Publication:
An assessment of interactions between global health initiatives and country health systems

Issued Date

2009-01-01

Resource Type

Article

ISSN

1474547X
01406736

DOI

10.1016/S0140-6736(09)60919-3

Other identifier(s)

2-s2.0-67249115636

Rights

Mahidol University

Rights Holder(s)

SCOPUS

Bibliographic Citation

The Lancet. Vol.373, No.9681 (2009), 2137-2169

Suggested Citation

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 An assessment of interactions between global health initiatives and country health systems. The Lancet. Vol.373, No.9681 (2009), 2137-2169. doi:10.1016/S0140-6736(09)60919-3 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/28297

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Thesis

Title

An assessment of interactions between global health initiatives and country health systems

Author(s)

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

Other Contributor(s)

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

Abstract

© 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.

Keyword(s)

Medicine

Availability

URI

https://repository.li.mahidol.ac.th/handle/20.500.14594/28297

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Scopus 2006-2010