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来源类型 | Expert Comment |
规范类型 | 评论 |
Lessons and Challenges for Global Health in 2014 | |
Professor David Heymann CBE | |
发表日期 | 2014-01-22 |
出版年 | 2014 |
语种 | 英语 |
摘要 | With Osman Dar, Consultant Research Fellow, Centre on Global Health Security A multitude of public-health events in 2013 have demonstrated the continuing need to develop a shared global approach to address the world’s health, well-being and security challenges. Integral to success is the need to recognize their multidisciplinary, transboundary nature, and to strengthen and improve the international institutions and mechanisms developed to address them. For example, in the last 12 months GAVI and the Global Fund, multilateral organizations tasked with improving access to medicines and vaccines, have taken strategic decisions to prioritize strengthening health systems, improve financial management, and develop more flexible and efficient funding models. In the field, the global drive to eradicate polio remains precariously poised on the cusp of success. It still faces significant hurdles and, in certain cases, fierce resistance to vaccination in Northern Nigeria, Pakistan and Afghanistan. Global initiatives, such as the benefit-sharing agreement for pandemic influenza (Pandemic Influenza Preparedness Framework), progressed with new collaborations improving cooperation between countries and institutions. Experience gained and lessons learned from such initiatives will be important in improving the collective global response to recent emerging threats such as MERS coronavirus and H7N9 avian influenza – the implications and risks of which are yet to be fully elucidated. With 2014 having started in earnest and a myriad of high-priority issues and events across the global health landscape, we asked three of our experts to comment on what they consider to be the challenges and opportunities over the next 12 months. Stepping Up Commitment to Addressing Antimicrobial ResistanceSimon Rushton, Associate Fellow, Centre on Global Health Security Although it has been discussed within health policy communities for some time, the issue of bacteria, viruses and other microbes becoming resistant to the drugs used to fight them really broke through into the mainstream of government and public consciousness in 2013. In March, the UK chief medical officer's annual report highlighted the increasing risk posed by antimicrobial resistance, called for it to be put on the government's National Risk Register, and argued that international cooperation through bodies such as the World Health Organization and the G8 would be required to effectively address the problem. The UK's Antimicrobial Resistance Strategy – published in September – similarly reflected on the need for coordinated international action. The Polio Campaign and Political ViolenceHeidi Larson, Associate Fellow, Centre on Global Health Security If there is one loud and clear message concerning global health security from 2013, it is about the power of human behaviours and beliefs to trump scientific advancement. War, violence, religious and philosophical beliefs, and perceptions of risk, all presented significant challenges in 2013. Responsibility for Global Health FinancingJohn-Arne Røttingen, Associate Fellow, Centre on Global Health Security As 2013 was nearing its end, the Commission on Investing in Health launched its report, titled Global Health 2035: a World Converging within a Generation. With clear thinking and solid analyses, it strengthened arguments for why investments in health are good for instrumental economic reasons and for intrinsic reasons. The report demonstrated how preventable infectious, maternal and child deaths can be brought down to universally low levels within a generation. Such a 'health convergence' can be achieved through another convergence seen in 2013: the emerging consensus on universal health coverage (UHC) as the best way to finance health systems. This demonstrates how the 20 years since the World Development Report 1993 have witnessed changes in general macroeconomic thinking on public finance. The report argues that 'No country can achieve UHC on the basis of voluntary purchase of private health insurance […] Achievement of UHC requires compulsory enrolment or automatic entitlement' – a clear call for collective solutions or 'progressive universalism'. When the 'why' (investment case) and the 'how' (UHC) are answered, the global health community needs in 2014 to clearly address the 'who'. To comment on this article, please contact Chatham House Feedback |
主题 | Global Health |
URL | https://www.chathamhouse.org/media/comment/view/196848 |
来源智库 | Chatham House (United Kingdom) |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/50651 |
推荐引用方式 GB/T 7714 | Professor David Heymann CBE. Lessons and Challenges for Global Health in 2014. 2014. |
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