scholarly journals How to do (or not to do) … Tracking data on development assistance for health

2011 ◽  
Vol 27 (6) ◽  
pp. 527-534 ◽  
Author(s):  
Karen A Grépin ◽  
Katherine Leach-Kemon ◽  
Matthew Schneider ◽  
Devi Sridhar
Keyword(s):  
Developing Countries ◽  
Global Health ◽  
Health Systems ◽  
Development Assistance ◽  
Tracking Data ◽  
Development Assistance For Health ◽  
Resource Flows ◽  
Global Health Community ◽  
Health Community

Abstract Development assistance for health (DAH) has increased substantially in recent years and is seen as important to the improvement of health and health systems in developing countries. As a result, there has been increasing interest in tracking and understanding these resource flows from the global health community. A number of datasets, each with its own strengths and weaknesses, are available to track DAH. In this article we review the available datasets on DAH and summarize the strengths and weaknesses of each of these datasets to help researchers make the best choice of which to use to inform their analysis. Finally, we also provide recommendations about how each of these datasets could be improved.

scholarly journals Reinforcing locally led solutions for universal health coverage: a logic model with applications in Benin, Namibia and Uganda

2021 ◽  
Vol 6 (2) ◽  
pp. e004273
Author(s):  
Joël Arthur Kiendrébéogo ◽  
Andrea Thoumi ◽  
Keith Mangam ◽  
Cheickna Touré ◽  
Seyni Mbaye ◽  
...  
Keyword(s):  
Global Health ◽  
International Development ◽  
Universal Health Coverage ◽  
Low Income ◽  
Development Assistance ◽  
Health Financing ◽  
Health Coverage ◽  
Global Health Community ◽  
Health Community ◽  
Universal Health

Development assistance for health programmes is often characterised as donor-led models with minimal country ownership and limited sustainability. This article presents new ways for low-income and middle-income countries to gain more control of their development assistance programming as they move towards universal health coverage (UHC). We base our findings on the experience of the African Collaborative for Health Financing Solutions (ACS), an innovative US Agency for International Development-funded project. The ACS project stems from the premise that the global health community can more effectively support UHC processes in countries if development partners change three long-standing paradigms: (1) time-limited projects to enhancing long-lasting processes, (2) fly-in/fly-out development support to leveraging and strengthening local and regional expertise and (3) static knowledge creation to supporting practical and co-developed resources that enhance learning and capture implementation experience. We assume that development partners can facilitate progress towards UHC if interventions follow five action steps, including (1) align to country demand, (2) provide evidence-based and tailored health financing technical support, (3) respond to knowledge and learnings throughout activity design and implementation, (4) foster multi-stakeholder collaboration and ownership and (5) strengthen accountability mechanisms. Since 2017, the ACS project has applied these five action steps in its implementing countries, including Benin, Namibia and Uganda. This article shares with the global health community preliminary achievements of implementing a unique, challenging but promising experience.

scholarly journals Grand Challenges in Global Health: Community Engagement in Research in Developing Countries

PLoS Medicine ◽  
2007 ◽  
Vol 4 (9) ◽  
pp. e273 ◽  
Author(s):  
Paulina O Tindana ◽  
Jerome A Singh ◽  
C. Shawn Tracy ◽  
Ross E. G Upshur ◽  
Abdallah S Daar ◽  
...  
Keyword(s):  
Developing Countries ◽  
Global Health ◽  
Community Engagement ◽  
Grand Challenges ◽  
Global Health Community ◽  
Health Community

scholarly journals Antimicrobial resistance: the next BIG pandemic

2017 ◽  
Vol 4 (8) ◽  
pp. 2632 ◽  
Author(s):  
Divya Chaudhry ◽  
Priyanka Tomar
Keyword(s):  
Antimicrobial Resistance ◽  
Global Health ◽  
Health Systems ◽  
Premature Mortality ◽  
Antibiotic Consumption ◽  
Modern Medicine ◽  
Human History ◽  
Mortality And Morbidity ◽  
Health Community ◽  
The World

Pandemics have indefinitely threatened the resilience of health systems worldwide. Based on the costs inflicted by some of the deadliest pandemics in human history, economists have projected that global pandemics could cost over USD 6 trillion and generate an annual estimated loss of over USD 60 billion. While the global health community is tirelessly trying to curb the burden of premature mortality from several old and new forms of pathogens, it is now faced with the silently emerging antimicrobial resistance (AMR) pandemic that could endanger some of the most significant advances in modern medicine. Owing to rampant antibiotic consumption in India, the article shows why the country may become the ‘AMR capital of the world’. It shows how health systems may be strengthened both at the national and international levels to reduce premature mortality and morbidity attributable to AMR and pandemics. 

