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Timothy Powell-Jackson1, Josephine Borghi, Dirk H Mueller
1Health Economics and Financing Programme, London School of Hygiene and Tropical Medicine, London, UK. timothy.powell-jackson@lshtm.ac.uk
Lancet (London, England)
|September 26, 2006
まとめ
母親,新生児,子供の健康のための公式開発援助 (ODA) は,ミレニアム開発目標 (MDGs) を達成するのに不十分です. グローバルな援助の流れを増やすことは極めて重要であり,介入を効果的に拡大するために優先度の高い国に焦点を当てます.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 開発経済学 開発経済学
- 公共衛生の資金調達について
背景:
- 母親,新生児,および子どもの健康 (MNCH) に向けた援助の流れに関する信頼できるデータは,ミレニアム開発目標 (MDGs) のための資金の充足性とドナーの説明責任の評価に不可欠です.
- この研究は,高所得ドナー国および援助機関からOECDに報告されたデータを用いて,2003年と2004年にMNCHへの世界的な公式開発援助 (ODA) を推定しています.
研究 の 目的:
- 母,新生児,子供の健康に割り当てられたODAのグローバルな見積もりを提供する.
- MDGsに関連して現在の資金調達水準の適切性を評価する.
- MNCHの介入のための将来の援助戦略を参考にするために.
主な方法:
- 開発途上国150カ国で,ODAはプロジェクトごとに追跡された.
- すべてのドナーに対して,MNCHの標準化された定義が適用された.
- 特定のMNCH基金,統合医療基金,および比例配分を用いた疾病特有の基金が含まれています.
主要な成果:
- 2004年,MNCHに対する推定の世界的ODAは1,9億9千万米ドルであり,総総援助支出のわずか2%を占めています.
- 優先度の高い低所得国60カ国は,1,363億米ドル (子ども1人当たり3.1米ドル) を受け取った.
- 死亡率と一人当たりのODAとの間には,前向きな関連性が見られたが,受給国によって有意な差異があった.
結論:
- 現在のMNCHのODAレベルは,MDGsを達成するのに不十分です.
- コミットメントを履行するために,今後5年間でグローバル支援の大幅な増加が必要である.
- MNCHの介入を拡大するために,優先順位の高い国々に増加した資金の効果的なチャネリングを確保することは,重要な課題です.
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