Advancing social and economic development by investing in women's and children's health: a new Global Investment Framework

Stenberg, Karin; Axelson, Henrik; Sheehan, Peter; Anderson, Ian; Gülmezoglu, A Metin; Temmerman, Marleen; Mason, Elizabeth; Frıedman, Howard S.; Bhutta, Zulfiqar A; Lawn, Joy E; Sweeny, Kim; Tulloch, Jim; Hansen, Peter M.; Chopra, Mickey; Gupta, Anuradha; Vogel, Joshua P.; Ostergren, Mikael; Rasmussen, Bruce; Levin, Carol; Boyle, Colin; Kuruvilla, Shyama; Koblinsky, M; Walker, Neff; Andrés, Felipe; Novcic, Nebojsa; Presern, Carole; Jamison, Dean T.; Bustreo, Flavia

doi:10.1016/s0140-6736(13)62231-x

Cited by 295 publications

(248 citation statements)

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“…For some populations, striking trends in all-cause, cancer or vascular mortality (appendix pp [19][20][21][22][23][24] illustrate vividly the importance of particular factors-HIV, tobacco, alcohol, vascular medication, or under-5 mortality. Where death rates remain high, substantial absolute risk reductions are possible.…”

Section: Resultsmentioning

confidence: 99%

“…These priorities vary from one country to another, depending on current mortality rates from various diseases and from injuries and the costs of eff ective action to reduce those rates, leading to population-specifi c prioritisation of appropriate diseases and age groups. 20,21 Moreover, targeting premature death could establish a political precedent whose eff ects continue after 2030. This political precedent matters, since even if premature death decreases 40% by around 2030, 60% would remain to be dealt with later.…”

Section: The July 2014 Owg Proposal For Sdg3mentioning

confidence: 99%

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Avoiding 40% of the premature deaths in each country, 2010–30: review of national mortality trends to help quantify the UN Sustainable Development Goal for health

et al. 2015

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SummaryBackground The UN will formulate ambitious Sustainable Development Goals for 2030, including one for health. Feasible goals with some quantifi able, measurable targets can infl uence governments. We propose, as a quantitative health target, "Avoid in each country 40% of premature deaths (under-70 deaths that would be seen in the 2030 population at 2010 death rates), and improve health care at all ages". Targeting overall mortality and improved health care ignores no modifi able cause of death, nor any cause of disability that is treatable (or also causes many deaths). 40% fewer premature deaths would be important in all countries, but implies very diff erent priorities in diff erent populations. Reinforcing this target for overall mortality in each country are four global subtargets for 2030: avoid two-thirds of child and maternal deaths; two-thirds of tuberculosis, HIV, and malaria deaths; a third of premature deaths from non-communicable diseases (NCDs); and a third of those from other causes (other communicable diseases, undernutrition, and injuries). These challenging subtargets would halve under-50 deaths, avoid a third of the (mainly NCD) deaths at ages 50-69 years, and so avoid 40% of under-70 deaths. To help assess feasibility, we review mortality rates and trends in the 25 most populous countries, in four country income groupings, and worldwide.

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Section: Resultsmentioning

confidence: 99%

Section: The July 2014 Owg Proposal For Sdg3mentioning

confidence: 99%

Avoiding 40% of the premature deaths in each country, 2010–30: review of national mortality trends to help quantify the UN Sustainable Development Goal for health

et al. 2015

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“…Las condiciones de salud en la infancia y el embarazo pueden limitar el crecimiento del PIB; hacer frente a estas condiciones puede revertir este efecto. [69][70][71][72][73] Existe un debate constante acerca del impacto macroeconómico de aumentar el número de personas que trabajan en el sector salud. Algunas investigaciones sugieren que daña la economía (si el alza de los salarios supera la productividad), algunas otras muestran que no hay efecto y otras sugieren que incluso puede estimular la economía.…”

Section: Wish-qatarorg/wish-2016/forum-reports)unclassified

Invirtiendo en salud: el argumento económico. Informe del Foro sobre Inversión en Salud de la Cumbre Mundial sobre Innovación para la Salud 2016

et al. 2017

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Invirtiendo en salud: Informe WISHArtículo especiAl * El material contenido en este artículo es una versión reducida y traducida al español de la versión original publicada en inglés en la Cumbre Mundial sobre Innovación para la Salud (WISH), una iniciativa de la Fundación Qatar, en Doha, Qatar, en noviembre 29-20 de 2016. Los autores agradecen a la Fundación Qatar el financiamiento de la investigación reportada en este artículo. Asimismo, agradecen a la Asociación Mexicana de Industrias de Investigación Farmacéutica, AC, por el apoyo financiero para la traducción al español del informe original. Abstract Developing country governments and aid agencies face difficult decisions on how best to allocate their finite resources.

