世界の貧困層の健康を改善する
Prabhat Jha1, Anne Mills, Kara Hanson
1World Health Organization (WHO), Geneva 01220, Switzerland. jhap@who.int
まとめ
グローバルな保健プログラムによって,貧困層の死亡率を大幅に減らすことができます. 効果的な介入と機能的な医療制度が鍵であり,年間40~520億ドルの費用がかかると推定されています.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 健康経済学とは
- 公共衛生の介入 公共衛生の介入
背景:
- 貧困層の何百万人もの死因は,予防可能ないくつかの病気に起因する.
- 既存の効果的な介入は,低所得国における過剰死亡率の主な原因をターゲットとしています.
研究 の 目的:
- 貧困層の疾病負担を軽減することを目的とした世界的なプログラムの実現可能性とコストを分析する.
- 効果的な医療介入の高度なカバーを達成するための要件を特定する.
主な方法:
- 病気の負担と効果的な介入に関する既存のデータの分析.
- 低所得国およびサハラ以南のアフリカ諸国におけるプログラム実施のための付加コストの推定.
- 保健システム要件と潜在的な制約の評価.
主要な成果:
- 貧困層の死亡の大半の原因となる病気に対して,効果的な介入が可能である.
- 適切に機能する保健システムは,高い介入範囲を確保するために極めて重要です.
- 83カ国の年間増加コストは2015年までに400億ドルから520億ドルと推定されています.
結論:
- 貧困層の病気を減らすための主要な世界的なプログラムは,技術的に実現可能である.
- このようなプログラムは,毎年何百万人もの幼児,妊産婦,成人の死亡を防ぐことができます.
- 財政的および非財政的制約に対処することは,プログラムの成功にとって不可欠です.
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