LEADER 05140nam 2200589 450 001 9910828085903321 005 20230803205648.0 010 $a0-309-31172-1 010 $a0-309-31170-5 035 $a(CKB)3710000000260787 035 $a(EBL)3379384 035 $a(SSID)ssj0001464958 035 $a(PQKBManifestationID)12498463 035 $a(PQKBTitleCode)TC0001464958 035 $a(PQKBWorkID)11457932 035 $a(PQKB)11550354 035 $a(MiAaPQ)EBC3379384 035 $a(Au-PeEL)EBL3379384 035 $a(CaPaEBR)ebr10951338 035 $a(OCoLC)893672897 035 $a(EXLCZ)993710000000260787 100 $a20141017h20142014 uy 0 101 0 $aeng 135 $aurcnu|||||||| 181 $ctxt 182 $cc 183 $acr 200 10$aInvesting in global health systems $esustaining gains, transforming lives /$fInstitute of Medicine (U.S.) ; Committee on Investing in Health Syste ems in Low- and Middle Income Countries Board on Global Health, Gillian J. Buckley, John E. Lange, and E. Anne Peterson, editors 210 1$aWashington, District of Columbia :$cNational Academies Press,$d2014. 210 4$dİ2014 215 $a1 online resource (136 p.) 300 $aDescription based upon print version of record. 311 $a0-309-31169-1 320 $aIncludes bibliographical references. 327 $a""Front Matter""; ""Reviewers""; ""Acknowledgments""; ""Contents""; ""Acronyms and Abbreviations""; ""Summary""; ""1 Introduction""; ""2 The United States Strategic Imperative to Invest in Health Systems""; ""3 An Effective Donor Strategy for Health""; ""4 Conclusion""; ""References""; ""Glossary""; ""Appendix A: Committee Member Biographies""; ""Appendix B: Meeting Agenda"" 330 $a"The United States has been a generous sponsor of global health programs for the past 25 years or more. This investment has contributed to meaningful changes, especially for women and children, who suffer the brunt of the world's disease and disability. Development experts have long debated the relative merits of vertical health programming, targeted to a specific service or patient group, and horizontal programming, supporting more comprehensive care. The U.S. government has invested heavily in vertical programs, most notably through the President's Emergency Plan for AIDS Relief (PEPFAR), its flagship initiative for HIV and AIDS. PEPFAR and programs like it have met with good success. Protecting these successes and continuing progress in the future depends on the judicious integration of vertical programs with local health systems. A strong health system is the best insurance developing countries can have against a disease burden that is shifting rapidly and in ways that history has not prepared us for. Reaching the poor with development assistance is an increasingly complicated task. The majority of the roughly 1 billion people living in dire poverty are in middle-income countries, where foreign assistance is not necessarily needed or welcome. Many of the rest live in fragile states, where political volatility and weak infrastructure make it difficult to use aid effectively. The poorest people in the world are also the sickest; they are most exposed to disease vectors and infection. Nevertheless, they are less likely to access health services. Improving their lot means removing the systemic barriers that keep the most vulnerable people from gaining such access. Investing in Global Health Systems discusses the past and future of global health. First, the report gives context by laying out broad trends in global health. Next, it discusses the timeliness of American investment in health systems abroad and explains how functional health systems support health, encourage prosperity, and advance global security. Lastly, it lays out, in broad terms, an effective donor strategy for health, suggesting directions for both the manner and substance of foreign aid given. The challenge of the future of aid programming is to sustain the successes of the past 25 years, while reducing dependence on foreign aid. Investing in Global Health Systems aims to help government decision makers assess the rapidly changing social and economic situation in developing countries and its implications for effective development assistance. This report explains how health systems improvements can lead to better health, reduce poverty, and make donor investment in health sustainable"--$cPublisher's description. 606 $aWorld health$xGovernment policy$zUnited States 606 $aWorld health$xGovernment policy 615 0$aWorld health$xGovernment policy 615 0$aWorld health$xGovernment policy. 676 $a362.1 702 $aBuckley$b Gillian J. 702 $aLange$b John E. 702 $aPeterson$b Anne E. 712 02$aInstitute of Medicine (U.S.).$bCommittee on Investing in Health Systems in Low- and Middle-Income Countries. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910828085903321 996 $aInvesting in global health systems$93985212 997 $aUNINA