Global health goals: lessons from the worldwide effort to eradicate poliomyelitis.


Aylward, RB; Acharya, A; England, S; Agocs, M; Linkins, J; (2003) Global health goals: lessons from the worldwide effort to eradicate poliomyelitis. Lancet, 362 (9387). pp. 909-14. ISSN 0140-6736 DOI: 10.1016/S0140-6736(03)14337-1

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Abstract

The Global Polio Eradication Initiative was launched in 1988. Assessment of the politics, production, financing, and economics of this international effort has suggested six lessons that might be pertinent to the pursuit of other global health goals. First, such goals should be based on technically sound strategies with proven operational feasibility in a large geographical area. Second, before launching an initiative, an informed collective decision must be negotiated and agreed in an appropriate international forum to keep to a minimum long-term risks in financing and implementation. Third, if substantial community engagement is envisaged, efficient deployment of sufficient resources at that level necessitates a defined, time-limited input by the community within a properly managed partnership. Fourth, although the so-called fair-share concept is arguably the best way to finance such goals, its limitations must be recognised early and alternative strategies developed for settings where it does not work. Fifth, international health goals must be designed and pursued within existing health systems if they are to secure and sustain broad support. Finally, countries, regions, or populations most likely to delay the achievement of a global health goal should be identified at the outset to ensure provision of sufficient resources and attention. The greatest threats to poliomyelitis eradication are a financing gap of US 210 million dollars and difficulties in strategy implementation in at most five countries.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Global Health and Development
Research Centre: Vaccine Centre
PubMed ID: 13678981
Web of Science ID: 185329400026
URI: http://researchonline.lshtm.ac.uk/id/eprint/10845

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