错误的全球卫生融资:支付和决策的透明度是一个案例
1Department of Politics and International Relations, Oxford University, UK. devi.sridhar@politics.ox.ac.uk
Lancet (London, England)
|October 18, 2008
概括
全球卫生资金存在差异,世界银行和比尔和梅琳达·盖茨基金会等主要捐助者如何分配资金存在显著差异. 每例死亡的资金因疾病而异,突出显示全球卫生投资资源分配不平等.
科学领域:
- 全球健康 全球健康
- 卫生经济学 卫生经济学
- 国际发展国际发展
背景情况:
- 全球卫生投资与金融流动之间存在重大差距.
- 了解资金分配模式对于有效的卫生政策至关重要.
- 主要捐助者在制定全球卫生优先事项方面发挥着关键作用.
研究的目的:
- 分析2005年四个主要的全球卫生捐助者:世界银行,比尔和梅琳达·盖茨基金会 (BMGF),美国政府和全球抗击艾滋病毒/艾滋病,结核病和疟疾基金的资金分配模式.
- 为了识别不同类型的疾病中每例死亡的资金差异.
- 为了比较这些主要捐助者的分配策略.
主要方法:
- 通过使用四个最大捐助者的年度报告和预算信息创建了一个支付数据库.
- 分析的重点是2005年基金分配模式和每死融资指标.
- 我们检查了接收者的地理和组织数据.
主要成果:
- 每人死亡的资金因疾病而异,从艾滋病毒/艾滋病的1029.10美元到非传染性疾病的3.21美元.
- 世界银行,美国政府和全球基金主要将超过98%的资金用于服务提供.
- BMGF主要分配资金用于研究,赠款往往用于发达国家的机构,而美国政府和全球基金会则专注于撒哈拉以南非洲.
结论:
- 2005年主要捐助国全球卫生资金分配显示,在疾病特定投资和地理重点方面存在重大差异.
- 数据强调了捐助者优先事项的差异,BMGF强调研究,其他捐助者优先考虑服务提供.
- 全球卫生支出的不完整和非标准化公共数据需要改进,以提高问责制和战略规划,强调国家在制定卫生优先事项方面需要拥有权力.
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