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Global health goals: lessons from the worldwide effort to eradicate poliomyelitis
The Global Polio Eradication Initiative was launched in 1988. Assessment of the politics, production, financing, and economics of this international effort has suggested six lessons that might be pertinent to the pursuit of other global health goals. First, such goals should be based on technically...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Ltd.
2003
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7112422/ https://www.ncbi.nlm.nih.gov/pubmed/13678981 http://dx.doi.org/10.1016/S0140-6736(03)14337-1 |
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author | Aylward, R Bruce Acharya, Arnab England, Sarah Agocs, Mary Linkins, Jennifer |
author_facet | Aylward, R Bruce Acharya, Arnab England, Sarah Agocs, Mary Linkins, Jennifer |
author_sort | Aylward, R Bruce |
collection | PubMed |
description | The Global Polio Eradication Initiative was launched in 1988. Assessment of the politics, production, financing, and economics of this international effort has suggested six lessons that might be pertinent to the pursuit of other global health goals. First, such goals should be based on technically sound strategies with proven operational feasibility in a large geographical area. Second, before launching an initiative, an informed collective decision must be negotiated and agreed in an appropriate international forum to keep to a minimum long-term risks in financing and implementation. Third, if substantial community engagement is envisaged, efficient deployment of sufficient resources at that level necessitates a defined, time-limited input by the community within a properly managed partnership. Fourth, although the so-called fair-share concept is arguably the best way to finance such goals, its limitations must be recognised early and alternative strategies developed for settings where it does not work. Fifth, international health goals must be designed and pursued within existing health systems if they are to secure and sustain broad support. Finally, countries, regions, or populations most likely to delay the achievement of a global health goal should be identified at the outset to ensure provision of sufficient resources and attention. The greatest threats to poliomyelitis eradication are a financing gap of US$210 million and difficulties in strategy implementation in at most five countries. |
format | Online Article Text |
id | pubmed-7112422 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2003 |
publisher | Elsevier Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-71124222020-04-02 Global health goals: lessons from the worldwide effort to eradicate poliomyelitis Aylward, R Bruce Acharya, Arnab England, Sarah Agocs, Mary Linkins, Jennifer Lancet Article The Global Polio Eradication Initiative was launched in 1988. Assessment of the politics, production, financing, and economics of this international effort has suggested six lessons that might be pertinent to the pursuit of other global health goals. First, such goals should be based on technically sound strategies with proven operational feasibility in a large geographical area. Second, before launching an initiative, an informed collective decision must be negotiated and agreed in an appropriate international forum to keep to a minimum long-term risks in financing and implementation. Third, if substantial community engagement is envisaged, efficient deployment of sufficient resources at that level necessitates a defined, time-limited input by the community within a properly managed partnership. Fourth, although the so-called fair-share concept is arguably the best way to finance such goals, its limitations must be recognised early and alternative strategies developed for settings where it does not work. Fifth, international health goals must be designed and pursued within existing health systems if they are to secure and sustain broad support. Finally, countries, regions, or populations most likely to delay the achievement of a global health goal should be identified at the outset to ensure provision of sufficient resources and attention. The greatest threats to poliomyelitis eradication are a financing gap of US$210 million and difficulties in strategy implementation in at most five countries. Elsevier Ltd. 2003-09-13 2003-09-11 /pmc/articles/PMC7112422/ /pubmed/13678981 http://dx.doi.org/10.1016/S0140-6736(03)14337-1 Text en Copyright © 2003 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Article Aylward, R Bruce Acharya, Arnab England, Sarah Agocs, Mary Linkins, Jennifer Global health goals: lessons from the worldwide effort to eradicate poliomyelitis |
title | Global health goals: lessons from the worldwide effort to eradicate poliomyelitis |
title_full | Global health goals: lessons from the worldwide effort to eradicate poliomyelitis |
title_fullStr | Global health goals: lessons from the worldwide effort to eradicate poliomyelitis |
title_full_unstemmed | Global health goals: lessons from the worldwide effort to eradicate poliomyelitis |
title_short | Global health goals: lessons from the worldwide effort to eradicate poliomyelitis |
title_sort | global health goals: lessons from the worldwide effort to eradicate poliomyelitis |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7112422/ https://www.ncbi.nlm.nih.gov/pubmed/13678981 http://dx.doi.org/10.1016/S0140-6736(03)14337-1 |
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