The end of the era of generosity? Global health amid economic crisis.

IF 1.7 4区 哲学 Q2 ETHICS Philosophy Ethics and Humanities in Medicine Pub Date : 2009-01-09 DOI:10.1186/1747-5341-4-1
Kammerle Schneider, Laurie Garrett
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Abstract

In the past decade donor commitments to health have increased by 200 percent. Correspondingly, there has been a swell of new players in the global health landscape. The unprecedented, global response to a single disease, HIV/AIDS, has been responsible for a substantial portion of this boon. Numerous health success have followed this windfall of funding and attention, yet the food, fuel, and economic crises of 2008 have shown the vulnerabilities of health and development initiatives focused on short term wins and reliant on a constant flow of foreign funding. For too long, the international community has responded to global health and development challenges with emergency solutions that often reflect the donor's priorities, values, and political leanings, rather than funding durable health systems that can withstand crises. Progress towards achieving the Millennium Development Goals has stalled in many countries. Disease specific initiatives have weakened health systems and limited efforts to improve maternal and child health. As we enter this era of scarce resources, there is a need to return to the foundations of the Alma Ata Declaration signed thirty years ago with the goal of providing universal access to primary healthcare. The global health community must now objectively evaluate how we can most effectively respond to the crises of 2008 and take advantage of this moment of extraordinary attention for global health and translate it into long term, sustainable health improvements for all.

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慷慨时代的终结?经济危机中的全球卫生。
在过去十年中,捐助方对卫生事业的承诺增加了 200%。相应地,全球卫生领域也涌现出了许多新的参与者。全球对艾滋病毒/艾滋病这一单一疾病史无前例的反应,是这一繁荣的主要原因。然而,2008 年的粮食、燃料和经济危机表明,注重短期效益、依赖源源不断的外国资金的卫生和发展举措是脆弱的。长期以来,国际社会在应对全球卫生与发展挑战时,采用的往往是反映捐助方优先事项、价值观和政治倾向的应急解决方案,而不是资助能够经受住危机考验的持久卫生系统。许多国家在实现千年发展目标方面的进展停滞不前。针对特定疾病的举措削弱了卫生系统,限制了改善孕产妇和儿童健康的努力。当我们进入这个资源稀缺的时代,有必要回到三十年前签署的《阿拉木图宣言》的基础上,以普及初级保健为目标。全球卫生界现在必须客观地评估我们如何才能最有效地应对 2008 年的危机,并利用全球卫生受到特别关注的这一时刻,将其转化为长期的、可持续的全民健康改善。
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来源期刊
Philosophy Ethics and Humanities in Medicine
Philosophy Ethics and Humanities in Medicine Arts and Humanities-History and Philosophy of Science
CiteScore
2.70
自引率
0.00%
发文量
13
审稿时长
24 weeks
期刊介绍: Philosophy, Ethics, and Humanities in Medicine considers articles on the philosophy of medicine and biology, and on ethical aspects of clinical practice and research. Philosophy, Ethics, and Humanities in Medicine is an open access, peer-reviewed online journal that encompasses all aspects of the philosophy of medicine and biology, and the ethical aspects of clinical practice and research. It also considers papers at the intersection of medicine and humanities, including the history of medicine, that are relevant to contemporary philosophy of medicine and bioethics. Philosophy, Ethics, and Humanities in Medicine is the official publication of the Pellegrino Center for Clinical Bioethics at Georgetown University Medical Center.
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