Advanced search
1 file | 4.41 MB Add to list

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

(2009) LANCET. 373(9681). p.2137-2169
Author
Organization
Abstract
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.
Keywords
RAPID SCALE-UP, ACTIVE ANTIRETROVIRAL THERAPY, SUB-SAHARAN AFRICA, HUMAN-RESOURCES, HIV/AIDS TREATMENT, PRIMARY-CARE, FINANCIAL, SUSTAINABILITY, ONCHOCERCIASIS CONTROL, IMMUNIZATION DATA, SOUTH-AFRICA

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 4.41 MB

Citation

Please use this url to cite or link to this publication:

MLA
Samb, Badara et al. “An Assessment of Interactions Between Global Health Initiatives and Country Health Systems.” LANCET 373.9681 (2009): 2137–2169. Print.
APA
Samb, B., Evans, T., Dybul, M., Atun, R., Moatti, J.-P., Nishtar, S., Wright, A., et al. (2009). An assessment of interactions between global health initiatives and country health systems. LANCET, 373(9681), 2137–2169.
Chicago author-date
Samb, Badara, Tim Evans, Mark Dybul, Rifat Atun, Jean-Paul Moatti, Sania Nishtar, Anna Wright, et al. 2009. “An Assessment of Interactions Between Global Health Initiatives and Country Health Systems.” Lancet 373 (9681): 2137–2169.
Chicago author-date (all authors)
Samb, Badara, 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 Dare, Jean-François Delfraissy, François Boillot, Pierre Miege, Xiulan Zhang, Joseph Rhatigan, Rebecca Weintraub, Sok Pun, C Abe, 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, Jim Yong Kim, Nicole C Kley, Alec Irwin, Erin Sullivan, Brook Baker, Jennifer Cohn, Paul Davis, Jamila Headley, Asia Russell, Patricia Siplon, Sania Nishtar, Clare Dickinson, Mark Pearson, Catriona Waddington, Rifat Atun, Mark Pearson, Sylvie Boyer, Fred Eboko, Jean-Paul Moatti, Fabienne Orsi, Bernard Larouze, 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, Churnrurtai Kanchanachitra, Mit Philips, Guglielmo Riva, Jean-Pierre Kabuayi, Alain Kambale Kiputsu, Andre Ndongosieme, Sinata Koulla-Shiro, Salif Samake, Sory Ibrahima Bamba, Youssouf Coulibaly, Mamadou Namory Traore, Issa Bara Issa Berthe, Suwit Wibulpolprasert, Somsak Chunharas, Gregory Jerome, Joia Mukherjee, Mathias Eric Owona Nguini, Krishna Dipankar Rao, Srinath Reddy, Lot Nyirenda, Regien Biesma, Carlos Bruen, Ruairi Brugha, Patrick Dicker, Aisling Walsh, Johann Cailhol, Ann Parsons, Thubelihle Mathole, David Sanders, Sai Subhasree Raghavan, Felix Mwanza, Etukoit Bernard Michael, Wanyama Richard, P Banati, Matthew Blakley, N Ingenkamp, MA Lansang, Daniel Low-Beer, George Shakarishvili, Mark Dybul, Alice Kayongo, Kent Buse, Tim Martineau, Karl Dehne, Ian Pett, Peter Salama, Baltazar Chilundo, Peter Ndumbe, Julius Atashili, Papa Salif Sow, Peter S Hill, Logan Brenzel, Magali Babaley, Francesca Celletti, Manuel Dayrit, Isabelle de Zoysa, Jane Dyrhauge, Carissa Etienne, Timothy Evans, Benedicte Galichet, Justine Hsu, Patrick Kadama, Denis Porignon, Sarah Russell, Badara Samb, Helen Tata, Wim Van Lerberghe, and Anna Wright. 2009. “An Assessment of Interactions Between Global Health Initiatives and Country Health Systems.” Lancet 373 (9681): 2137–2169.
Vancouver
1.
Samb B, Evans T, Dybul M, Atun R, Moatti J-P, Nishtar S, et al. An assessment of interactions between global health initiatives and country health systems. LANCET. 2009;373(9681):2137–69.
IEEE
[1]
B. Samb et al., “An assessment of interactions between global health initiatives and country health systems,” LANCET, vol. 373, no. 9681, pp. 2137–2169, 2009.
@article{8515331,
  abstract     = {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.},
