Improving the Health of the Global Poor-Reference-Cited by-同舟云学术

Improving the Health of the Global Poor

Published:2002-03-15 Issue:5562 Volume:295 Page:2036-2039
ISSN:0036-8075
Container-title:Science
language:en
Short-container-title:Science

Author:

Jha Prabhat¹²,Mills Anne³,Hanson Kara³,Kumaranayake Lilani³,Conteh Lesong³,Kurowski Christoph³,Nguyen Son Nam²,Cruz Valeria Oliveira³,Ranson Kent³,Vaz Lara M. E.¹,Yu Shengchao⁴,Morton Oliver⁵,Sachs Jeffrey D.⁶

Affiliation:

1. World Health Organization (WHO), Geneva 01220, Switzerland.

2. World Bank, Washington, DC 20433, USA.

3. London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.

4. University of Pennsylvania, Philadelphia, PA 19104, USA.

5. Hybrid Vigor Institute, San Francisco, CA, USA and London, UK SE10 8NW.

6. Center for International Development, Harvard University, Cambridge, MA 02138, USA.

Abstract

We analyzed the technical basis for a major global program to reduce disease among the poor. Effective interventions exist against the few diseases which most account for excess mortality among the poor. Achieving high coverage of effective interventions requires a well-functioning health system, as well as overcoming a set of financial and nonfinancial constraints. The annual incremental cost would be between $40 billion and $52 billion by 2015 in 83 low-income and sub-Saharan African countries. Such a program is feasible and would avoid millions of child, maternal, and adult deaths annually in poor countries.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

Reference28 articles.

1. Low-income countries are defined as those with per capita incomes of $755 or less middle-income countries are those with incomes between $756 to $9265 and high-income countries are those with incomes of $9266 or more. See www.worldbank.org/data/databytopic/class.htm.

2. WHO World Health Report 1999: Making a Difference (World Health Organization Geneva 1999).

3. C. J. Murray A. D. Lopez The Global Burden of Disease: A Comprehensive Assessment of Mortality and Disability from Diseases Injuries and Risk Factors in 1990 and Projected to 2020 (Harvard Univ. Press Boston MA 1996).

4. Jha P., Chaloupka F. J., BMJ 321, 358 (2000).

5. UNAIDS/WHO AIDS Epidemic Update December 2001 (UNAIDS/WHO Geneva 2001).

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