zambia Felix Mwanza (Treatment Advocacy and Literacy Campaign [TALC]); Uganda Etukoit Bernard Michael, Wanyama Richard (The AIDS Support Organization [TASO], Kampala); Switzerland P Banati, Matthew Blakley, N Ingenkamp, M A Lansang, Daniel Low-Beer, George Shakarishvili (The Global Fund to Fights AIDS, Tuberculosis and Malaria, Geneva); USA Mark Dybul (O'Neill Institute, Georgetown University, Washington, DC); Uganda Alice Kayongo (UCOBAC, Kampala); Switzerland Kent Buse, Tim Martineau, Karl Dehne (UNAIDS, Geneva); USA Ian Pett, Peter Salama (UNICEF, New York); Mozambique Baltazar Chilundo (Universidade Eduardo Mondlane, Maputo); Cameroon Peter Ndumbe, Julius Atashili (University of Buea); Senegal Papa Salif Sow (University of Dakar, Dakar); Australia Peter S Hill (University of Queensland); USA Logan Brenzel (World Bank, Washington, DC); Switzerland Magali Babaley, Francesca Celletti, Manuel Dayrit, Isabelle de Zoysa, Jane Dyrhauge, Carissa Etienne, Timothy Evans, Benedicte Galichet, Justine Hsu, Patrick Kadama, Denis Porignon, Sarah Russell, Badara Samb, Helen Tata, Wim Van Lerberghe, Anna Wright (World Health Organization, Geneva).
Publisher Copyright:
© 2009,Lancet Publishing Group. All rights reserved.
PY - 2009
Y1 - 2009
N2 - Since 2000,the emergence of several large disease-specific global health initiatives (GHIs) has changed the way in which international donors provide assistance for public health. Some critics have claimed that these initiatives burden health systems that are already fragile in countries with few resources,whereas others have asserted that weak health systems prevent progress in meeting disease-specific targets. So far,most of the evidence for this debate has been provided by speculation and anecdotes. We use a review and analysis of existing data,and 15 new studies that were submitted to WHO for the purpose of writing this Report to describe the complex nature of the interplay between country health systems and GHIs. We suggest that this Report provides the most detailed compilation of published and emerging evidence so far,and provides a basis for identification of the ways in which GHIs and health systems can interact to mutually reinforce their effects. On the basis of the findings,we make some general recommendations and identify a series of action points for international partners,governments,and other stakeholders that will help ensure that investments in GHIs and country health systems can fulfil their potential to produce comprehensive and lasting results in disease-specific work,and advance the general public health agenda. The target date for achievement of the health-related Millennium Development Goals is drawing close,and the economic downturn threatens to undermine the improvements in health outcomes that have been achieved in the past few years. If adjustments to the interactions between GHIs and country health systems will improve efficiency,equity,value for money,and outcomes in global public health,then these opportunities should not be missed.
AB - Since 2000,the emergence of several large disease-specific global health initiatives (GHIs) has changed the way in which international donors provide assistance for public health. Some critics have claimed that these initiatives burden health systems that are already fragile in countries with few resources,whereas others have asserted that weak health systems prevent progress in meeting disease-specific targets. So far,most of the evidence for this debate has been provided by speculation and anecdotes. We use a review and analysis of existing data,and 15 new studies that were submitted to WHO for the purpose of writing this Report to describe the complex nature of the interplay between country health systems and GHIs. We suggest that this Report provides the most detailed compilation of published and emerging evidence so far,and provides a basis for identification of the ways in which GHIs and health systems can interact to mutually reinforce their effects. On the basis of the findings,we make some general recommendations and identify a series of action points for international partners,governments,and other stakeholders that will help ensure that investments in GHIs and country health systems can fulfil their potential to produce comprehensive and lasting results in disease-specific work,and advance the general public health agenda. The target date for achievement of the health-related Millennium Development Goals is drawing close,and the economic downturn threatens to undermine the improvements in health outcomes that have been achieved in the past few years. If adjustments to the interactions between GHIs and country health systems will improve efficiency,equity,value for money,and outcomes in global public health,then these opportunities should not be missed.
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UR - http://www.scopus.com/inward/citedby.url?scp=67249115636&partnerID=8YFLogxK
U2 - 10.1016/S0140-6736(09)60919-3
DO - 10.1016/S0140-6736(09)60919-3
M3 - Comment/debate
C2 - 19541040
AN - SCOPUS:67249115636
VL - 373
SP - 2137
EP - 2169
JO - The Lancet
JF - The Lancet
SN - 0140-6736
IS - 9681
ER -