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The post-2015 development agenda: keeping our focus on the worst off
1Clinical Center Department of Bioethics, National Institutes of Health, Bethesda, Maryland; Fogarty International Center, National Institutes of Health, Bethesda, Maryland.
The American Journal of Tropical Medicine and Hygiene
|April 8, 2015
Summary
Prioritizing maternal and child health remains crucial despite the rise of non-communicable diseases. Low-cost interventions for young children offer significant benefits and address the needs of the most vulnerable populations globally.
Area of Science:
- Global Health
- Public Health Policy
- Development Economics
Background:
- Non-communicable diseases (NCDs) now represent the leading global health burden.
- International efforts are shifting focus towards NCDs in the post-2015 development agenda.
- Existing priorities may overlook the significant health needs of vulnerable populations.
Purpose of the Study:
- To argue for the continued prioritization of maternal and child health (MCH).
- To advocate for resource allocation towards the most disadvantaged populations.
- To re-evaluate global health priorities in light of the burden of disease.
Main Methods:
- Ethical and economic arguments for prioritizing health interventions.
- Analysis of the global burden of disease and its impact on different demographics.
- Review of cost-effectiveness of MCH interventions versus NCD interventions.
Main Results:
- Children experiencing early mortality are among the most severely affected globally.
- Many interventions targeting childhood mortality are cost-effective with high benefits.
- Prioritizing MCH aligns with principles of equity and addresses the needs of the worst-off.
Conclusions:
- Despite the increasing burden of NCDs, MCH should remain a high global health priority.
- Policy-makers must prioritize health conditions affecting the most vulnerable.
- Continued investment in communicable diseases, neonatal, and maternal health is essential, echoing the Millennium Development Goals.
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