f_0020446_17208

f_0020446_17208 - Summer '10 UP FRONT-FINAL0618:Summer...

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© 2010 World Policy Institute 3 DEVI SRIDHAR ON INEQUALITIES A preventable disease like malaria, eradicated in high-income countries, still causes one million deaths in developing nations. As India adds more millionaires to the world than any other nation, 40 percent of its children are undernour- ished. There are fundamental inequalities in global health. Ultimately it is up to govern- ments to ensure a healthy population: safe water and sanitation, adequate food, education and health care services, and a conflict-free environ- ment. Within governments, ministries of health are tasked with illness prevention and treat- ment; but often the most important determi- nants of overall health lie outside their purview. In Kenya, for instance, preventing malnutrition requires coordination and cooperation from the ministries of agriculture, water and irrigation, co-operative development, and finance. Since each individual ministry isn’t primarily con- cerned with malnutrition, they have little incen- tive to allocate their limited financial and hu- man resources for this goal. The public health and sanitation ministry is then left scrambling to treat the diseases their administrative cohorts could have stopped. To fix this, an inter-ministerial working group on health should be formed in order to streamline health care in relevant sectors. Most important, the ministry of finance needs to allo- cate sufficient funds specifically for disease pre- vention. Then, we can start heading in the right direction. Devi Sridhar is the Director of the Global Health Governance Project. THE BIG QUESTION WHAT IS THE MOST PRESSING HEALTH CRISIS AND HOW CAN IT BE SOLVED? I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon’s knife or the chemist’s drug. —Hippocratic Oath It is perhaps the single most elusive question today—how to manage and care for the billions of people who will fall ill this year, often terminally, in nations rich and poor? In so many cases the status of health is a purely financial question. Far too often poor health is simply a question of igno- rance or the absence of drugs, medical facilities, clean water and a healthy environment. To help in- form the debate, World Policy Journal asked a panel of experts to weigh in on what they see as the most pressing health crisis today and how it can be solved. UPFR NT ©Matt Nicholas
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ERNEST MADU ON NCDs By 2015, non-communicable diseases ( NCD s) in Africa’s developing countries will cause more deaths than communicable ones. Most of this shift will occur because of the emerging cardio- vascular disease pandemic. A World Health Organization ( WHO ) report observes that 80 per- cent of the 32 million heart attacks worldwide in 2002 occurred in developing countries. The trend has only accelerated.
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This note was uploaded on 02/01/2012 for the course POLS 494 taught by Professor Garymoncrief during the Fall '11 term at Boise State.

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f_0020446_17208 - Summer '10 UP FRONT-FINAL0618:Summer...

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