How Can Donors Help Build Global Public Goods in Health?

Das Gupta, Monica; Gostin, Lawrence

dc.creator	Das Gupta, Monica
dc.creator	Gostin, Lawrence
dc.date	2012-03-19T19:09:59Z
dc.date	2012-03-19T19:09:59Z
dc.date	2009-04-01
dc.date.accessioned	2023-02-17T21:09:12Z
dc.date.available	2023-02-17T21:09:12Z
dc.identifier	http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20090420112159
dc.identifier	http://hdl.handle.net/10986/4100
dc.identifier.uri	http://localhost:8080/xmlui/handle/CUHPOERS/245137
dc.description	Aid to developing countries has largely neglected the population-wide health services that are core to communicable disease control in the developed world. These mostly non-clinical services generate "pure public goods" by reducing everyone's exposure to disease through measures such as implementing health and sanitary regulations. They complement the clinical preventive and treatment services which are the donors' main focus. Their neglect is manifested, for example, in a lack of coherent public health regulations in countries where donors have long been active, facilitating the spread of diseases such as avian flu. These services can be inexpensive, and dramatically reduce health inequalities. Sri Lanka spends less than 0.2% of GDP on its well-designed population-wide services, which contribute to the country's high levels of health equity and life expectancy despite low GDP per head and civil war. Evidence abounds on the negative externalities of weak population-wide health services. Global public health security cannot be assured without building strong national population-wide health systems to reduce the potential for communicable diseases to spread within and beyond their borders. Donors need greater clarity about what constitutes a strong public health system, and how to build them. The paper discusses gaps in donors' approaches and first steps toward closing them.
dc.language	English
dc.relation	Policy Research working paper ; no. WPS 4907
dc.rights	CC BY 3.0 IGO
dc.rights	http://creativecommons.org/licenses/by/3.0/igo/
dc.rights	World Bank
dc.subject	ACCESS TO HEALTH CARE
dc.subject	ACCESS TO HEALTH CARE SERVICES
dc.subject	AID
dc.subject	ASCARIASIS
dc.subject	AVIAN FLU
dc.subject	AVIAN INFLUENZA
dc.subject	BULLETIN
dc.subject	BURDEN OF DISEASE
dc.subject	CANCERS
dc.subject	CAPACITY BUILDING
dc.subject	CARDIOVASCULAR DISEASES
dc.subject	CHILD DEATHS
dc.subject	CHILD HEALTH
dc.subject	CHILD MORTALITY
dc.subject	CHILD SURVIVAL
dc.subject	CHOLERA
dc.subject	CITIES
dc.subject	CITIZENS
dc.subject	CIVIL WAR
dc.subject	COMMUNICABLE DISEASE
dc.subject	COMMUNICABLE DISEASE CONTROL
dc.subject	COMMUNICABLE DISEASES
dc.subject	DEATHS
dc.subject	DEVELOPING COUNTRIES
dc.subject	DIARRHEA
dc.subject	DIARRHEAL DISEASES
dc.subject	DIARRHOEA
dc.subject	DISASTERS
dc.subject	DISEASE OUTBREAKS
dc.subject	DISEASE PREVENTION
dc.subject	DISEASE PREVENTION AND CONTROL
dc.subject	DISEASE SURVEILLANCE
dc.subject	DISEASE VECTORS
dc.subject	DRACUNCULIASIS
dc.subject	DRINKING WATER
dc.subject	EFFECTIVE VACCINES
dc.subject	EMERGENCIES
dc.subject	ENDEMIC DISEASES
dc.subject	ENVIRONMENTAL HEALTH
dc.subject	ENVIRONMENTAL PROTECTION
dc.subject	EPIDEMIC
dc.subject	EPIDEMIC DISEASE
dc.subject	EPIDEMIOLOGICAL PROFILE
dc.subject	EXTERNALITIES
dc.subject	FLU PANDEMIC
