Description: How Can Donors Help Build Global Public Goods in Health?

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How Can Donors Help Build Global Public Goods in Health?

Aid to developing countries has largely neglected the population-wide health services that are core to communicable disease control in the developed world. These mostly non-clinical services generate "pure public goods" by reducing everyo...

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Bibliographic Details
Main Authors:	Das Gupta, Monica, Gostin, Lawrence
Language:	English
Published:	2012
Subjects:	ACCESS TO HEALTH CARE ACCESS TO HEALTH CARE SERVICES AID ASCARIASIS AVIAN FLU AVIAN INFLUENZA BULLETIN BURDEN OF DISEASE CANCERS CAPACITY BUILDING CARDIOVASCULAR DISEASES CHILD DEATHS CHILD HEALTH CHILD MORTALITY CHILD SURVIVAL CHOLERA CITIES CITIZENS CIVIL WAR COMMUNICABLE DISEASE COMMUNICABLE DISEASE CONTROL COMMUNICABLE DISEASES DEATHS DEVELOPING COUNTRIES DIARRHEA DIARRHEAL DISEASES DIARRHOEA DISASTERS DISEASE OUTBREAKS DISEASE PREVENTION DISEASE PREVENTION AND CONTROL DISEASE SURVEILLANCE DISEASE VECTORS DRACUNCULIASIS DRINKING WATER EFFECTIVE VACCINES EMERGENCIES ENDEMIC DISEASES ENVIRONMENTAL HEALTH ENVIRONMENTAL PROTECTION EPIDEMIC EPIDEMIC DISEASE EPIDEMIOLOGICAL PROFILE EXTERNALITIES FLU PANDEMIC FOOD SAFETY GLOBAL HEALTH HAZARDS HEALTH AUTHORITIES HEALTH CARE HEALTH CARE SERVICES HEALTH CONDITIONS HEALTH ECONOMICS HEALTH EDUCATION HEALTH EQUITY HEALTH INEQUALITIES HEALTH INFRASTRUCTURE HEALTH INTERVENTIONS HEALTH LEGISLATION HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PLANNING HEALTH POLICY HEALTH PROGRAMS HEALTH REFORM HEALTH REGULATIONS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH STRATEGIES HEALTH SYSTEM HEALTH SYSTEMS HEALTHY DEVELOPMENT HOOKWORM HOOKWORM INFECTION HUMAN DEVELOPMENT ILLNESS IMPORTANCE OF POPULATION INCOME INDUSTRIALIZATION INFECTION INFECTIONS INFECTIOUS DISEASE INFECTIOUS DISEASES INFLUENZA INJURIES INSTITUTIONAL MECHANISMS INTERNATIONAL COOPERATION INTERNATIONAL EFFORTS INTERNATIONAL HEALTH REGULATIONS INTERNATIONAL ORGANIZATIONS LATRINES LAWS LEPROSY LIFE EXPECTANCY LIMITED RESOURCES LOCAL AUTHORITIES LOCAL GOVERNMENTS LOW-INCOME COUNTRIES MALARIA MALARIA CONTROL MATERNAL AND CHILD HEALTH MEDICAL SERVICES MEDICAL TECHNOLOGY MEDICINE MIDWIVES MILLENNIUM DEVELOPMENT GOALS MORBIDITY MORTALITY NATIONAL GOVERNMENTS NATIONAL LEVEL NATIONAL POPULATION NUTRITION OUTBREAK CONTROL PARASITIC DISEASES PATHOGENS PERSONAL HEALTH PERSONAL HYGIENE POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLICY SERIES POOR PEOPLE POPULATION DISCUSSION PREVALENCE PREVENTION ACTIVITIES PRIMARY HEALTH CARE PROGRESS PUBLIC EDUCATION PUBLIC HEALTH PUBLIC HEALTH INTERVENTIONS PUBLIC HEALTH LAWS PUBLIC HEALTH SERVICES PUBLIC HEALTH WORKERS PUBLIC SERVICES SAFE WATER SANITARY CONDITIONS SANITATION SANITATION FACILITIES SCHISTOSOMIASIS SCREENING SERVICE DELIVERY SEX SMALLPOX THERAPIES THERAPY TRACHOMA TREATMENT TREATMENT SERVICES TROPICAL DISEASES TROPICAL MEDICINE URBANIZATION VACCINATION VACCINATION PROGRAMS VECTOR CONTROL WASTE WASTE DISPOSAL WATER SUPPLIES WATER TREATMENT WORKERS WORLD HEALTH ORGANIZATION
Online Access:	http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20090420112159 http://hdl.handle.net/10986/4100

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Summary:	Aid to developing countries has largely neglected the population-wide health services that are core to communicable disease control in the developed world. These mostly non-clinical services generate "pure public goods" by reducing everyone's exposure to disease through measures such as implementing health and sanitary regulations. They complement the clinical preventive and treatment services which are the donors' main focus. Their neglect is manifested, for example, in a lack of coherent public health regulations in countries where donors have long been active, facilitating the spread of diseases such as avian flu. These services can be inexpensive, and dramatically reduce health inequalities. Sri Lanka spends less than 0.2% of GDP on its well-designed population-wide services, which contribute to the country's high levels of health equity and life expectancy despite low GDP per head and civil war. Evidence abounds on the negative externalities of weak population-wide health services. Global public health security cannot be assured without building strong national population-wide health systems to reduce the potential for communicable diseases to spread within and beyond their borders. Donors need greater clarity about what constitutes a strong public health system, and how to build them. The paper discusses gaps in donors' approaches and first steps toward closing them.