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“…The 2013 publication of a Global Investment Framework for Women's and Children's Health, for instance, presented economic evidence to strengthen the concept of health as an investment that generates social benefits and capital returns. 59 At the same time, prioritisation of quantitative evidence can exclude, for instance, more normative and political measures of change, vital to understanding complex social phenomena involving structural barriers, such as inequities based on gender, class, race or geography. 43 Differing ideas about how progress is measured is evident within the global RMNCH community, with reproductive health coalitions calling for a more explicit recognition of the political nature of change, the links between health and its determinants, and the role of collective action in realising rights.…”

Section: "The Global Strategy Has Been Important In Facilitating Coopmentioning

confidence: 99%

Power and Politics in the Global Health Landscape: Beliefs, Competition and Negotiation Among Global Advocacy Coalitions in the Policy-Making Process

McDougall¹

2016

Int J Health Policy Manag

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Background: Advocacy coalitions play an increasingly prominent role within the global health landscape, linking actors and institutions to attract political attention and resources. This paper examines how coalitions negotiate among themselves and exercise hidden forms of power to produce policy on the basis of their beliefs and strategic interests. Methods: This paper examines the beliefs and behaviours of health advocacy coalitions using Sabatier's Advocacy Coalition Framework (ACF) as an informal theoretical lens. Coalitions are further explored in relation to the concept of transnational advocacy networks (Keck and Sikkink) and of productive power (Shiffman). The ACF focuses on explaining how policy change takes place when there is conflict concerning goals and technical approaches among different actors. This study uses participant observation methods, self-reported survey results and semistructured qualitative interviews to trace how a major policy project of the Millennium Development Goal (MDG) era, the Global Strategy for Women's and Children's Health, was constructed through negotiations among maternal, newborn, and child health (MNCH) and sexual and reproductive health and rights (SRHR) advocacy coalitions. Results:The Global Strategy represented a new opportunity for high-level political attention. Despite differing policy beliefs, MNCH and SRHR actors collaborated to produce this strategy because of anticipated gains in political attention. While core beliefs did not shift fundamentally and collaboration was primarily a short-term tactical response to a time-bound opportunity, MNCH actors began to focus more on human rights perspectives and SRHR actors adopted greater use of quantifiable indicators and economic argumentation. This shift emphasises the inherent importance of SRHR to maternal and child health survival. Conclusion: As opportunities arise, coalitions respond based on principles and policy beliefs, as well as to perceptions of advantage. Global health policy-making is an arena of contested interests, power and ideas, shaped by the interaction of coalitions. Although policy-making is often seen as a process that should be guided by evidence rather than interest-based politics, this study concludes that a participatory process of debate among different actorcoalitions is vital to progress and can lend greater legitimacy, accountability and transparency to the policy process. Implications for policy makers • The increase of global resources for reproductive, maternal, newborn, and child health (RMNCH) is a result of intensified coordination of actors in the effort to achieve the Millennium Development Goals (MDGs). • Understanding how transnational policy coalitions think, compete and negotiate with each other is vital to understanding how they have come to wield increasing influence in global health at a time of declining state dominance. • Global-level policy-making is legitimated and made more accountable by the participation of multi-constituency actor coalitions, including coal...

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Advancing social and economic development by investing in women's and children's health: a new Global Investment Framework

Cited by 295 publications

References 53 publications

Avoiding 40% of the premature deaths in each country, 2010–30: review of national mortality trends to help quantify the UN Sustainable Development Goal for health

Avoiding 40% of the premature deaths in each country, 2010–30: review of national mortality trends to help quantify the UN Sustainable Development Goal for health

Invirtiendo en salud: el argumento económico. Informe del Foro sobre Inversión en Salud de la Cumbre Mundial sobre Innovación para la Salud 2016

Power and Politics in the Global Health Landscape: Beliefs, Competition and Negotiation Among Global Advocacy Coalitions in the Policy-Making Process

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