scholarly journals What the Global Health Community Can Learn from Africa

2018 ◽  
Vol 4 (4) ◽  
pp. 20-24
Author(s):  
Debora Kamin Mukaz ◽  
Melissa Melby
Keyword(s):  
Global Health ◽  
Global Health Community ◽  
Health Community

scholarly journals Economic evaluation of disease elimination: an extension to the net benefits framework and application to human African trypanosomiasis

2021 ◽  
Author(s):  
Marina Antillon ◽  
Ching-I Huang ◽  
Kat S Rock ◽  
Fabrizio Tediosi
Keyword(s):  
Cost Effectiveness ◽  
Global Health ◽  
Human African Trypanosomiasis ◽  
Cost Effective ◽  
African Trypanosomiasis ◽  
Disease Elimination ◽  
Global Health Community ◽  
Health Community ◽  
Net Benefits ◽  
The Cost

The net benefits framework has become a mainstay of the cost-effectiveness literature, guiding decision-makers to select among strategies in the presence of budget constraints and imperfect information. However, disease elimination programs are socially desirable but not always cost-effective. Therefore, analytical frameworks are necessary to consider the additional premium for reaching global goals that are beyond the cost-effective use of country resources. We propose a modification to the net benefits framework to consider the implications of switching from an optimal strategy (in terms of cost-per-burden-averted) to a strategy with a higher likelihood of meeting the global target (i.e. elimination of transmission by a specified date). Our expanded framework informs decisions under uncertainty, determines the share of funding necessary to align local and global priorities, enabling local partners to use their resources efficiently while cooperating to meet global health targets. We illustrate the advantages of our framework by considering the economic case of efforts to eliminate transmission by 2030 of gambiense human African trypanosomiasis (gHAT), a vector-borne parasitic disease in West and Central Africa. Significance Statement Various diseases have now been earmarked for elimination by the global health community. While the health economic implications of elimination have been discussed before, one important topic remains unexplored: uncertainty and its consideration within extant cost-effectiveness frameworks. Here we extend the ubiquitous net benefits framework to consider the comparative efficiency of alternative elimination strategies when these strategies have different probabilities of reaching elimination. We evaluate the premium of elimination, and we apply our method to efforts against human African trypanosomiasis in three settings. This method could be directly applied to simulation-based studies of the cost-effectiveness of other disease elimination efforts, therefore giving the global health community a common metric by which to budget for such initiatives.

scholarly journals Measuring development assistance for health systems strengthening and health security: an analysis using the Creditor Reporting System database

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 584
Author(s):  
Jessica Kraus ◽  
Gavin Yamey ◽  
Marco Schäferhoff ◽  
Hugo Petitjean ◽  
Jessica Hale ◽  
...  
Keyword(s):  
Health Systems ◽  
Emergency Preparedness ◽  
Keyword Search ◽  
Reporting System ◽  
Development Assistance ◽  
Building Blocks ◽  
Health Systems Strengthening ◽  
Health Coverage ◽  
Health Security ◽  
Development Assistance For Health

Background: Health systems strengthening (HSS) and health security are two pillars of universal health coverage (UHC). Investments in these areas are essential for meeting the Sustainable Development Goals and are of heightened relevance given the emergence of the 2019 novel coronavirus disease (COVID-19). This study aims to generate information on development assistance for health (DAH) for these areas, including how to track it and how funding levels align with country needs. Methods: We developed a framework to analyze the amount of DAH disbursed in 2015 for the six building blocks of the health system (‘system-wide HSS’) plus health security (emergency preparedness, risk management, and response) at both the global (transnational) and country level. We reviewed 2,427 of 32,801 DAH activities in the Creditor Reporting System (CRS) database (80% of the total value of disbursements in 2015) and additional public information sources. Additional aid activities were identified through a keyword search. Results: In 2015, we estimated that US$3.1 billion (13.4%) of the US$22.9 billion of DAH captured in the CRS database was for system-wide HSS and health security: US$2.5 billion (10.9%) for system-wide HSS, mostly for infrastructure, and US$0.6 billion (2.5%) for system-wide health security. US$567.1 million (2.4%) was invested in supporting these activities at the global level. If responses to individual health emergencies are included, 7.5% of total DAH (US$1.7B) was for health security. We found a correlation between DAH for HSS and maternal mortality rates, and we interpret this as evidence that HSS aid generally flowed to countries with greater need. Conclusions: Achieving UHC by 2030 will require greater investments in system-wide HSS and proactive health emergency preparedness. It may be appropriate for donors to more prominently consider country needs and global functions when investing in health security and HSS.

Sign in / Sign up

Export Citation Format

Share Document