Browsing by Author "Catholic Relief Services"

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    An assessment of interactions between global health initiatives and country health systems
    (2009-01-01) Badara Samb; Tim Evans; Mark Dybul; Rifat Atun; Jean Paul Moatti; Sania Nishtar; Anna Wright; Francesca Celletti; Justine Hsu; Jim Yong Kim; Ruairi Brugha; Asia Russell; Carissa Etienne; Susna De; Takondwa Mwase; Wenjuan Wang; Jenna Wright; Lola Daré; Jean François Delfraissy; François Boillot; Pierre Miege; Xiulan Zhang; Joseph Rhatigan; Rebecca Weintraub; Sok Pun; C. Abé; Carlos Caceres; Mamadou Camara; Benjamin Coriat; Cristina D’Almeida; Julia Aleshkina; Gulgun Murzalieva; John Kadzandira; N. Hammami; Victor Mwapasa; Ketevan Chkhatarashvili; Eric Buch; Katabaro Miti; Claudes Kamenga; Marthe Sylvie Essengue Elouma; Nina Schwalbe; Alan Greenberg; Seble Frehywot; Anne Markus; Lieve Goeman; Alia Khan; Jael Amati; Esther Mwaura-Muiru; Louise C. Ivers; Andrew Ellner; Aaron Shakow; Nicole C. Kley; Alec Irwin; Erin Sullivan; Brook Baker; Jennifer Cohn; Paul Davis; Jamila Headley; Patricia Siplon; Clare Dickinson; Mark Pearson; Catriona Waddington; Sylvie Boyer; Fred Eboko; Fabienne Orsi; Bernard Larouzé; Guillaume Le Loup; Phillimon Ndubani; Joseph Simbaya; Marleen Boelaert; Anna Cavalli; Gorik Ooms; Marjan Pirard; Katja Polman; Wim Van Damme; Monique Van Dormael; Peter Vermeiren; Waranya Teokul; Riitta Dlodlo; Paula Fujiwara; Sandrine Ruppol; Stefano Vella; Tetyana Semigina; Elizabeth Corbett; Peter Godfrey-Faussett; Neil Spicer; Gill Walt; Abt Associates, Inc.; African Council for Sustainable Health Development; Agence Nationale de Recherche sur le Sida et les Hépatites Virales; Alter Santé Internationale et Développement; Beijing Normal University; Brigham and Women's Hospital; Catholic Relief Services; Catholic University of Central African States; Cayetano Heredia University; Universite Paris 13; Centre for Health System Development; University of Malawi; Child Welfare Scheme; University of Malawi College of Medicine; Curatio International Foundation; Universiteit van Pretoria; Family Health International; Gavi; George Washington University; German Technical Cooperation; Global AIDS Alliance; GROOTS; Harvard Medical School; Harvard School of Public Health; Health Gap; Heartfile Pakistan; HLSP Institute; Imperial College London; Inserm; University of Zambia; Prins Leopold Instituut voor Tropische Geneeskunde; ; International Union Against Tuberculosis and Lung Disease; Istituto Superiore Di Sanita, Rome; National University of Kyiv-Mohyla Academy; London School of Hygiene & Tropical Medicine; Mahidol University; Medecins Sans Frontieres, Brussels; Ministry of Foreign Affairs; Ministry of Health; Ministry of Public Health Cameroon; Ministry of Health; Thailand Ministry of Public Health; Royal College of Surgeons in Ireland; Georgetown University; Organisation Mondiale de la Sante
    © 2009,Lancet Publishing Group. All rights reserved. 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.