July 11, 2007

Meeting the Survival Needs of the World's Least Healthy PeopleA Proposed Model for Global Health Governance

Author Affiliations

Author Affiliation: O’Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC; and Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

JAMA. 2007;298(2):225-228. doi:10.1001/jama.298.2.225

International health assistance is provided in an ineffective way that does not enhance the capability for human functioning.1 Most funding is driven by emotional, high-visibility events, including large-scale natural disasters such as the Asian tsunami; diseases that capture the public's imagination such as the human immunodeficiency virus and AIDS; or diseases with the potential for rapid global transmission such as hemorrhagic fever, severe acute respiratory syndrome, or pandemic influenza. These funding streams skew priorities and divert resources from building stable local systems to meet everyday health needs.

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