世界卫生组织的预算拨款和疾病负担:比较分析
David Stuckler1, Lawrence King, Helen Robinson
1Department of Sociology, University of Oxford, Oxford, UK.
Lancet (London, England)
|November 6, 2008
概括
全球卫生研究经费在很大程度上有利于传染病而不是非传染病和伤害,尽管疾病负担各不相同. 捐助者分配的资金比成员国分配的资金有更大的偏差,这突显了卫生优先事项的错误调整.
科学领域:
- 全球卫生研究资助全球卫生研究资助
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 全球卫生研究优先事项由包括卫生部长,捐助机构和国际组织在内的各种利益相关者制定.
- 这些利益相关者历来通过定期和预算外资金影响了世界卫生组织 (WHO) 的预算拨款.
- 马里巴马科即将召开的一次会议旨在审查全球卫生研究重点.
研究的目的:
- 分析过去的世卫组织预算拨款与全球疾病负担有关的情况.
- 根据世卫组织历史资助决策,确定对健康研究优先事项的潜在见解.
- 为了比较不同世卫组织地区和资金来源之间的资金分配.
主要方法:
- 世界卫生组织两年一次的预算拨款与疾病负担数据 (1994-95年至2008-2009年) 的比较.
- 对世卫组织公开可用的数据进行分析,重点关注死亡和残疾调整寿命年 (DALYs).
- 对西太平洋和非洲地区的资金进行比较评估,对比它们的流行病学过渡阶段和资金来源 (评估与自愿捐款).
主要成果:
- 世卫组织的预算拨款显著倾向于传染病,占2006-07年总预算的87%.
- 非传染病占总预算的12%,而伤害和暴力占总预算的不到1%.
- 与成员国决定的常规预算相比,捐赠者分配的预算外资金更明显地倾向于传染病.
结论:
- 目前的全球卫生研究重点与全球疾病负担之间存在着显著的错位.
- 在外部捐助者分配的资金与世卫组织成员国分配的资金之间观察到显著的差异.
- 巴马科会议为解决这一资金差异和重新调整全球卫生研究重点提供了关键机会.
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