The U.S. Commitment to Global Health Recommendations for the Public and Private Sectors (2009) / Chapter Skim
Currently Skimming:
7 Call to Action
7 Call to Action
Pages 169-182
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From page 169... ...
residents from threats to their health; the humanitarian obligation to enable healthy individuals, families, and communities everywhere to live more productive and fulfilling lives; and the broader mission of U.S. foreign policy to reduce poverty, build stronger economies, promote peace, and enhance the U.S.
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From page 170... ...
.) The emerging markets increasingly function as big global "labs;" for example, countries such as China, India, and Mexico are experiencing huge variations of diseases like diabetes and obesity within their populations and provide ideal conditions for large-scale drug trials.
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. However, by improving health and restoring human dignity, the United States can help avoid or reverse the social fragmentation, economic decay, and political instability that often cause, prolong, or result from devastating conflict.
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Priorities should be established on the basis of achieving sustained health gains most effectively, rather than on short-term strategic or tactical U.S. interests.
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foreign policy, the U.S. government will have to increase coordination among the multiple agencies and departments engaged in global health promotion.
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government global health enterprise. Appoint a Senior White House Official and an Interagency Committee on Global Health The 1997 IOM global health committee called for the establishment of an Interagency Task Force on Global Health within the U.S.
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This interagency committee would be the primary structure for bringing together the diverse and widespread global health efforts cutting across multiple government operations. While some agencies, such as HHS, the Office of Management and Budget (OMB)
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Finally, if the deputy for global health and the interagency committee are to be effective, individuals who directly oversee global health activities within the various government agencies should be strong and effectual leaders with significant experience and success in global health programming. Designate Nongovernmental Advisory Committee on Global Health As previously mentioned, the nongovernmental sector is playing an increas ingly significant role in global health financing and programming.
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The Interagency Committee on Global Health can be an important forum for coordinating global health research across these agencies and others. Such coordination may avoid wasteful duplication of efforts, identify promising research opportunities that are not being effectively pursued, and create a global health enterprise in which the advantages and skills of each agency are appropriately tapped and supported.
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flu and national security threats from bioterrorism have dramati cally elevated the status of health on foreign policy agendas. The international community now links health and foreign policy in relation to three key areas: (1)
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Despite temporary setbacks to the growth of their gross domestic product, the commitment by low- and middle-income countries to leverage additional resources for health is particularly important given the emerging data on health financing showing that with external assistance, the financing pie often does not get bigger; countries merely shift expenditures out of government spending onto donors, defeating the goal of increasing overall health spending to ensure long-term sustainability. Undertaking investments and activities in global health is not only a matter of protecting Americans' health from overseas threats or leveraging global knowhow to solve our shared disease burden.
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In the interest of sovereignty and sustainability, the President should also ask low- and middle-income countries to commit publicly to providing additional resources by 2012 to finance their own health initiatives. REFERENCES Baeza, C., and T
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2009. The future of foreign assistance amid global economic and financial crisis: Advanc ing global health in the U.S.
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2003. The impact of the 1997-98 East Asian economic crisis on health and health care in Indonesia.
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