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;

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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