Letters

Monitoring global health

BMJ 2005; 330 doi: http://dx.doi.org/10.1136/bmj.330.7484.195-b (Published 20 January 2005) Cite this as: BMJ 2005;330:195

Bottom up approach is more likely to be successful

  1. Ties Boerma, director, Measurement and Health Information Systems (boermat@who.int),
  2. Carla Abou-Zahr, interim executive secretary, Health Metrics Network
  1. World Health Organization, 1245 Geneva, Switzerland

    EDITOR—Murray et al identify the need for better health information, but their solution is misguided.1 How would their proposal for a richly funded “independent” organisation, primarily concerned with global monitoring be useful to countries?

    Such top down, technocratic approaches emphasise global comparability at the expense of countries' ownership. Murray et al assume a priori that addressing the problems with global reporting will also fuel …

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