Funding to improve health in poor countries needs to include local health systems

BMJ 2009; 338 doi: (Published 19 June 2009) Cite this as: BMJ 2009;338:b2504
  1. Oona Mashta

    Benefits from unprecedented spending on public health in poor countries are being compromised by chronic underinvestment in health systems, according to a report led by the World Health Organization and published in the Lancet.

    Although millions of people in recent years have benefited from the expansion of key global health initiatives, there is also evidence that such programmes can constrain the health systems of poor countries, says the Positive Synergies Health Policy report. And many opportunities to improve efficiency, equity, value for money, and outcomes in global public health are still being missed, it says.

    Carissa Etienne, assistant director general …

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