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¿Cuánto de la financiación de los donantes para la salud se canaliza a las funciones de ayuda global frente a las
Marco Schäferhoff1, Sara Fewer2, Jessica Kraus1
1SEEK Development, Berlin, Germany.
Lancet (London, England)
|July 17, 2015
Resumen
La financiación de los donantes para las funciones de salud global, incluida la investigación y el desarrollo para las enfermedades de la pobreza y la preparación para brotes, muestra brechas significativas. Una nueva medida, la AOD para la salud, ofrece una visión global de la ayuda sanitaria.
Área de la Ciencia:
- Salud global
- Política de salud
- Economía del desarrollo
Sus antecedentes:
- La crisis del Ébola puso de relieve las brechas en el financiamiento de la salud mundial para funciones críticas.
- Los mecanismos de notificación existentes pueden subestimar el apoyo de los donantes a la investigación y el desarrollo en materia de salud (I+D).
Objetivo del estudio:
- Cuantificar el apoyo de los donantes a las funciones sanitarias mundiales, distinguiendo entre la ayuda global y la específica para cada país.
- Introducir y utilizar una nueva medida, "AOD para la salud más", para una evaluación integral de la financiación de la salud.
Principales métodos:
- Utilizó las bases de datos de las estadísticas de desarrollo internacional para analizar la financiación de los donantes.
- Ayuda a la salud clasificada en categorías: funciones globales frente a la ayuda específica del país.
- Desarrolló una nueva métrica que combina la Asistencia Oficial al Desarrollo (AOD) para la salud con el gasto en I+D para las enfermedades de la pobreza.
Principales resultados:
- Identificó brechas significativas en la financiación de los donantes para las funciones esenciales de salud mundial.
- Demostró que un importante gasto en I+D para enfermedades de la pobreza queda fuera de los informes tradicionales de la AOD.
- La medida "AOD para la salud más" ofrece una imagen más completa de la inversión sanitaria total de los donantes.
Conclusiones:
- Las actuales estrategias de financiación de los donantes pueden no abordar adecuadamente las prioridades mundiales en materia de salud.
- La métrica "AOD para la salud más" ofrece un marco más preciso para evaluar y potencialmente remodelar las políticas mundiales de financiación de la salud.
- Los responsables políticos deberían considerar esta definición ampliada para apoyar mejor las iniciativas mundiales de salud.
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