mdgs and international actors in global health (part 2)

8/3/2019 MDGs and International Actors in Global Health (Part 2)

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MDGs are unfair

to Africa

- William Easterly,

NYU


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Reasons for Failures or Slow Progress

Lack of seriousness from the start

Insufficient development assistance fromdeveloped donor countries

Inefficiencies in use of development aid

Corruption and poor governance

Weak institutions

Entrenched inequalities

Structural causes of poverty


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Findings of the Commission on

Macroeconomics and Health

Only a handful of diseases and conditions are

responsible for most of the worlds health deficit

HIV/AIDS, Malaria, TB, Malnutrition

Effective health interventions already exist to

either prevent or cure the diseases which take

the greatest toll on human lives. These interventions do not reach the billions of the

worlds poor.


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Findings of the Commission on

Macroeconomics and Health (2)

Both increased funding for health and strong

commitment by governments are needed

Also, broad support from the international

community and partners from all levels of

society


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Implications of Interventions

330 million DALYs would be saved

Accelerate economic growth

Lower fertility rates Higher investments in human capital

Increased household savings

Greater social and macroeconomic stability

Break the poverty cycle

$180B per year in savings


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International Actors in Global Health

May be individuals, groups, institutions or evenstates/governments

Although actors may be involved in national orglobal policy, it should not be assumed that allgroups, institutions or states act with one voice

Institutions reputations are key in the fulfillmentof their goals and objectives for global health


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(2)

There has been a huge increase in the number and diversity

of actors involved in global health since the establishment of

the UN System at the end of WWIIWorld Health Organization World Bank

UN Childrens Fund UN Population Fund

UN Program on HIV/AIDS UN Development Program

UN Educational, Scientific and

Cultural Organization

Food and Agriculture Organization

World Food Program UN High Commissioner for

Refugees

International Labor Organization UN Environment Program

UN Office on Drugs and Crime World Trade Organization


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(3)

Types of Organizations:1. UN Agencies

2. Multilateral Development Banks

3. Bilateral Development Assistance Programs4. Foundations

5. WHO Related Partnerships

6. International Non-Governmental Organizations/CivilSociety Organizations

7. Other Special Programs8. Public-Private Partnerships for Health

9. Corporations


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Why Cooperate?

1. Stengthens cooperation to create consensus around theworld and advocate in behalf of different health causes.

2. Need to share knowledge/Need for technology transfer

3. Need to set global standards for health activities

4. Many aspects of global health are international/globalpublic goods

Externalities

Surveillance of diseases


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Why Cooperate? (2)

5. Need to assist in financing health efforts in

poorer countries


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For next meeting (November 23, 2011)

1. Quiz on International Actors + Assigned Readings

2. You will be grouped in groups of 6-7. I will upload (by

Thursday) an assignment on countries progress onthe MDGs to be done by the group for submission. 2-3 groups will be randomly chosen to give a 5-7 minutepresentation on their work.

3. Case study/case discussion (Cases and guidequestions to be uploaded by Thursday)

mdgs and international actors in global health (part 2)

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