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The mdgs have eight goals three of which are

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Unformatted text preview: he MDGs have eight goals, three of which are healthfocussed, namely those on child mortality, maternal health, and HIV/AIDS, malaria and other diseases. The UN-led Millennium Project, directed by the economist Jeffrey Sachs, has the objective of ensuring that all developing countries meet the MDGs. The whole UN system has since been requested to adapt to addressing the MDGs, and to report to the Secretary General on their achievements in that direction. For health policies, this has meant, for example, pressures from some of the member states, such as the UK, for the WHO to refocus its work on the MDGs, most notably to the goal concerning HIV/ AIDS, malaria and tuberculosis, while its wider mandate as the normative health organisation that sets norms and standards and promotes the building up a wider health systems would not be so emphasised [20]. The MDGs have become an important tool to steer both the UN system towards a narrower agenda with more emphasis on selected interventions and country presences, but more recently increased attention has been placed on the need for addressing development – including health policy issues and systems – more comprehensively [21-23]. Largely the same priorities for health emerged from the report of the Commission of Macroeconomics and Health (CMH) in December 2001 [24], which concluded that public health resources should be directed to the following priorities: communicable diseases; malnutrition, which exacerbates childhood infections; and maternal and perinatal mortality. Development aid for health is also largely steered towards tackling communicable infectious [25]. USAID has financed population programmes, including family planning, for three decades, while its emphasis on health issues is more recent. In 2002, the USAID population, health, and nutrition funding covered HIV/AIDS, family planning/reproductive health, child survival/maternal health, and infectious diseases [26]. The BMGF has provided strategic funding for the founding of new structures for global health policy making – such as GAVI and GAIN – and for the implementation of the recommendations derived from the CMH. Its Global Health programme focuses on infectious disease prevention, vaccine research and development, and reproductive and child health, with emphasis on the development and implementation of technologies, though recurrent costs or chronic conditions are not financed [28]. In GAVI, the substantial BMGF funding is targeted at new vaccines. Efforts have also been made to tackle health challenges through new health technology research and development funding under the Bill and Melinda Gates Foundation funded Grand Challenges in Global Health initiative [29]. Global health priorities Global health priorities have in recent years been defined through several processes and by several actors and at various...
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This note was uploaded on 02/13/2010 for the course ANT 4930 taught by Professor Young during the Spring '10 term at University of Florida.

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