  author       = {Samb, Badara and Evans, Tim and Dybul, Mark and Atun, Rifat and Moatti, Jean-Paul and Nishtar, Sania and Wright, Anna and Celletti, Francesca and Hsu, Justine and Kim, Jim Yong and Brugha, Ruairi and Russell, Asia and Etienne, Carissa and De, Susna and Mwase, Takondwa and Wang, Wenjuan and Wright, Jenna and Dare, Lola and Delfraissy, Jean-François and Boillot, François and Miege, Pierre and Zhang, Xiulan and Rhatigan, Joseph and Weintraub, Rebecca and Pun, Sok and Abe, C and Caceres, Carlos and Camara, Mamadou and Coriat, Benjamin and d'Almeida, Cristina and Aleshkina, Julia and Murzalieva, Gulgun and Kadzandira, John and Hammami, N and Mwapasa, Victor and Chkhatarashvili, Ketevan and Buch, Eric and Miti, Katabaro and Kamenga, Claudes and Elouma, Marthe Sylvie Essengue and Schwalbe, Nina and Greenberg, Alan and Frehywot, Seble and Markus, Anne and Goeman, Lieve and Khan, Alia and Amati, Jael and Mwaura-Muiru, Esther and Ivers, Louise C and Ellner, Andrew and Shakow, Aaron and Kim, Jim Yong and Kley, Nicole C and Irwin, Alec and Sullivan, Erin and Baker, Brook and Cohn, Jennifer and Davis, Paul and Headley, Jamila and Russell, Asia and Siplon, Patricia and Nishtar, Sania and Dickinson, Clare and Pearson, Mark and Waddington, Catriona and Atun, Rifat and Pearson, Mark and Boyer, Sylvie and Eboko, Fred and Moatti, Jean-Paul and Orsi, Fabienne and Larouze, Bernard and Le Loup, Guillaume and Ndubani, Phillimon and Simbaya, Joseph and Boelaert, Marleen and Cavalli, Anna and Ooms, Gorik and Pirard, Marjan and Polman, Katja and Van Damme, Wim and Van Dormael, Monique and Vermeiren, Peter and Teokul, Waranya and Dlodlo, Riitta and Fujiwara, Paula and Ruppol, Sandrine and Vella, Stefano and Semigina, Tetyana and Corbett, Elizabeth and Godfrey-Faussett, Peter and Spicer, Neil and Walt, Gill and Kanchanachitra, Churnrurtai and Philips, Mit and Riva, Guglielmo and Kabuayi, Jean-Pierre and Kiputsu, Alain Kambale and Ndongosieme, Andre and Koulla-Shiro, Sinata and Samake, Salif and Bamba, Sory Ibrahima and Coulibaly, Youssouf and Traore, Mamadou Namory and Berthe, Issa Bara Issa and Wibulpolprasert, Suwit and Chunharas, Somsak and Jerome, Gregory and Mukherjee, Joia and Nguini, Mathias Eric Owona and Rao, Krishna Dipankar and Reddy, Srinath and Nyirenda, Lot and Biesma, Regien and Bruen, Carlos and Brugha, Ruairi and Dicker, Patrick and Walsh, Aisling and Cailhol, Johann and Parsons, Ann and Mathole, Thubelihle and Sanders, David and Raghavan, Sai Subhasree and Mwanza, Felix and Michael, Etukoit Bernard and Richard, Wanyama and Banati, P and Blakley, Matthew and Ingenkamp, N and Lansang, MA and Low-Beer, Daniel and Shakarishvili, George and Dybul, Mark and Kayongo, Alice and Buse, Kent and Martineau, Tim and Dehne, Karl and Pett, Ian and Salama, Peter and Chilundo, Baltazar and Ndumbe, Peter and Atashili, Julius and Sow, Papa Salif and Hill, Peter S and Brenzel, Logan and Babaley, Magali and Celletti, Francesca and Dayrit, Manuel and de Zoysa, Isabelle and Dyrhauge, Jane and Etienne, Carissa and Evans, Timothy and Galichet, Benedicte and Hsu, Justine and Kadama, Patrick and Porignon, Denis and Russell, Sarah and Samb, Badara and Tata, Helen and Van Lerberghe, Wim and Wright, Anna},
  issn         = {0140-6736},
  journal      = {LANCET},
  keywords     = {RAPID SCALE-UP,ACTIVE ANTIRETROVIRAL THERAPY,SUB-SAHARAN AFRICA,HUMAN-RESOURCES,HIV/AIDS TREATMENT,PRIMARY-CARE,FINANCIAL,SUSTAINABILITY,ONCHOCERCIASIS CONTROL,IMMUNIZATION DATA,SOUTH-AFRICA},
  language     = {eng},
  number       = {9681},
  pages        = {2137--2169},
  title        = {An assessment of interactions between global health initiatives and country health systems},
  volume       = {373},
  year         = {2009},
}

Web of Science
Times cited: