Friday, December 4, 2009

[EQ] How can donors help build global public goods in health?

How can donors help build global public goods in health?

Monica Das Gupta and Lawrence Gostin

1 Development Research Group, The World Bank, Washington DC

2 O’Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC

 

 

Available online as PDF [16p.] at: http://bit.ly/6AQoBY

Abstract:
Aid to developing countries has largely neglected the population-wide health services that are core to communicable disease control in the developed world. These mostly non-clinical services generate "pure public goods" by reducing everyone's exposure to disease through measures such as implementing health and sanitary regulations. They complement the clinical preventive and treatment services which are the donors' main focus.

Their neglect is manifested, for example, in a lack of coherent public health regulations in countries where donors have long been active, facilitating the spread of diseases such as avian flu. These services can be inexpensive, and dramatically reduce health inequalities. Sri Lanka spends less than 0.2% of GDP on its well-designed population-wide services, which contribute to the country's high levels of health equity and life expectancy despite low GDP per head and civil war. Evidence abounds on the negative externalities of weak population-wide health services.

Global public health security cannot be assured without building strong national population-wide health systems to reduce the potential for communicable diseases to spread within and beyond their borders. Donors need greater clarity about what constitutes a strong public health system, and how to build them.

The paper discusses gaps in donors' approaches and first steps toward closing them.

http://www-wds.worldbank.org/external/default/WDSContentServer/IW3P/IB/2009/04/20/000158349_20090420112159/Rendered/PDF/WPS4907.pdf

 


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[EQ] Confronting "Death on Wheels" Making Roads Safe in Europe and Central Asia

Confronting “Death on Wheels” Making Roads Safe in Europe and Central Asia

Establishing multisectoral partnerships to address a silent epidemic

 

Europe and Central Asia Region - Human Development Department (ECSHD)

Sustainable Development Department (ECSSD)- Global Road Safety Facility (GRSF) - The World Bank – 2009

 

Available online PDF [114p.] at:
http://siteresources.worldbank.org/INTECA/Resources/DeathonWheelsWeb.pdf

 

“….Death on wheels” evokes a bleak image, but an appropriate one for countries in the World Bank’s Europe and Central Asia (ECA) Region. A combination of weak road safety management capacity, deteriorated roads, unsafe vehicles, poor driver behavior, and patchy enforcement of road safety laws, alongside exponential growth in the number of vehicles, have contributed to road traffic injuries and fatalities multiplying at a rapid pace….”

 

 

Content:

Executive Summary

Chapter I. Introduction

1. Negative transport-related environmental and health impacts

2. What is a road traffic injury (RTI)?

3. RTIs risks from increasing motorization in LMICs

4. The broad potential benefits of road safety policies

5. Road safety: The way forward

6. Report objectives

Chapter II. The Epidemic of Road Traffic Injuries

Chapter III. Interventions and Results: What Is the Evidence?

Chapter IV. The Role of Health Systems in Preventing RTIs and Helping Victims

1. Public health actions

2. The role of primary care services in RTIs prevention

3. Emergency medical care systems to deal with crash victims

4. The importance of blood transfusion services in dealing with RTIs

5. Rehabilitation services

6. Good practices in organizing emergency medical services

Chapter IV. The Role of Health Systems in Preventing RTIs and Helping Victims

Chapter VI. World Bank Support for Road Safety Improvements in ECA and in other Regions

Chapter VII. Priorities for Intersectoral Work on Road Safety in ECA

Chapter VIII. The Task Ahead: Operationalizing an Effective Response in ECA

 

Summary

Full Report

Annex

Summary (Russian)

 

 


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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
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