dc.subject	FOOD SAFETY
dc.subject	GLOBAL HEALTH
dc.subject	HAZARDS
dc.subject	HEALTH AUTHORITIES
dc.subject	HEALTH CARE
dc.subject	HEALTH CARE SERVICES
dc.subject	HEALTH CONDITIONS
dc.subject	HEALTH ECONOMICS
dc.subject	HEALTH EDUCATION
dc.subject	HEALTH EQUITY
dc.subject	HEALTH INEQUALITIES
dc.subject	HEALTH INFRASTRUCTURE
dc.subject	HEALTH INTERVENTIONS
dc.subject	HEALTH LEGISLATION
dc.subject	HEALTH ORGANIZATION
dc.subject	HEALTH OUTCOMES
dc.subject	HEALTH PLANNING
dc.subject	HEALTH POLICY
dc.subject	HEALTH PROGRAMS
dc.subject	HEALTH REFORM
dc.subject	HEALTH REGULATIONS
dc.subject	HEALTH SECTOR
dc.subject	HEALTH SERVICE
dc.subject	HEALTH SERVICES
dc.subject	HEALTH STRATEGIES
dc.subject	HEALTH SYSTEM
dc.subject	HEALTH SYSTEMS
dc.subject	HEALTHY DEVELOPMENT
dc.subject	HOOKWORM
dc.subject	HOOKWORM INFECTION
dc.subject	HUMAN DEVELOPMENT
dc.subject	ILLNESS
dc.subject	IMPORTANCE OF POPULATION
dc.subject	INCOME
dc.subject	INDUSTRIALIZATION
dc.subject	INFECTION
dc.subject	INFECTIONS
dc.subject	INFECTIOUS DISEASE
dc.subject	INFECTIOUS DISEASES
dc.subject	INFLUENZA
dc.subject	INJURIES
dc.subject	INSTITUTIONAL MECHANISMS
dc.subject	INTERNATIONAL COOPERATION
dc.subject	INTERNATIONAL EFFORTS
dc.subject	INTERNATIONAL HEALTH REGULATIONS
dc.subject	INTERNATIONAL ORGANIZATIONS
dc.subject	LATRINES
dc.subject	LAWS
dc.subject	LEPROSY
dc.subject	LIFE EXPECTANCY
dc.subject	LIMITED RESOURCES
dc.subject	LOCAL AUTHORITIES
dc.subject	LOCAL GOVERNMENTS
dc.subject	LOW-INCOME COUNTRIES
dc.subject	MALARIA
dc.subject	MALARIA CONTROL
dc.subject	MATERNAL AND CHILD HEALTH
dc.subject	MEDICAL SERVICES
dc.subject	MEDICAL TECHNOLOGY
dc.subject	MEDICINE
dc.subject	MIDWIVES
dc.subject	MILLENNIUM DEVELOPMENT GOALS
dc.subject	MORBIDITY
dc.subject	MORTALITY
dc.subject	NATIONAL GOVERNMENTS
dc.subject	NATIONAL LEVEL
dc.subject	NATIONAL POPULATION
dc.subject	NUTRITION
dc.subject	OUTBREAK CONTROL
dc.subject	PARASITIC DISEASES
dc.subject	PATHOGENS
dc.subject	PERSONAL HEALTH
dc.subject	PERSONAL HYGIENE
dc.subject	POLICY RESEARCH
dc.subject	POLICY RESEARCH WORKING PAPER
dc.subject	POLICY SERIES
dc.subject	POOR PEOPLE
dc.subject	POPULATION DISCUSSION
dc.subject	PREVALENCE
dc.subject	PREVENTION ACTIVITIES
dc.subject	PRIMARY HEALTH CARE
dc.subject	PROGRESS
dc.subject	PUBLIC EDUCATION
dc.subject	PUBLIC HEALTH
dc.subject	PUBLIC HEALTH INTERVENTIONS
dc.subject	PUBLIC HEALTH LAWS
dc.subject	PUBLIC HEALTH SERVICES
dc.subject	PUBLIC HEALTH WORKERS
dc.subject	PUBLIC SERVICES
dc.subject	SAFE WATER
dc.subject	SANITARY CONDITIONS
dc.subject	SANITATION
dc.subject	SANITATION FACILITIES
dc.subject	SCHISTOSOMIASIS
dc.subject	SCREENING
dc.subject	SERVICE DELIVERY
dc.subject	SEX
dc.subject	SMALLPOX
dc.subject	THERAPIES
dc.subject	THERAPY
dc.subject	TRACHOMA
dc.subject	TREATMENT
dc.subject	TREATMENT SERVICES
dc.subject	TROPICAL DISEASES
dc.subject	TROPICAL MEDICINE
dc.subject	URBANIZATION
dc.subject	VACCINATION
dc.subject	VACCINATION PROGRAMS
dc.subject	VECTOR CONTROL
dc.subject	WASTE
dc.subject	WASTE DISPOSAL
dc.subject	WATER SUPPLIES
dc.subject	WATER TREATMENT
dc.subject	WORKERS
dc.subject	WORLD HEALTH ORGANIZATION
dc.title	How Can Donors Help Build Global Public Goods in Health?
dc.type	Publications & Research :: Policy Research Working Paper
dc.coverage	The World Region
dc.coverage	The World Region