BMJ  2005;331:1457-1461 (17 December), doi:10.1136/bmj.38658.675243.94 (published 10 November 2005)

Education and debate

Achieving the millennium development goals for health

Evaluation of current strategies and future priorities for improving health in developing countries

David B Evans, director1, Stephen S Lim, research fellow2, Taghreed Adam, health economist3, Tessa Tan-Torres Edejer, coordinator4, WHO Choosing Interventions that are Cost Effective (CHOICE) Millennium Development Goals Team

1 Health Systems Financing, Evidence and Information for Policy, World Health Organization, Geneva, Switzerland, 2 School of Population Health, University of Queensland, Australia, 3 Health Systems Financing, Evidence and Information for Policy, World Health Organization, 4 Costs, Effectiveness, Expenditure and Priority Setting, World Health Organization

Correspondence to: David B Evans evansd@who.int

This article is the last in a series examining the cost effectiveness of strategies to achieve the millennium development goals for health

More resources are needed to enable developing countries to fund just the health interventions that are highly cost effective. Evidence that existing money is being well spent may help this cause

The first 150 words of the full text of this article appear below.

Introduction

Five years after the Millennium Declaration was signed, few of the poorest countries in the world are on track to achieve the millennium development goals for health.1 2 In September 2005, heads of state renewed their commitment to these goals and to finding the resources to achieve them. The needs are substantial. An additional $73bn (£41bn; {euro}60bn) in external aid will be needed in 2006 alone for all the millennium development goals, with about $18.5bn for health.3 In this series we have examined whether the strategies adopted for using the available resources, and those planned for future resources, are appropriate in view of the disappointing progress, changing circumstances, and new evidence.4-8 Here, we summarise the key findings for each of the health conditions targeted by the goals and then take the perspective of a policy maker trying to achieve all of them.

Analysis of simultaneous interventions

Our method of analysis used two innovations to ensure . . . [Full text of this article]

Recommended strategy changes for each goal

Priority setting across health goals

Application of results

Validity of cost effectiveness


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