Global health metrics needs collaboration and competition.
نویسندگان
چکیده
92 www.thelancet.com Vol 385 January 10, 2015 Enhancement of community trust, engagement, and ownership will be key to building resilient systems for health. This includes strengthening community health worker capacity and, more generally, partnering with communities in meaningful ways. More health workers are needed, and training must prepare them for the right competencies—ie, those that enable teamwork and fl exibility. Investments should be focused on people. This will help to train more health workers and create employment, notably for young people. And this in turn will foster economic growth. Early warning systems for all health threats should lead to full implementation of the International Health Regulations. In parallel, information and surveillance systems need to be reinforced and might be most effi ciently deployed at a regional level, through multicountry networks, to allow for cross-border control and response. Substantial external fi nancing will be needed to achieve many of these objectives. One important priority will be for countries to ensure donor coordination. Careful thought is needed about the fi nancial landscape in these countries, as well as consideration of the fi nancing policies needed to meet resource needs and ensure sustained recovery. The fi nancing package will need to include mechanisms to reduce the burden of health expenditures for the populations by promoting fi nancial protection, and to move towards universal health coverage goals. Finally, we need to consider how all partners can work together to maximise effi ciency and eff ectiveness. This includes discussing roles and responsibilities that complement one another and take advantage of e ach one’s relative strengths. Accountability for both countries and partners will be at the centre of building resilient systems for health. The work in supporting Ebola-stricken countries will need longterm commitments from all key actors. The durable gains associated with building a functional health system cannot be compromised for more visible but less eff ective “quick wins”.
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عنوان ژورنال:
- Lancet
دوره 385 9963 شماره
صفحات -
تاریخ انتشار 2015